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Dickinson, William Howship 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

George Narraway, 54, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 54
Gender: Male
Date of admission: 26 Dec 1893
Date of death: 29 Mar 1894
Disease (transcribed): Stricture of oesophagus. (Gastrostomy)
Disease (standardised): Constriction (Oesophagus); Gastrostomy (Stomach)
Admitted under the care of: Rouse, James and Dickinson, William Howship
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: n/a
Medical notes: 'Notes in possession of Mr Cassé'
Body parts examined in the post mortem: Thorax, abdomen
Type of incident: n/a

George Woodward, 47, Carman

Occupation or role: Carman
Age: 47
Gender: Male
Date of admission: 17 Jan 1894
Date of death: 25 Feb 1894
Disease (transcribed): Enteric fever. Perforation (Haemoptysis - spleen palpable) Death on 12th day of a 'Relapse'
Disease (standardised): Typhoid fever (Systemic); Perforation (Indeterminate); Haemoptysis (Lung); Disease (Spleen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Rolleston, Humphry Davy
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'This case, admitted on Jan 17th, was at first regarded as one of rheumatic fever. The history obtained, however, and the aspect of the man, from the first, suggested a different condition. He was low in bed, rather deaf and wandering, very weak, with a tremulous tongue, cleaning in patches, slight cough, a pulse of 120 and no swelling or tenderness of any joint'
Body parts examined in the post mortem: Abdomen, thorax
Type of incident: n/a

Joseph Law, 35, Musician

Occupation or role: Musician
Age: 35
Gender: Male
Date of admission: 23 Dec 1893
Date of death: 3 Jan 1894
Disease (transcribed): Phthisis. Peripheral neuritis
Disease (standardised): Tuberculosis (Lung); Neuritis (Nervous system)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'See Medical Notes'
Body parts examined in the post mortem: 'Not examined post mortem'
Type of incident: n/a

John McCarthy, 63, Gardener

Occupation or role: Gardener
Age: 63
Gender: Male
Date of admission: 20 Jan 1894
Date of death: 24 Jan 1894
Disease (transcribed): Pneumonia. Aneurysm of thoracic aorta
Disease (standardised): Pneumonia (Lung); Aneurysm (Aorta)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'This man, formerly in the army, who had had no secondary syphilitic symptoms, no rheumatic fever, and good health until 3 years before his first admission in Aug 1893. […] On Jan 30th 1894 he was admitted with obvious signs of pneumonia of which he died, as he constantly affirmed that he would'
Body parts examined in the post mortem: Thoracic organs, spleen, liver, kidneys, bladder, prostate
Illustrations: Yes
Type of incident: n/a

Violet Ringwood, 3, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 3
Gender: Female
Date of admission: 23 Jan 1894
Date of death: 24 Jan 1894
Disease (transcribed): Bronchopneumonia
Disease (standardised): Bronchopneumonia (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'This child lived only a few hours in Hospital, and was not seen by the Medical Registrar. 'The child had several convulsions: and there was evidence of bronchopneumonia' '
Body parts examined in the post mortem: Abdomen, brain, lungs, heart
Type of incident: n/a

Mabel Robinson, 4, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 4
Gender: Female
Date of admission: 21 Jan 1894
Date of death: 22 Jan 1894
Disease (transcribed): Cerebro-spinal meningitis
Disease (standardised): Meningitis (Brain); Meningitis (Spine)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'There was a history of tubercle on both the father's and mother's side, and the child had always been delicate - thin, and with frequent cough - and at 1 yr of age ricketty: - but had not been particularly out of sorts until Jan 18th (a week before death)'
Body parts examined in the post mortem: Nervous system, thorax, abdomen
Type of incident: n/a

