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St George's Hospital Reports, Vol. I

The volume includes a brief history of the hospital and the medical school.

Contents:
I. Some Account of St. George’s Hospital and School. By W. E. PAGE, M.D., Senior Physician to the Hospital
II. Contributions to the Surgery of the Head. No. I. On the Deviations of the Base of the Skull in Chronic Hydrocephalus. By PRESCOTT HEWETT, Surgeon to the Hospital
III. A Case of Meningocele, in the Occipital Region, which was injected with Iodine, without ill consequences, the Patient dying of Broncho-pneumonia. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Anatomy
IV. On the Typhus Epidemic of 1864-5, as observed at St. George’s Hospital. By R. E. THOMPSON, M.D., Medical Registrar of the Hospital
V. Notes on an Epidemic of Typhus at Leeds, in the Year 1865-6. By T. CLIFFORD ALLBUTT, M.B., Physician to the Fever Infimmary, Fever Hospital, &0. at Leeds
VI. On the Diagnosis, Pathology, and Treatment of Progressive Locomotor Ataxy. By J. LOCKHART CLARKE, F.R.S.
VII. On Rheumatic Iritis. By J. ROUSE, Lecturer on Anatomy at the Hospital School
VIII. On Cerebral Symptoms occurring in certain Affections of the Ear. By J. TOYNBEE, F.R.S., late Consulting Aural Surgeon to St. Mary’s Hospital, Asylum for the Deaf and Dumb, and to St. George’s and St. James’s Dispensary
IX. On some Points connected with the Treatment of Hernia. By J. WARRINGTON HAWARD, Resident Medical Oflicer to the Hospital for Sick Children
X. On Amputation at the Hip-joint, and on the Applicability of this Operation in some of the worst Cases of Morbus Coxarius. Part I. For recurrent Fibro-plastic Tumour. Part II. In Morbus Coxarius. By T. HOLMES, Assistant Surgeon to the Hospital
XI. On Disease of the Brain as a result of Diabetes Mellitus, illustrated by the Narrative of a Case (with Clinical Observations) in which Paralysis, due to Softening of the Brain, came on in a Diabetic Patient, and proved fatal. Followed by a Notice of Fifteen Fatal Cases of Diabetes, cited from the Records of the Hospital. By Dr. JOHN W. OGLE, Physician to the Hospital
XII. On Jaundice and Biliousness. By Dr. H. BENCE JONES, formerly Physician to the Hospital
XIII. On Paralysis occurring in Childbed. By Dr. F. F. FUSSELL, Physician to the Brighton Dispensary
XIV. Remarks upon the Modus Operandi of Hypodermic Injections. By C. HUNTER, Surgeon to the Royal Pimlico Dispensary
XV. On Congenital Dislocations of the Femur. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XVI. On the Diurnal Variations in the Temperature of the Human Body in Health. By Dr. WILLIAM OGLE, Lecturer on Physiology at the Medical School of the Hospital
XVII. On Rupture of Arteries dependent on external Injury. By GEORGE POLLOCK, Surgeon to the Hospital
XVIII. On the Formation of Coagula in the Cerebral Arteries. By Dr. DICKINSON, Assistant Physician to the Hospital
XIX. On Talipes Varus. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XX. On Talipes Equinus. By G. NAYLER, Assistant Surgeon to the Royal Orthopaedic Hospital, and the Hospital for Diseases of the Skin
XXI. On the Amputation-Book of St. George’s Hospital, and on some Points connected with the Statistics of Three Hundred Amputations there recorded. Part I. On the Influence of Age upon the Results of Amputation. Part II. 'On the Causes of Death, after Amputation; with special reference to the proportion of Deaths due to causes preceding the Amputation. By T. HOLMES, Assistant Surgeon to the Hospital
XXII. Statistical Tables from the Dental Case-Books of St. George’s Hospital. By C. VASEY, Surgeon-Dentist to the Hospital
Annual Report of Cases admitted into the Medical Wards of St. George’s Hospital during the Year 1865. By Dr. STURGES
Annual Report of Surgical Cases treated in the Hospital during the Year 1865. By Mr. PICK

