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Barclay, Andrew Whyte Anatomy
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St George's Hospital Reports, Vol. IX

CONTENTS
I. Report of the Medical Registrar, Dr. OWEN, for 1877
II. Report of the Medical Registrar, Dr. OWEN, for 1878.
III. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1877
IV. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1878
V. Report of the Post-mortem Department for 1877, by Dr. EWART
VI. Report of the Obstetrical Department for 1877, by Mr. G. S. HARPER
VII. Report of the Obstetrical Department for 1878, by Dr. H. BLAKE
VIII. Report of the Ophthalmic Department for 1877, by. Mr. MCHARDY
IX. Report of the Ophthalmic Department for 1878, by Mr. MCHARDY
X. Report of the Out-patients' Ophthalmic Department for 1878, by Mr. MCHARDY
XI. Notes from the Department for the Treatment of Diseases of the Throat for 1877 and 1878, by Dr. WHIPHAM
XII. Report of the Orthopaedic Department, by Mr. HAWARD .
XIII. Report of the Aural Department for 1877 and 1878, by Mr. DALBY
XIV. Report of the Dental Department for 1877 by Mr. C. WINTERBOTTOM
XV. Report of the Dental Department for 1878, by Mr. A. WINTERBOTTOM
XVI. On the Treatment of Gout by Salicylic Acid, by Dr. BARCLAY
XVII. On the Results of the Treatment of Compound Fracture of the Leg in this Hospital, with special reference to Lister's Antiseptic Method, by Mr. HOLMES
XVIII. Clinical Lecture on a Case of Enchondromatous Tumour of the Brain, by Mr. Pick
XIX. Abstract of a Case of Diabetes, illustrating the Effects of Remedies, by Dr. CAVAFY and Mr. BERTOLACCI
XX. Report on the Cases of Tetanus, by Mr. E. C. STIRLING
XXI. Some Cases of Mitral Disease without Murmur, by Dr. WATNEY
XXII. Observations on Outbreaks of Diphtheria in Rural Districts, by Dr. WILLIAM OGLE
XXIII. On a Novel Method of reducing Dislocation of the Shoulder, by Mr. J. JONES
XXIV. Notes on some forms of Intestinal Obstructions, by Dr. E L. Fox .
XXV. On Ichthyosis, by Mr. G. GASKOIN
XXVI. On Chrysophanic Acid, by Mr. WYNDHAM COTTLE .
XXVII. On Warty Growths, by Mr. WYNDHAM COTTLE
XXVIII. On the Opening and Drainage of Joints, by Mr. J. H. MORGAN
XXIX. History of an Illness, by Mr. S. WILSON HOPE
XXX. Case of Tympanic Abscess, by Dr. E. C. BABER
XXXI. Exophthalmic Goître, by Dr. W. B. CHEADLE

LIST OF ILLUSTRATIONS
Charts of Analyses of the Urine in a Case of Diabetes
Warty Growths
Membrana Tympani in Case of Tympanic Abscess
Microscopic Appearances of Medulla in Exophthalmic Goître

William Howard, 21, Labourer

Occupation or role: Labourer
Gender: Male
Age: 21
Date of admission: 2 Jan 1878
Date of death: 2 Jan 1878
Disease (transcribed): Fibrinous pneumonia etc. Tubercle
Disease (standardised): Pneumonia (Lung); Tuberculosis (Lung);
Admitting doctor: Barclay, Andrew Whyte
Medical examination performed by: n/a
PM performed by: Ewart, William
Medical notes: 'Not examined by Registrar'
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, brain
Illustrations: Yes
Type of incident: n/a