Selina Cobb, 27, Parlourmaid

Occupation or role: Parlourmaid
Age: 27
Gender: Female
Date of admission: 17 Jan 1894
Date of death: 20 Jan 1894
Disease (transcribed): Mitral stenosis
Disease (standardised): Mitral valve stenosis (Heart)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'This patient had no remembrance of any serious illness; there had been no symptoms at any time pointing to rheumatism. For about 6 years she had been troubled with palpitation and shortness of breath, but without any serious cough. About 6 weeks before admission she had sharp thoracic pain on the left side, and spat up some red stuff, and had been confined to bed, more or less, since then on account of dyspnoea'
Body parts examined in the post mortem: Heart, lungs
Type of incident: n/a

Zachary Hardwick, 58, Gardener

Occupation or role: Gardener
Age: 58
Gender: Male
Date of admission: 17 Jan 1894
Date of death: 17 Jan 1894
Disease (transcribed): Pneumonia
Disease (standardised): Pneumonia (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'This man was admitted in a dying state - with a temperate of 101 degrees - not delirious - with breathing embarassed by bubbling râles, which were heard all over both sides of the chest, so as quite to obscure the heart's sounds'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys
Type of incident: n/a

Thomas Peppall, 58, Butcher

Occupation or role: Butcher
Age: 58
Gender: Male
Date of admission: 28 Oct 1893
Date of death: 15 Jan 1894
Disease (transcribed): Mitral stenosis. Large heart. Kidneys granular and deformed by infarcts (Aortic diastolic murmur, occasionally present)
Disease (standardised): Mitral valve stenosis (Heart); Disease (Heart); Disease (Kidneys); Murmur (Heart)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'Not returned by former H. [House] physician, Mr Carré. Was inpatient here, with rheumatic fever - 8 years ago - was laid up for 6 months - Big toes not affected. Since then, health good. Short of breath for the last month - with cough- slight expectoration. Coarseness of voice. Legs began to swell a week ago - face has also been slightly puffy'
Body parts examined in the post mortem: Thorax, abdomen
Type of incident: n/a

Fanny Wood, 50, Charwoman

Occupation or role: Charwoman
Age: 50
Gender: Female
Date of admission: 21 Dec 1893
Date of death: 1 Jan 1894
Disease (transcribed): Bronchitis. Dilated & fatty heart. Angina pectoris causing death. (? Influenza just previous to admission)
Disease (standardised): Bronchitis (Lung); Disease (Heart); Angina pectoris (Chest); Influenza (Systemic)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'There was a history of, 4 years ago, an attack of inflammation and pleurisy on the left side. Health usually good. A bad headache a fortnight before admission. In bed for 3 days, giddy and weak, then able to go out (?an attack of influenza)’
Body parts examined in the post mortem: Lungs, pleurae, heart, abdomen, liver, spleen, kidneys, ureters, bladder, uterus, ovaries
Type of incident: n/a

Mark Marshall, 57, Waterman

Occupation or role: Waterman
Age: 57
Gender: Male
Date of admission: 18 Mar 1893
Date of death: 21 Mar 1893
Disease (transcribed): Left empyema
Disease (standardised): Empyema (Pleura)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: It was said that he had never had a day’s illness till a month before his death, when he was attacked by pains in the limbs and chest. A fortnight later he began to give out offensive breath.
Body parts examined in the post mortem: Pleurae, lungs, bronchial glands, pericardium, heart, liver, spleen and kidneys
Type of incident: n/a

Charles Wooley, 36, Groom

Occupation or role: Groom
Age: 36
Gender: Male
Date of admission: 19 Mar 1893
Date of death: 20 Mar 1893
Disease (transcribed): Pneumonia of the upper lobe
Disease (standardised): Pneumonia (Lung)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: He had had no personal experience of influenza, but when he was seized with his fatal illness, on rising on the morning of March 16th, he thought that it was an attack of influenza, the chief symptoms being headache and pains in the limbs.
Body parts examined in the post mortem: Lungs, pericardium, heart, abdomen, liver, spleen, pancreas, kidneys, bladder, prostate, vesicula seminales and testes
Type of incident: n/a