LIST OF ILLUSTRATIONS
View of St. George’s Hospital in its present condition
View of the Hospital as it appeared in 1746. From a picture by R. Wilson, R.A., in the Foundling Hospital
Foetal Skull, showing the arrangement of the bones in a case of chronic hydrocephalus, affecting the middle fossae (Mr. Prescott Hewett)
The representation, from life, of a case similar to the foregoing (Mr. Prescott Hewett)
Meningocele in the occipital region (Mr. Holmes)
The same as above, showing the parts within the skull (Mr. Holmes)
Thermograph, in a case of fever (Dr. Thompson)
Diseased Femur (Mr. H. Lee) .
Stump of amputation (Mr. H. Lee)
Lithographic representation of -a Femur, showing the effects of chronic Osteo-myelitis (Mr. Holmes)
Consolidated Lung, having its arteries full of laminated coagulum (Dr. John W. Ogle)
Thermographs showing variations of temperature in health (Dr. William Ogle)
Front view of a case of Talipes equinus (Mr. Nayler)
Back view of the same preparation (Mr. Nayler)
An extreme case of Talipes equinus (Mr. Nayler)
The same foot after successful treatment (Mr. Nayler)
Contraction of the ext. prop. pollicis, with rectangular contraction of the tendo Achillis (Mr. Nayler) .
Talipes equinus paralytieus (Mr. Nayler)
Extreme degree of Talipes equinus paralyticus (Mr. Nayler)

Mary Rafferty, 14, Schoolgirl

Occupation or role: Schoolgirl
Age: 14
Gender: Female
Date of admission: 27 Jan 1862
Date of death: 29 Jan 1862
Disease (transcribed): Meningitis
Disease (standardised): Meningitis (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Sturges, Octavius
Post mortem examination performed by: Dickinson, William Howship
Medical notes: The patient was brought into the hospital only partially conscious lying as one asleep.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Louisa Hoar, 38, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Female
Date of admission: 15 Jul 1857
Date of death: 28 Jul 1857
Disease (transcribed): Apoplexy. Phlebitis of longitudinal sinus and its branches
Disease (standardised): Stroke (Lung); Phlebitis (Sinus)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: This woman gave a history of disappearance of the menses five months ago and stated that within the same period she had been troubled with constant retching and vomiting and inability to retain any food.
Body parts examined in the post mortem: Cranium, thorax, abdomen and pelvis
Type of incident: n/a

John Moyle, 30, Shoemaker

Occupation or role: Shoemaker
Age: 30
Gender: Male
Date of admission: 20 Jul 1857
Date of death: 22 Jul 1857
Disease (transcribed): Cephalitis
Disease (standardised): Encephalitis (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: n/a
Medical notes: He had formerly been in the army serving in Gibraltar and the West Indies. Whilst there he had been frequently giddy and subject to fainting fits.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

William Manning, 50, Cab driver

Occupation or role: Cab driver
Age: 50
Gender: Male
Date of admission: 26 May 1857
Date of death: 1 Jun 1857
Disease (transcribed): Apoplexy
Disease (standardised): Stroke (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: Whilst on the box he was seized with vertigo.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Joseph Palmer, [No age stated], Sweeper

Occupation or role: Sweeper
Age: [No age stated]
Gender: Male
Date of admission: 27 Dec 1861
Date of death: 28 Dec 1861
Disease (transcribed): Cerebral apoplexy
Disease (standardised): Stroke (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: The patient was partially recovered from paralysis of the left side which had followed a fit, when he was picked up in the street and brought to the hospital
Body parts examined in the post mortem: Head
Type of incident: n/a

Henry H Head, 18, Lawyer’s Clerk

Occupation or role: Lawyer’s Clerk
Age: 18
Gender: Male
Date of admission: 20 Feb 1861
Date of death: 20 Mar 1861
Disease (transcribed): Strumous meningitis
Disease (standardised): Tuberculosis (Brain); Meningitis (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: The patient was said to have had very good health until five days before he came in, when before getting up in the morning he was seized with a convulsive fit. The attack came without any violent cause.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

William Burgess, 14, Pageboy

Occupation or role: Pageboy
Age: 14
Gender: Male
Date of admission: 26 Jan 1861
Date of death: 30 Jan 1861
Disease (transcribed): Strumous tubercle of cerebellum. Arachinitis
Disease (standardised): Tuberculosis (Brain); Arachnoiditis (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: The boy had said to have been quite well until ten days before admission when he was suddenly vomiting; three or four days afterward violent convulsing followed by complete insensibility.
Body parts examined in the post mortem: Cranium thorax and abdomen
Type of incident: n/a

Clarissa Gould, 63, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 63
Gender: Female
Date of admission: 5 Oct 1859
Date of death: 7 Oct 1859
Disease (transcribed): Serous apoplexy (?)
Disease (standardised): Stroke (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Thomas
Medical notes: Her daughter stated that she had had good health, excepting an occasional attack of rheumatic gout, until four months ago when she began to complain of pains in the head.
Body parts examined in the post mortem: Cranium, thorax, abdomen and pelvis
Type of incident: n/a