David Evans, 50, Sawyer

Occupation or role: Sawyer
Age: 50
Gender: Male
Date of admission: 25 Feb 1881
Date of death: 26 Feb 1881
Disease (transcribed): Disease of the heart valves
Disease (standardised): Disease (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Myers, Arthur Thomas
Medical notes: 'The patient has been 'stone deaf' for 12 years. His faculties on admission were somewhat blunted. He could recollect no rheumatism or serious illness. For 3 or 4 years he has had a more or less severe cough, polyurea for 3 years (urine passed 3 or 4 times in the night)'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys
Illustrations: Yes
Type of incident: n/a

William Barrett, 49, Butcher

Occupation or role: Butcher
Age: 49
Gender: Male
Date of admission: 16 Aug 1879
Date of death: 20 Sep 1879
Disease (transcribed): Tubercle of lungs. Emphysema (pulmonary). Hydropericardium
Disease (standardised): Tuberculosis (Lung); Emphysema (Lung); Hydropericardium (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Tidswell, Herbert Henry
Medical notes: He was an in-patient in this hospital in 1877 for haemoptysis. He had suffered from dyspnoea more or less for ten years, and the cough had steadily increased since 1877.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

John Minton, 30, Plumber

Occupation or role: Plumber
Age: 30
Gender: Male
Date of admission: 3 Feb 1880
Date of death: 3 Feb 1880
Disease (transcribed): Cerebral haemorrhage. Granular kidneys
Disease (standardised): Haemorrhage (Brain); Disease (Kidney)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The patient fell down while at work, he was brought to the hospital almost immediately.
Body parts examined in the post mortem: Brain, lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Maria Lenny, 17, Housemaid

Occupation or role: Housemaid
Age: 17
Gender: Female
Date of admission: 26 Jun 1880
Date of death: 26 Jul 1880
Disease (transcribed): Cystic and solid malignant disease of the right ovary, the peritoneum, and the pleurae
Disease (standardised): Cysts (Ovary); Cancer (Ovary); Cancer (Abdomen); Cancer (Pleura)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Four months before admission while lifting a heavy marble slab whose weight was rather beyond her strength, she felt a sudden pain in the right iliac region, as if something had given way. A day or two after swelling in this region was for the first time noticed.
Body parts examined in the post mortem: Abdomen, pleurae, lungs, heart, liver, spleen, kidneys, peritoneum and generative organs
Type of incident: n/a

Joseph Jeffries, 48, Deal porter

Occupation or role: Deal porter
Age: 48
Gender: Male
Date of admission: 14 Sep 1880
Date of death: 21 Sep 1880
Disease (transcribed): Encephaloid carcinoma of liver, pancreas, pylorus and mesenteric glands
Disease (standardised): Cancer (Liver); Cancer (Pancreas); Cancer (Stomach); Cancer (Lymph nodes)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Evans, Arthur Owen
Medical notes: Three years ago he suffered from what he termed lumbago which was relieved by local application. But for these three years he had complained of pain in various parts of the body.
Body parts examined in the post mortem: Heart, lungs liver, pylorus, pancreas, mesenteric glands, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

William Tooth, 68, Coachman

Occupation or role: Coachman
Gender: Male
Age: 68
Date of admission: 21 Jun 1878
Date of death: 26 Jun 1878
Disease (transcribed): Hepatic cirrhosis
Disease (standardised): Liver cirrhosis (Liver);
Admitting doctor: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. Was in training as a jockey at 15: from that time his bowels acted 3-6 times a day or oftener: He ate meat three times a day, and drank on an average, 3 pints of beer. Was subject to rheumatism and winter coughs. About 1850 he fell over some stones and buried the R. [Right] side: he immediately passed some blood (a great quantity, of red colour) by the bowel, and continued to discharge more or less for a week. At the same time he was seized with severe pain in the abdomen, which laid him up for about a month: he was delirious part of the time: was treated with turpentine fomentations: there was no icterus. From that period he was subject to attacks of vomiting, sometimes bringing up a little blood ('a teaspoonful'). Eleven days before admn [admission], he was attacked with profuse diarrhoea, which continued, with a little vomiting at times'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, peritoneum
Illustrations: Yes
Type of incident: n/a

