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Dickinson, William Howship Pathological conditions, signs and symptoms Text
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William Cook, 15, Van boy

Occupation or role: Van boy
Age: 15
Gender: Male
Date of admission: 3 Jan 1886
Date of death: 10 Jan 1886
Disease (transcribed): Pyelitis. Dilatation of pelves of kidneys. Calculus in left kidney. Hypospadias
Disease (standardised): Pyelitis (Kidney); Disease (Kidney); Calculi (Kidney); Hypospadias (Urethra)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Griffiths, Herbert Tyrrell
Post mortem examination performed by: Sisley, Richard
Medical notes: In 1880 he was an in patient here for an operation for the relief of a bad hypospadias. Since then he had frequent stoppages of the water.
Body parts examined in the post mortem: Pleurae, lungs, larynx, pericardium, heart, aorta, abdomen, liver, spleen, pancreas, kidneys, ureters, bladder, stomach, intestines and penis
Type of incident: n/a

Robert Mumford, 23, Carpenter

Occupation or role: Carpenter
Age: 23
Gender: Male
Date of admission: 22 Mar 1882
Date of death: 12 Apr 1882
Disease (transcribed): Old empyema. Lardaceous degeneration of most of the viscera
Disease (standardised): Empyema (Pleura); Amyloidosis (Systemic)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Margerison, Richard
Medical notes: He was first admitted in 1876 when he had empyema and was much relieved by thoracentesis and left the hospital with a pleural fistula. He continued to attend for a long time to obtain a solution of iodine to inject into the pleural cavity.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and intestines
Type of incident: n/a

Jessie Justice, 44, Governess

Occupation or role: Governess
Age: 44
Gender: Female
Date of admission: 3 Jan 1883
Date of death: 10 Jan 1883
Disease (transcribed): Pernicious anaemia. Haemorrhagic spots in arachnoid
Disease (standardised): Anaemia, pernicious (Systemic); Haemorrhage (Brain)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: Recently there had been an increase of anaemia and weakness with tinnitus giddiness and, for a fortnight before admission, much vomiting.
Body parts examined in the post mortem: Pleurae, heart, liver, spleen, kidneys, suprarenal capsules and brain
Type of incident: n/a

James Deeley, 48, Labourer

Occupation or role: Labourer
Age: 48
Gender: Male
Date of admission: 2 Mar 1884
Date of death: 23 Apr 1885
Disease (transcribed): Caries of spine. Peri:nephritic abscess
Disease (standardised): Caries (Spine); Abscess (Kidney)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Griffiths, Herbert Tyrrell
Post mortem examination performed by: Sheild, Arthur Marmaduke
Medical notes: Three weeks prior to admission he had rigor, pain in the right side and cough, with shortness of breath.
Body parts examined in the post mortem: Intestines, kidneys, trachea, bronchi, spine, lungs, heart, liver and spleen
Type of incident: n/a

Robert Street, 9, [Child of] Hairdresser

Occupation or role: [Child of] Hairdresser
Age: 9
Gender: Male
Date of admission: 27 Dec 1888
Date of death: 8 Jan 1889
Disease (transcribed): Abscess in the right cerebral hemisphere. Small cirrhotic liver. Old peritonitic adhesions
Disease (standardised): Abscess (Brain); Cirrhosis (Liver); Adhesions (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Penrose, Francis George
Medical notes: The patient had always been anaemic. His abdomen had always been large. The patient’s father was a moderate drinker and it was said that the boy had been accustomed to have spirits given to him to drink.
Body parts examined in the post mortem: Skull, brain, right middle ear, eyes, abdomen, liver, spleen, kidneys, stomach, intestines, thorax, heart and lungs
Type of incident: n/a

James Barton, 68, Painter

Occupation or role: Painter
Age: 68
Gender: Male
Date of admission: 8 Apr 1880
Date of death: 14 Apr 1880
Disease (transcribed): Cerebral haemorrhage. Granular kidneys
Disease (standardised): Haemorrhage (Brain); Disease (Kidney)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: While at work on the morning of April 8th he fell down suddenly, became unconscious and partially lost the use of his left side.
Body parts examined in the post mortem: Brain, lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Harriet Allport, 48, Cook