Sarah Hamilton, 37, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 37
Gender: Female
Date of admission: 26 Jan 1859
Date of death: 12 Feb 1859
Disease (transcribed): Hemiplegia. Peculiar deposit in the brain
Disease (standardised): Hemiplegia (Brain); Deposit (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Thomas
Medical notes: When this patient was admitted she was unable to give any account of herself. It was ascertained that she had been out of health for the last six months and that a fortnight ago she had some kind of fit followed by hemiplegia.
Body parts examined in the post mortem: Cranium, neck, thorax, abdomen and pelvis
Type of incident: n/a

John Shave, 54, Porter

Occupation or role: Porter
Age: 54
Gender: Male
Date of admission: 3 Nov 1858
Date of death: 7 Jan 1859
Disease (transcribed): Apoplexy. Hypertrophy of the heart. Diseased kidneys
Disease (standardised): Stroke (Brain); Disease (Heart); Disease (Kidney)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Thomas
Medical notes: For the last three days he had suffered from headache, nausea and pains in the loins.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

William Thomson, 15, Farm labourer

Occupation or role: Farm labourer
Age: 15
Gender: Male
Date of admission: 8 Sep 1858
Date of death: 28 Oct 1858
Disease (transcribed): Hydrocephalus interim. Ecchymosis in spinal canal
Disease (standardised): Hydrocephalus (Brain); Ecchymosis (Spine)
Admitted under the care of: Bence Jones, Henry and Ogle, John William
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'A farm labourer who had suffered for a twelvemonth from pain in the head which was increased by working in the sun. Six months later it became so bad & was accompanied with such frequent vomiting that he went under medical care & was leeched & blistered. This treatment did him some good for a time. When he came to the hospital there was tenderness all down the spine & partial paralysis of the lower limbs’
Body parts examined in the post mortem: Cranium, spinal cord, thorax, abdomen

Type of incident: n/a

Jane Weedon, [No age stated], [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: [No age stated]
Gender: Female
Date of admission: 27 Mar 1858
Date of death: 11 May 1858
Disease (transcribed): Meningitis. Diseased kidneys. Umbilical hernia
Disease (standardised): Meningitis (Brain); Disease (Kidneys); Hernia (Abdomen)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'This woman was admitted under the surgeon for umbilical hernia from which she had suffered many years. She had also pinging[?tinnitus] & sickness, with violent delirium & she was pulseless at the wrist. This sickness &c came on the day before admission. Her legs & arms were somewhat anasarcous’
Body parts examined in the post mortem: Cranium, thorax, abdomen, pelvis
Type of incident: n/a

Philip Perry, 5, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 5
Gender: Male
Date of admission: 21 Apr 1858
Date of death: 27 Apr 1858
Disease (transcribed): Chorea
Disease (standardised): Chorea (Central nervous system)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: n/a
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'As the body was not examined the case is not given’
Body parts examined in the post mortem: 'The body was not examined'

Type of incident: n/a

Alexander Fraser, 7, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 7
Gender: Male
Date of admission: 27 Jan 1858
Date of death: 28 Jan 1858
Disease (transcribed): Epilepsy. Albuminuria
Disease (standardised): Epilepsy (Brain); Albuminuria (Kidneys)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: n/a
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'As the body was not examined the case is not given’
Body parts examined in the post mortem: 'The body was not examined'

Type of incident: n/a

Alfred Bevan, n/a, [No occupation stated]

Occupation or role: [No occupation stated]
Age: n/a
Gender: Male
Date of admission: 24 Sep 1851
Date of death: 12 Oct 1851
Disease (transcribed): Death by coma & delirium. Jaundice. Almost universal destruction of the true texture of the liver accompanied by the deposition of much fat
Disease (standardised): Coma (Systemic); Delirium (Nervous system); Jaundice (Skin); Disease (Liver)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William and Bence Jones, Henry
Medical notes: 'This lad stated that his illness was only of a week’s duration, during which he had suffered from sickness & pain at the pit of the stomach and his skin had been of a yellow hue, his water had been of a darker colour than usual, he believed as long as a fortnight’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

John Harrison, n/a, [No occupation stated]

Occupation or role: [No occupation stated]
Age: n/a
Gender: Male
Date of admission: 1 Oct 1851
Date of death: 3 Oct 1851
Disease (transcribed): Delirium & stupor. ‘Wet brain’ & much sub-arachnoid fluid. Miliary tubercular deposits in both lungs. Old double pleurisy. Recent pleurisy on the right side. Diseased kidneys
Disease (standardised): Delirium (Nervous system); Disease (Brain); Tuberculosis (Lungs); Pleurisy (Lungs); Disease (Kidneys)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'Was admitted in a state of perfect unconsciousness, but very noisy & excited. Of the nature of his previous illness no distinct account was obtained, but it was alleged that having been out of health for 4 or 5 months he had been rather suddenly seized on the day before his admission with delirium and had been insensible ever since’
Body parts examined in the post mortem: Thorax, abdomen, cranium

