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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)

Sarah Anne Legge, 21, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 21
Gender: Female
Date of admission: 17 May 1848
Date of death: 18 May 1848
Disease (transcribed): Inflammation of brain and membranes. Pneumonia and hepatisation of lung. Scrofulous bronchial glands.
Disease (standardised): Inflammation (Brain); Pneumonia (Lung); Disease (Lung); Tuberculosis (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: This patient was said to have been taken ill with severe pain in the head, delirium, and occasionally very noisy and troublesome.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Elizabeth Jinneway, 5, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 5
Gender: Female
Date of admission: 8 May 1850
Date of death: 3 Jun 1850
Disease (transcribed): Scrofulous tubercle in medulla oblong: lymph at base of brain. Miliary tubercles in lung. Facial paralysis. Strabismus
Disease (standardised): Tuberculosis (Brain); Lymph (Brain); Tuberculosis (Lung); Paralysis (Face); Strabismus (Eyes)
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 child was brought by its mother to the Hospital for the purpose of having an operation for the cure of strabismus performed and admitted under the care of the surgeon. It was soon evident that it was a consequence of deep seated mischief, and she was transferred.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Maria Penny, 18, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 18
Gender: Female
Date of admission: 16 Mar 1853
Date of death: 8 May 1853
Disease (transcribed): Facial paralysis and hemiplegia produced by a tumour of the pons varolii the result of softened scrofulous matter
Disease (standardised): Paralysis (Face); Hemiplegia (Brain); Tumour (Brain); Tuberculosis (Brain)
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: This girl stated that her illness began with slight numbness of the face on the right side, and since that she had had numbness down the left side of the body.
Body parts examined in the post mortem: Cranium, thorax, abdomen and pharynx
Type of incident: n/a

Alfred Bingham, 19, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Male
Date of admission: 15 May 1850
Date of death: 7 Jun 1850
Disease (transcribed): Tubercles and vomicae in lungs. Old and recent pleurisy. Pneumothorax
Disease (standardised): Tuberculosis (Lung); Pleurisy (Pleura); Pneumothorax (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: n/a
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient suffered from cough and hoarseness to such a degree as scarcely to be able to speak in articulated tone.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Sidney Field, 19, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Male
Date of admission: 24 Apr 1846
Date of death: 26 Apr 1846
Disease (transcribed): Ulceration of small intestine, cicatrisation and contraction of the gut, reducing its canal to the size of a small quill. Dilatation of gut above. Stercoraceous vomiting. Tubercular and cretaceous deposit in mesenteric glands, but no where else.
Disease (standardised): Ulcer (Intestines); Cicatrix (Gastrointestinal tract); Contraction (Gastrointestinal tract); Fecal vomiting (Intestines); Tuberculosis (Mesenteric gland); Cretaceous deposit (Mesenteric gland)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient presented himself for admission stating that his bowels had not acted for nine days, and that he felt heavy and unwell.
Body parts examined in the post mortem: Abdomen and thorax
Type of incident: n/a

Stephen Cook, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Male
Date of admission: 19 Apr 1848
Date of death: 22 May 1848
Disease (transcribed): Erysipelas of face and head. Pleuritis and empyema. Pericarditis. Cysts in kidney.
Disease (standardised): Erysipelas (Skin); Pleurisy (Pleura); Empyema (Pleural cavity); Pericarditis (Heart); Cysts (Kidney)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: This patient applied for advice regarding a firm tumour of some size adhering to the upper part of the sternum.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Thomas Wick, 41, Labourer

Occupation or role: Labourer
Age: 41
Gender: Male
Date of admission: 7 May 1856
Date of death: 11 May 1856
Disease (transcribed): Phthisis. Diseased Kidneys
Disease (standardised): Tuberculosis (Lung); Disease (Kidney)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Ogle, John William
Medical notes: This man said that he had been complaining of feeling giddy for three weeks. He was evidently dying of phthisis.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Charles Rowe, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 30
Date of admission: 15 Feb 1854
Date of death: 11 Apr 1854
Disease (transcribed): Haemoptysis. Obsolete scrofulous deposit in the lungs. Chronic pneumonia
Disease (standardised): Haemoptysis (Lung); Tuberculosis (Lung); Pneumonia (Lung)
Admitting doctor: Bence Jones, Henry
Surgeon: Ogle, John William
Physician: Barclay, Andrew Whyte
Medical notes: 'This patient had been suffering from cough for two years, and had spit blood in the commencement of his illness’
Body parts examined in the post mortem: Thorax, abdomen