Richard Crompton, 49, Butler

Occupation or role: Butler
Age: 49
Gender: Male
Date of admission: 16 Feb 1893
Date of death: 6 Mar 1893
Disease (transcribed): Acute rheumatism
Disease (standardised): Rheumatic diseases (Tissues)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: He had had one previous attack of rheumatic fever, in 1870 while in Rome. The attack with which he was admitted began a week before with pains in her legs and much sweating.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, spleen, pancreas, suprarenals and kidneys
Type of incident: n/a

Mary Baston, 21, Barmaid

Occupation or role: Barmaid
Age: 21
Gender: Female
Date of admission: 21 Dec 1892
Date of death: 4 Jan 1893
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lung)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: See medical notes
Body parts examined in the post mortem: No post mortem examination
Type of incident: n/a

John Webb, 1 year 3 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 1 year 3 months
Gender: Male
Date of admission: 13 Feb 1893
Date of death: Mar 1893
Disease (transcribed): Broncho-pneumonia
Disease (standardised): Bronchopneumonia (Lung)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: See medical notes
Body parts examined in the post mortem: No post mortem examination
Type of incident: n/a

Lizzie Cheale, 30, Ladys maid

Occupation or role: Ladys maid
Age: 30
Gender: Female
Date of admission: 22 Feb 1893
Date of death: 24 Feb 1893
Disease (transcribed): Intestinal obstruction
Disease (standardised): Obstruction (Intestines)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: For four years this patient had suffered from intermittent attacks of colic and from a tendency to constipation.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, abdomen, liver, spleen, pancreas, suprarenals, kidneys, bladder and ovaries
Type of incident: n/a

Johanna Jolly, 23, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 23
Gender: Female
Date of admission: 18 Feb 1893
Date of death: 23 Feb 1893
Disease (transcribed): Acute phthisis
Disease (standardised): Tuberculosis (Lung)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: This woman, who gave no family history of tuberculosis, had been failing in health for thirteen months. She had a cough all through the summer of 1892, which became worse in the autumn.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, abdomen, liver, spleen, pancreas, suprarenals, kidneys, bladder, uterus and ovaries
Type of incident: n/a

John Browning, 53, Labourer

Occupation or role: Labourer
Age: 53
Gender: Male
Date of admission: 18 Feb 1893
Date of death: 23 Feb 1893
Disease (transcribed): Chronic pulmonary tuberculosis. Acute bronchitis
Disease (standardised): Tuberculosis (Lung); Bronchitis (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: He was admitted first on December 12th 1892 suffering from severe bronchitis and purulent expectoration which began two months before.
Body parts examined in the post mortem: Head, brain, pleurae, lungs, bronchi, larynx, thyroid gland, bronchial glands, pericardium, heart, abdomen, liver, spleen, pancreas, suprarenals, kidneys, bladder and testes
Type of incident: n/a

George Holiday, 59, Butler

Occupation or role: Butler
Age: 59
Gender: Male
Date of admission: 17 Feb 1893
Date of death: 22 Feb 1893
Disease (transcribed): Apical pneumonia
Disease (standardised): Pneumonia (Lung)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: He had not had influenza before his fatal illness, but it seems possible that the origin of this was influenza.
Body parts examined in the post mortem: Pleurae, lungs, bronchial glands, thyroid body, pericardium, heart, abdomen, liver, spleen, pancreas, suprarenals, kidneys, bladder and testes
Type of incident: n/a

Charles Leary, 48, Carman

Occupation or role: Carman
Age: 48
Gender: Male
Date of admission: 18 Jan 1893
Date of death: 20 Feb 1893
Disease (transcribed): Mediastinal sarcoma
Disease (standardised): Cancer (Mediastinum)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: The man began to suffer from shortness of breath at the beginning of 1892. He attended as an out patient and regained his wind for several months, but about a month before his admission as an in patient more serious dyspnoea came on and the breathing grew noisy.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, spleen, pancreas, suprarenals and kidneys
Type of incident: n/a

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