Type of incident: n/a

Catherine Linstead, 28, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Female
Date of admission: 14 May 1851
Date of death: 19 May 1851
Disease (transcribed): Granular & atrophied kidneys. Imperfect paraplegia, also partial loss of speech following epileptic fits. Double pleurisy. Death by apnoea. Nothing remarkable in the brain
Disease (standardised): Disease (Kidneys); Paraplegia (Brain); Epilepsy (Brain); Pleurisy (Lungs); Apnea (Respiratory system)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'The report that was brought with this patient was that since her last confinement which had occurred 3 months previously she had had 3 fits and that in the last which had occurred only a few days before, she had partially lost the use of speech; her mind was evidently confused and it was impossible to obtain from her any distinct account of her own sensations. The child was her third, was a seven-month child, and she had nursed it up to her admission’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

Richard Collins, 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 30 Oct 1850
Date of death: 10 Feb 1851
Disease (transcribed): Hemiplegia. Softening of brain. Occlusion of arteries at base of the brain
Disease (standardised): Hemiplegia (Brain); Softening (Brain); Occlusion (Brain)

Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Hewett, Prescott Gardner and Ogle, John William
Medical notes: 'Stated to have been previously in the enjoyment of good health, stout & well-made: he suffered from toothache for which two teeth were drawn, on the 19th and almost ever since the paralysis had been coming on. He had had no fit or loss of consciousness but was on admission unable to move the right arm or leg’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Julia Turner, 15, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 15
Gender: Female
Date of admission: 4 Oct 1848
Date of death: 28 Nov 1848
Disease (transcribed): Albuminuria. Facial paralysis
Disease (standardised): Albuminuria (Kidney); Paralysis (Central nervous system)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Handfield Jones, Charles
Medical notes: This girl was stated by her mother to have been ailing for eight months. Her illness began with swelling of the joints.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Henry Mathews, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 67
Date of admission: 8 Aug 1854
Date of death: 8 Aug 1854
Disease (transcribed): Extravasation of blood into subarachnoid tissues of brain & into lateral ventricles. Diseased valves of the heart
Disease (standardised): Extravasation (Brain); Disease (Heart)
Admitting doctor: Bence Jones, Henry
Surgeon: Ogle, John William
Physician: Rogers, George Goddard
Medical notes: 'This patient was brought to the hospital about 2.45pm having been found in the watercloset in a perfectly unconscious state an hour previously. His breathing was thick, & attended with puffing of the cheeks during each expiration. He was twice sick. He never recovered from his comatose state & died in about 4 hours’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of injury: n/a

George Anbery, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 34
Date of admission: 11 Jul 1854
Date of death: 13 Jul 1854
Disease (transcribed): Delirium tremens. Serous effusion on brain. Vascularity of the calvaria
Disease (standardised): Alcohol withdrawal delirium (Brain); Effusion (Brain); Vascularity (Skull)
Admitting doctor: Bence Jones, Henry
Surgeon: Gray, Henry
Physician: Barclay, Andrew Whyte
Medical notes: 'The present was the second occasion on which this patient had been admitted into the hospital with delirium tremens. He said he had been attacked a fortnight ago with pain in the head. Herpes had come out on the lips last week […] He was reported to have been rambling a good deal the whole time & to have had very little sleep’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of injury: n/a

James Sibley, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 34
Date of admission: 20 Jan 1854
Date of death: 30 Jan 1854
Disease (transcribed): Fever. Effusion into brain. Cerebral softening
Disease (standardised): Fever (Systemic); Effusion (Brain); Softening (Brain)
Admitting doctor: Bence Jones, Henry
Surgeon: Ogle, John William
Physician: Barclay, Andrew Whyte
Medical notes: 'Admitted in a very wandering and delirious state, and reported to have been ill 3 weeks’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of injury: n/a

William Cambridge, 40, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 40
Gender: Male
Date of admission: 19 Apr 1850
Date of death: 24 Apr 1850
Disease (transcribed): Mania. Thickening and opacity of arachnoid. Fluid at base of brain. Slight congestion
Disease (standardised): Bipolar disorder (Brain); Disease (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: It was difficult to obtain from the persons who accompanied this man any very distinct history of the circumstances under which his illness had begun. His speech and memory had been gradually failing and he had occasionally complained of being out of sorts.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Ann Amess, 21, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 21
Gender: Female
Date of admission: 24 Jan 1850
Date of death: 3 Feb 1850
Disease (transcribed): Acute Rheumatism. Delirium
Disease (standardised): Rheumatic diseases (Tissues); Delirium (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient stated that she had first taken ill on the 17th and had been under medical care since the 19th suffering from Rheumatic Fever.
Body parts examined in the post mortem: Cranium, thorax, pelvis and lower extremities
Type of incident: n/a

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