Type of injury: n/a

Mary Colven, 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Female
Date of admission: 22 Apr 1846
Date of death: 1 May 1846
Disease (transcribed): Ascites and anasarca. Hypertrophy and dilatation of heart. Lungs puckered from condensation of the pleura and the interlobular cellular tissue. Emphysema and oedema of these organs. Slight recent peritonitis. Circumscribed cavity between uterus and rectum
Disease (standardised): Ascites (Abdomen); Oedema (General); Disease (Heart); Disease (Lung); Emphysema (Lung); Oedema (Lung);Peritonitis (Abdomen) ; Cavity (Uterus, Rectum)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient was admitted in January suffering from general anasarca dependent upon diseased heart.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

John Taylor, 56, Stableman

Occupation or role: Stableman
Age: 56
Gender: Male
Date of admission: 14 Apr 1852
Date of death: 1 May 1852
Disease (transcribed): Scrofulous deposits and vomicae in both lungs. Hepatized lung on one side. Hypertrophied heart with white patches on its surface. Atheromatous state of the general arterial system. Diseased kidneys
Disease (standardised): Tuberculosis (Lung); Disease (Heart); Plaque, atherosclerotic (Arteries); Disease (Kidney)
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: He was admitted reporting himself to have been ill for nine weeks with a bad cough, but having evidently suffered from it for a considerable time previously.
Body parts examined in the post mortem: Thorax, trachea and abdomen
Type of incident: n/a

Henry Pearse, 23, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 23
Gender: Male
Date of admission: 16 May 1849
Date of death: 22 May 1849
Disease (transcribed): Brain congested, serous effusion in the ventricles. Tubercles in the cerebellum, the lungs, liver & kidneys
Disease (standardised): Congestion (Brain); Tuberculosis (Brain, lungs, liver, kidneys)
Admitted under the care of: Bence Jones, Henry and Pitman, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: 'This man, who have a very obscure account of his symptoms, stated that he had been constantly exposed to cold in his work while perspiring and that without any particular cause of illness he had been so weak as to be unable to return to work after the 3rd inst. He had been OP [out-patient for some time under Dr Pitman [Henry Pitman], and had been confined to bed for 3 or 4 days before his admission’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Stephen Brookwell, 47, Gardener

Occupation or role: Gardener
Age: 47
Gender: Male
Date of admission: 14 Mar 1855
Date of death: 11 April 1855
Disease (transcribed): Peritonitis. Diseased Liver. Pleurisy
Disease (standardised): Peritonitis (Abdomen); Disease (Liver); Pleurisy (Pleura)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Ogle, John William
Medical notes: This man had been exposed to the severe cold of the past winter. He had enjoyed good health until four weeks before admission when he had pain in the left side and a hacking cough.
Body parts examined in the post mortem: Abdomen and thorax
Type of incident: n/a

Thomas Jones, 18, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 18
Gender: Male
Date of admission: 17 May 1848
Date of death: 30 May 1848
Disease (transcribed): Phthisis Pulmonalis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: As the body was not examined, the history of this case is not given.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Henry Goodwin, 15, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 15
Gender: Male
Date of admission: 12 Jun 1850
Date of death: 1 Jul 1850
Disease (transcribed): Very numerous miliary tubercles. Inflammation of left apex. Recent pleurisy front of right lung
Disease (standardised): Tuberculosis (Lung); Inflammation (Lung); Pleurisy (Pleura)
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 boy stated when he first applied for relief that he had only been ill a fortnight and that he had suffered from cough, dyspnoea and a pain in the chest and palpitation of the heart.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Edward Perryman, 28, Firewood cutter

Occupation or role: Firewood cutter
Age: 28
Gender: Male
Date of admission: 18 Apr 1860
Date of death: 22 Apr 1860
Disease (transcribed): Meningitis. Phthisis
Disease (standardised): Meningitis (Brain); Tuberculosis (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A firewood cutter of exceedingly drunken habits. From the account obtained from his wife, it appeared that he was taken ill on the 9th of April, having been continuously intoxicated for the previous week. He was seized with pains in the head and aching in the thighs’
Body parts examined in the post mortem: Cranium, spine, thorax, abdomen, pelvis

Type of incident: n/a

Thomas Pearce, 28, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Male
Date of admission: 11 May 1853
Date of death: 21 May 1853
Disease (transcribed): Empyema. Pericarditis. Secondary deposit in lungs and frontal vein
Disease (standardised): Empyema (Pleura); Pericarditis (Heart); Deposits (Lung); Deposits (Veins)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: This man had been seized a month before with pain in the left side accompanied by a good deal of cough and shortness of breath.
Body parts examined in the post mortem: Thorax, abdomen and cranium
Type of incident: n/a