Occupation or role: Cook
Age: 48
Gender: Female
Date of admission: 27 Apr 1882
Date of death: 5 May 1882
Disease (transcribed): Pericarditis. Abscess of heart and endocarditis. Congestion of the lungs
Disease (standardised): Pericarditis (Heart); Abscess (Heart); Endocarditis (Heart); Congestion (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Margerison, Richard
Medical notes: Eight days before admission she had a severe rigor with much vomiting. She was living as a cook in a London family and she described the house as smelling offensively of the drainage.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, spleen and kidneys
Type of incident: n/a

Richard Wynne, 26, Draper’s assistant

Occupation or role: Draper’s assistant
Age: 26
Gender: Male
Date of admission: 19 Apr 1888
Date of death: 30 Apr 1888
Disease (transcribed): Ulceration throughout the whole length of the large intestine. Perforation. Peritonitis
Disease (standardised): Ulcer (Intestines); Perforation (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Penrose, Francis George
Post mortem examination performed by: Sisley, Richard
Medical notes: 'Ten or twelve years before his admission he had congestion of the lungs and was in bed a month. He had no other illness till the beginning of 1888 when he began to suffer from diarrhoea. His bowels were open 2 or 3 times daily. He recovered from the flux to some extent but not entirely’
Body parts examined in the post mortem: Body parts examined: Abdomen, intestines, liver, spleen, kidneys, heart, lungs

Type of incident: n/a

Susan Webb, 48, Widow

Occupation or role: Widow
Age: 48
Gender: Female
Date of admission: 29 Apr 1883
Date of death: 4 May 1883
Disease (transcribed): Strangulation of colon by internal band
Disease (standardised): Strangulation (Intestines)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: She had habitual constipation for several years. She was seized with acute pain in the abdomen and since then had had frequent vomiting.
Body parts examined in the post mortem: The friends of this patient objected to a post mortem, but allowed an opening to be made into the abdominal cavity provided the incision was not longer than eight inches.
Type of incident: n/a

Elizabeth Turner, 23, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 23
Gender: Female
Date of admission: 14 May 1889
Date of death: 8 Jun 1889
Disease (transcribed): Perityphlitis. Perforation of the caecum. Pulmonary embolism
Disease (standardised): Perityphlitis (Caecum); Perforation (Caecum); Embolism (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Sortain, Bertram V.
Medical notes: On May 6th she fainted and had some abdominal pain. She felt herself to be seriously ill on May 9th and had severe abdominal pain on the 11th.
Body parts examined in the post mortem: Lungs, spleen, liver, stomach, kidneys and abdominal vessels
Type of incident: n/a

Frederick Youngman, 31, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 31
Gender: Male
Date of admission: 16 May 1881
Date of death: 18 Jun 1881
Disease (transcribed): Disease of heart valves. Lardaceous infiltration. Pneumonia
Disease (standardised): Disease (Heart); Lardaceous disease; Pneumonia (Lungs)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Myers, Arthur Thomas
Medical notes: 'His father is said to have died of dropsy consequent upon heart disease; he had had several attacks of rheumatism. The rest of the family are reported not to be strong but no definite disease is described. He had frequent attacks of Quinsey when a boy, none after 21. Syphilis at 20. No history of rheumatism. He has been in the habit of drinking large quantities of spirits until 18 months ago when he became a teetotaler'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, intestines

Type of incident: n/a

Maud Wilkinson, 14, [Child of] Widow

Occupation or role: [Child of] Widow
Age: 14
Gender: Female
Date of admission: 19 Jun 1885
Date of death: 6 Jul 1885
Disease (transcribed): Intestinal perforation. Peritonitis
Disease (standardised): Perforation (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Griffiths, Herbert Tyrrell
Post mortem examination performed by: Sisley, Richard
Medical notes: She attributed her illness to eating a bad picked onion, but other people who were eating at the same time were not ill.
Body parts examined in the post mortem: Pleurae, lungs, larynx, pericardium, heart, liver, spleen, kidneys and abdomen
Type of incident: n/a