Edward C Tyler, 14, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 14
Gender: Male
Date of admission: 5 Apr 1875
Date of death: 7 Apr 1875
Disease (transcribed): Ulcerative endocarditis. Destruction of base of mitral. Rupture into pericardium
Disease (standardised): Ulcer (Heart); Endocarditis (Heart); Rupture (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: Lee, Robert James
Medical notes: This patient had had an attack of rheumatism at the age of thirteen, since when he had lost flesh and had dyspnoea on exertion.
Body parts examined in the post mortem: Lungs, liver, kidney, spleen, brain and heart
Illustrations: Yes
Type of incident: n/a

Eliza Smith, 29, Widow

Occupation or role: Widow
Age: 29
Gender: Female
Date of admission: 4 Feb 1876
Date of death: 24 Feb 1876
Disease (transcribed): General lithic acid and urate of soda and pus in joints and other tissues
Disease (standardised): Gout (Joints); Suppuration (Joints); Suppuration (Tissues)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: Lee, Robert James
Medical notes: This woman was first admitted in May 1873. When admitted this time the right wrist and elbow were shining red and very painful.
Body parts examined in the post mortem: Joints, lungs, heart, liver, kidneys, spleen and abdomen
Illustrations: Yes
Type of incident: n/a

William Field, 52, Bus driver

Occupation or role: Bus driver
Age: 52
Gender: Male
Date of admission: 28 Jun 1876
Date of death: 1 Jul 1876
Disease (transcribed): General tuberculosis of the lungs
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: Lee, Robert James
Medical notes: The only history that could be got for this man was that he had had cough and cold for nine months, getting gradually worse.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys and brain
Illustrations: Yes
Type of incident: n/a

Robert Lumsdale, 50, Pensioner

Occupation or role: Pensioner
Gender: Male
Age: 50
Date of admission: 9 Oct 1878
Date of death: 28 Nov 1878
Disease (transcribed): Carcinoma of the pancreas and liver
Disease (standardised): Carcinoma (Pancreas); Carcinoma (Liver);
Admitting doctor: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No heritable disease in the family. Nothing noticeable in previous history. About the middle of August, he was attacked quite suddenly with a sharp cutting pain in the loins, which persisted, though with intervals of relief. A fortnight or so later, it extended all over the hypogastrium, and gradually all over the abdomen. It now frequently alternated between there and the loins. The urine, hitherto natural, now grew darker and he began to lose flesh. On Sept [September] 27th the severity of the pain compelled him to take to bed. At the same time dull pain appeared in the epigastrium, the bowels became constipated, and he began to vomit. The last symptom continued violently for nine days'
Body parts examined in the post mortem: Heart, liver, pancreas
Illustrations: Yes
Type of incident: n/a

Rachel Luant, 46, Married

Occupation or role: Married
Age: 46
Gender: Female
Date of admission: 7 Nov 1877
Date of death: 8 Nov 1877
Disease (transcribed): Carcinoma of Liver
Disease (standardised): Carcinoma (Liver)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient had suffered from severe pains in the back and paroxysmal pains in the left inframammary region for over ten months. She had noticed a lump in the abdomen, had vomited, and had been jaundiced for about three weeks.
Body parts examined in the post mortem: Lungs, heart, liver, gallbladder, bile ducts, kidneys, spleen, peritoneum, duodenum, pancreas, uterus and brain
Illustration or photograph: Yes
Type of incident: n/a