Emma Rogers, 2, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 2
Gender: Female
Date of admission: 14 April 1855
Date of death: 18 April 1855
Disease (transcribed): Phthisis. Scrofulous deposit in Brain
Disease (standardised): Tuberculosis (Lung); Tuberculosis, Lymph Node (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Ogle, John William
Medical notes: Twelve months before the child had had a severe attack of measles. Eleven days before admission the child showed symptoms of increased weakness, loss of appetite, and she was always thirsty.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Thomas Bibby, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 49
Date of admission: 12 Apr 1854
Date of death: 26 Apr 1854
Disease (transcribed): Circumscribed pleurisy. Phthisis. Tubercles & vomicae in lungs. Ulceration of the intestines
Disease (standardised): Pleurisy (Pleura); Tuberculosis (Lung); Ulcer (Intestines); Abscess (Lung)
Admitting doctor: Bence Jones, Henry
Surgeon: Gray, Henry
Physician: Barclay, Andrew Whyte
Medical notes: 'This patient was admitted complaining of pain in left side of 6 weeks’ standings, accompanied by cough & shortness of breath’
Body parts examined in the post mortem: Thorax, abdomen

Type of injury: n/a

Catharine McMullen, 55, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 55
Gender: Female
Date of admission: 22 Apr 1857
Date of death: 13 May 1857
Disease (transcribed): Ovarian tumour. Peritonitis
Disease (standardised): Tumour (Ovary); Peritonitis (Abdomen)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: Her health had been quite food until two years ago when she felt pain in the right side of the abdomen which was soon succeeded by swelling.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

Thomas Fagan, 57, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 57
Gender: Male
Date of admission: 14 May 1851
Date of death: 1 Jun 1851
Disease (transcribed): Phthisis pulmonalis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: n/a
Medical notes: 'As the body was not examined this case is not given’
Body parts examined in the post mortem: 'The body was not examined’

Type of incident: n/a

Ann Shepherd, 28, Needlewoman

Occupation or role: Needlewoman
Age: 28
Gender: Female
Date of admission: 14 May 1853
Date of death: 21 May 1853
Disease (transcribed): Typhus fever. Ulceration of caecum. Ovarian cyst containing brain
Disease (standardised): Typhoid fever (Systemic); Ulcer (Intestines); Teratoma (Ovary)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: She had been taken ill with shivering, headache, much thirst and great feeling of weakness and depression.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

Henry Young, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Male
Date of admission: 19 May 1847
Date of death: 19 May 1847
Disease (transcribed): Poisoning from opium. Tubercles of lungs and oedema of back part. Atheromatous degeneration of mucous membrane of trachea.
Disease (standardised): Poisoning (Systemic); Tuberculosis (Lung); Oedema (Lung); Plaque, Atherosclerotic (Trachea)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Pollock, George
Medical notes: This patient was admitted in a state of insensibility after swallowing a considerable quantity of laudanum.
Body parts examined in the post mortem: Trachea and abdomen
Type of incident: Suicide

Elizabeth Banyard, 51, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 51
Gender: Female
Date of admission: 21 Apr 1858
Date of death: 29 Apr 1858
Disease (transcribed): Malignant disease of the intestines. Peritonitis
Disease (standardised): Malignant disease (Intestines); Peritonitis (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 originally admitted on the 31st March for ‘dyspepsia’ but after being in the house a very short time was sent out & made an out-patient. She again applied for admission on 21st April much enfeebled, pale & very emaciated about the face & neck. There was also an unhealthy tinge of the complexion’
Body parts examined in the post mortem: Thorax, abdomen, pelvis

Type of incident: n/a

Thomas Bowyer, 28, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Male
Date of admission: 20 May 1846
Date of death: 24 May 1846
Disease (transcribed): Erysipelas of face and neck. Diffuse cellular inflammation of neck, with extensive effusion of lymph and pus in sub mucous tissue of larynx and parts in the neighbourhood, running on to sloughing. Old adhesions of lung. Incipient cirrhosis.
Disease (standardised): Erysipelas (Face, Neck); Inflammation (Neck); Effusion (Larynx); Adhesions (Lung); Cirrhosis (Liver)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Pollock, George
Medical notes: This patient was admitted complaining of dyspnoea and pain in the throat, with difficulty of swallowing.
Body parts examined in the post mortem: Throat, larynx, trachea, thorax and abdomen
Type of incident: n/a

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