Harriet Lambert, 28, Cook

Occupation or role: Cook
Age: 28
Gender: Female
Date of admission: 24 Jun 1882
Date of death: 3 Jul 1882
Disease (transcribed): Pleuritic effusion. Collapsed left lung. Heart displaced
Disease (standardised): Effusion (Pleura); Collapse (Lung); Displacement (Heart)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: Ten days before admission she had, whilst menstruating, a rigor with vomiting and headache.
Body parts examined in the post mortem: Pleurae, heart, liver, spleen and kidneys
Type of incident: n/a

Emma Chapman, 28, General servant

Occupation or role: General servant
Age: 28
Gender: Female
Date of admission: 20 Jul 1882
Date of death: 24 Jul 1882
Disease (transcribed): Delirium tremens. Hyperpyrexia
Disease (standardised): Alcohol withdrawal delirium (Nervous system); Fever (Systemic)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: For a week or more preceding admission she had been subject to diarrhoea, vomiting and headache, and could get no sleep.
Body parts examined in the post mortem: Pleurae, heart, liver, spleen, kidneys and brain
Type of incident: n/a

Frederick Eyears, 16, Clerk

Occupation or role: Clerk
Age: 16
Gender: Male
Date of admission: 17 Jul 1888
Date of death: 19 Jul 1888
Disease (transcribed): Perforation of vermiform appendix. Peritonitis
Disease (standardised): Perforation (Appendix); Peritonitis (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Penrose, Francis George
Post mortem examination performed by: Sisley, Richard
Medical notes: 'The patient said he had had ‘brain fever’, scarlatina and measles about 10, 8 and 6 years before he came to the hospital. He had had no other illness. On the night of July 13th he went to bed in a state of health. On the morning of the 14th he woke up at 7.30. He then had severe pain at the upper part of his abdomen’
Body parts examined in the post mortem: Body parts examined: Abdomen, thorax, heart, larynx, trachea, lungs, spleen, kidneys, liver, brain

Type of incident: n/a

Elizabeth Allen, 28, Cook

Occupation or role: Cook
Age: 28
Gender: Female
Date of admission: 21 Aug 1882
Date of death: 10 Sep 1882
Disease (transcribed): Typhoid fever. Peritonitis. Ulceration of ileum
Disease (standardised): Typhoid fever (Systemic); Peritonitis (Abdomen); Ulcer (Intestines)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: Three weeks before admission she began to complain of some cough, dyspnoea, and pain in the chest.
Body parts examined in the post mortem: Pleurae, heart, abdomen, liver, spleen, kidneys and alimentary canal
Type of incident: n/a

Thomas Thorn, 48, Butler

Occupation or role: Butler
Age: 48
Gender: Male
Date of admission: 17 Jul 1888
Date of death: 1 Aug 1888
Disease (transcribed): Compression of left cerebral hemisphere by blood clot under or within the dura mater
Disease (standardised): Compression (Brain)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Penrose, Francis George
Post mortem examination performed by: Sisley, Richard
Medical notes: 'The man could give no clear history of himself. He said he had suffered from gout some years before his admission. He was a fairly well-nourished man. When he came into the hospital he was evidently ill, had a fatuous expression of face, was in an apathetic mental state and had a great lack of intellectual power’
Body parts examined in the post mortem: Body parts examined: Brain, thorax, lungs, abdomen, liver, spleen, kidneys, stomach, intestines

Type of incident: n/a

James Burgess, 33, Gardener

Occupation or role: Gardener
Age: 33
Gender: Male
Date of admission: 17 Aug 1884
Date of death: 23 Aug 1884
Disease (transcribed): Cerebral haemorrhage
Disease (standardised): Haemorrhage (Brain)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Sheild, Arthur Marmaduke
Medical notes: Six weeks before admission whilst travelling by tram the patient complained of a feeling of numbness behind the ears and could not express his ideas. The following day he complained of pain in the head and became unconscious.
Body parts examined in the post mortem: Cranium
Type of incident: n/a