Honoria Mahoney, 78, Charwoman

Occupation or role: Charwoman
Gender: Female
Age: 78
Date of admission: 24 Apr 1878
Date of death: 5 May 1878
Disease (transcribed): Cancer of the Pylorus and of the Liver, Biliary obstruction
Disease (standardised): Cancer (Stomach); Cancer (Liver); Obstruction (Biliary tract);
Admitting doctor: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No very satisfactory information was to be obtained from this patient. She saw that for five years she had been subject to attacks of jaundice, commencing with stoppage of the urine, lasting about a week, and usually relieved by 5 gr [grams?] of calomel. The present attack was of 3 wks [weeks] date: it commenced in the usual manner, but failed to be relieved by treatment. It was accompanied by much costiveness: by vomiting about every other day and by a sense of distension in the waist. The cough complained of was of 2 yrs [years] and 8 mo [months] date; and had succeeded an attack of 'bronchitis'. Dyspnoea had been a constant accompaniment. The legs, she said had been in the habit of swelling all her life'
Body parts examined in the post mortem: Heart, kidneys, spleen, stomach, liver, pancreas
Illustrations: Yes
Type of incident: n/a

Herbert Murrel, 29, Milkman

Occupation or role: Milkman
Age: 29
Gender: Male
Date of admission: 24 Mar 1880
Date of death: 10 Apr 1880
Disease (transcribed): Scirrhus of the stomach and neighbourhood. Perforation. Peritonitis
Disease (standardised): Cancer (Stomach); Perforation (Stomach); Peritonitis (Abdomen)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: In January 1879 he began to fail in strength and found that ‘he could not lift things as he used to’. He was later attacked with pain in the left loin, profuse perspiration and difficulty in ‘keeping food down’.
Body parts examined in the post mortem: Abdomen, liver, spleen, kidneys, heart, lungs, prostate and testes
Illustrations: Yes
Type of incident: n/a

Holmes, T.: A System of Surgery, Theoretical and Practical, in Treatises by Various Authors, Vols. I-IV

Inscription on title page (Vol I): ‘London Hospital Medical Library 1904’

Four volumes: I (General Pathology); II (Local Injuries. Diseases of the Eye); III (Operative Surgery; Diseases of the Organs of Special Sense, Respiration, Circulation, Locomotion, and Innervation); IV (Diseases of the Organs of Digestion, of the Genito-Urinary System, of the Breast, Thyroid Gland, and Skin; Appendix of Miscellaneous Subjects)

George Brickenshaw, 59, Coachman

Occupation or role: Coachman
Age: 59
Gender: Male
Date of admission: 28 Feb 1866
Date of death: 10 Mar 1866
Disease (transcribed): Disease of heart. Pulmonary apoplexy. Granular kidneys
Disease (standardised): Disease (Heart); Haemorrhage (Lung); Disease (Kidney)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: He had suffered from dyspnoea for one month before admission.
Body parts examined in the post mortem: Chest and abdomen
Illustrations: Yes
Type of incident: n/a

Major John Ridley, 23, Footman

Occupation or role: Footman
Age: 23
Gender: Male
Date of admission: 5 Mar 1866
Date of death: 24 Mar 1866
Disease (transcribed): Albuminuria. Typhoid fever. Scarlatina. Acute nephritis
Disease (standardised): Albuminuria (Kidney); Typhoid fever (Systemic); Scarlet fever (Systemic); Nephritis (Kidney)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: n/a
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: This man was admitted first into the hospital in December with albuminuria and dropsy. Ten days before this admission he was seized with symptoms of typhoid fever.
Body parts examined in the post mortem: Chest and abdomen
Illustrations: Yes
Type of incident: n/a

William Baverstock, 45, Coachman

Occupation or role: Coachman
Age: 45
Gender: Male
Date of admission: 6 Oct 1880
Date of death: 25 Oct 1880
Disease (transcribed): Phthisis (with tubercles)
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: While working in a draughty shop he ‘caught cold’ and was laid up at home with pain in the left axilla, shortness of breath and cough.
Body parts examined in the post mortem: Lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Joseph Inwood, 34, Cook

Occupation or role: Cook
Age: 34
Gender: Male
Date of admission: 6 Apr 1881
Date of death: 26 Apr 1881
Disease (transcribed): Aneurism of the descending aorta
Disease (standardised): Aneurysm (Aorta)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Myers, Arthur Thomas
Medical notes: 'For the last 20 years he has been in continued work as a clerk, playing often as a professional cricketer up to 3 years ago: he never when in hard exercise felt any palpitation or discomfort. He had primary syphilis 8 years ago followed by secondaries. Has drunk moderately of beer & spirits. About a year ago began to feel shifting abdominal pain'
Body parts examined in the post mortem: Lungs, heart, aorta, liver, spleen, kidneys
Illustrations: Yes
Type of incident: n/a

Jesse Underwood, 47, Labourer

Occupation or role: Labourer
Age: 47
Gender: Male
Date of admission: 25 Mar 1880
Date of death: 4 Apr 1880
Disease (transcribed): Ulcerative endocarditis
Disease (standardised): Ulcer (Heart); Endocarditis (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: About January 1879 while walking quietly in the street, he suddenly lost the power of speech. About the same time as the aphasia he noticed shortness of breath with attacks of fainting and giddiness.
Body parts examined in the post mortem: Heart, lungs, liver, spleen, kidneys, brain and meninges
Illustrations: Yes
Type of incident: n/a

Charles Wing, 31, Baker

Occupation or role: Baker
Age: 31
Gender: Male
Date of admission: 8 Sep 1880
Date of death: 11 Oct 1880
Disease (transcribed): Syphilis. Gummata in the liver. Cirrhosis
Disease (standardised): Syphilis (Systemic); Gumma (Liver); Cirrhosis (Liver)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Ten years ago he had a syphilitic sore followed by eruptions on the body and legs. Four years ago he had a severe ulceration of the throat.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and peritoneum
Illustrations: Yes
Type of incident: n/a

Elizabeth Woodcock, 44, Married

Occupation or role: Married
Gender: Female
Age: 44
Date of admission: 20 Jun 1878
Date of death: 28 Jul 1878
Disease (transcribed): Cancer of liver
Disease (standardised): Cancer (Liver);
Admitting doctor: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No heritable disease in the family. Weakly since marriage: rheumatic fever at 33: diaphoresis habitually scanty: fat not tolerated. Previous history of good health and natural functions. Forty seven days before admn [admission], she began to experience slight malaise and aching of limbs. Two days later a degree of icterus was established, which did not vary up to admission. After another two she began to vomit: vomiting from that time occurred on an average once a day: frothy matter vomited. Severe pain in the epigastrium appeared the day after the vomiting: it recurred afterwards at irregular intervals, generally in the evening to last all night. Loss of flesh during the illness: bowels fairly regular'
Body parts examined in the post mortem: Lungs, heart, peritoneum, liver, spleen, kidneys
Illustrations: Yes
Type of incident: n/a

William Cockran, 47, Excavator

Occupation or role: Excavator
Age: 47
Gender: Male
Date of admission: 1 Mar 1879
Date of death: 2 Mar 1879
Disease (transcribed): Pneumonia (acute). Old chronic pneumonia
Disease (standardised): Pneumonia (Lung)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: A slight cough was present all the winter. Otherwise the patient was well until February 17th, when he woke with headache, pain in the back and limbs, sharp pain in the right flank on coughing, cough, dyspnoea and anorexia.
Body parts examined in the post mortem: Heart, liver, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

Daniel Garnham, 59, Gardener

Occupation or role: Gardener
Age: 59
Gender: Male
Date of admission: 18 Jun 1879
Date of death: 3 Jul 1879
Disease (transcribed): Hard cancer of the liver. Biliary obstruction
Disease (standardised): Cancer (Liver); Obstruction (Bile ducts)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient was suddenly attacked, five months before admission, with vomiting and faintness, followed after a few hours by severe pain in the epigastrium and right hypochrondrium which extended all over the abdomen and right side of chest.
Body parts examined in the post mortem: Heart, peritoneum, liver, pancreas, stomach, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

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