Richard Barrett, 45, Tailor

Occupation or role: Tailor
Age: 45
Gender: Male
Date of admission: 18 Aug 1884
Date of death: 25 Aug 1884
Disease (transcribed): Haemorrhage into pons varolii
Disease (standardised): Haemorrhage (Brain)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Sheild, Arthur Marmaduke
Medical notes: On the 16th the patient went to his bedroom, apparently in good health and sober. On the 17th he was found on the floor. He was paralysed on the right side and his speech could not be understood.
Body parts examined in the post mortem: Lungs, heart, kidneys, liver, spleen and brain
Type of incident: n/a

Maria Knight, 50, Married

Occupation or role: Married
Age: 50
Gender: Female
Date of admission: 20 Jan 1880
Date of death: 30 Jan 1880
Disease (transcribed): Phthisis (cavities. Fibrosis. Tubercle). Lardaceous infiltration
Disease (standardised): Tuberculosis (Lung); Fibrosis (Lung); Amyloidosis (Spleen); Amyloidosis (Liver)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Twelve months ago she noticed a cough for the first time which gradually got worse. For several months she had most profuse night sweats ‘just as though you had taken me out of a bath and put me to bed’.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and stomach
Type of incident: n/a

Frederick Kelson, 9, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 9
Gender: Male
Date of admission: 18 Sep 1882
Date of death: 27 Sep 1882
Disease (transcribed): Typhoid fever. Ulceration of ilium. Peritonitis
Disease (standardised): Typhoid fever (Systemic); Ulcer (Pelvis); Peritonitis (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: For a fortnight he had lost his spirits and for a week was ‘out of sorts’, with slight cough. A week before admission he began to complain of pain below his ribs and a chilly feeling. Three siblings were admitted with symptoms of Enteric Fever.
Body parts examined in the post mortem: Pleurae, heart, abdomen, liver, spleen, kidneys and alimentary canal
Type of incident: n/a

Charlotte Watkinson, 58, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 58
Gender: Female
Date of admission: 3 Oct 1889
Date of death: 13 Oct 1889
Disease (transcribed): Gastric ulcer and perforation. Peritonitis and obstruction by bands
Disease (standardised): Ulcer (Stomach); Perforation (Stomach); Peritonitis (Abdomen); Obstruction (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Bradley, James Edmund Campbell
Medical notes: She first came to the hospital in 1887. The history that she then gave was that she had been suffering for some years from epigastric pain which was worse after food, and pain for six months in her right lumbar region.
Body parts examined in the post mortem: Heart, liver and kidneys
Type of incident: n/a

Herbert Hutchings, 25, Plateman

Occupation or role: Plateman
Age: 25
Gender: Male
Date of admission: 30 Aug 1881
Date of death: 20 Sep 1881
Disease (transcribed): Pulmonary congestion. Adherent pericardium. Rheumatism acuta
Disease (standardised): Congestion (Lungs); Disease (Heart); Rheumatism (Joints)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Zimmermann, Benjamin Frazier
Post mortem examination performed by: Myers, Arthur Thomas
Medical notes: 'In 1876 he had an acute attack of rheumatism of the larger joints, from which he completely recovered in 3 months. No subsequent history of cardiac disease. Habits temperate. Exposed to much wet & cold in an iron foundry. About 3 weeks before admission he began to feel pain in knees and ankles. These gradually increased and he took to his bed two days before admission'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, brain

Type of incident: n/a

Alfred Lloyd, 19, Waterman

Occupation or role: Waterman
Age: 19
Gender: Male
Date of admission: 18 Sep 1882
Date of death: 2 Oct 1882
Disease (transcribed): Typhoid fever. Ulceration in ileum
Disease (standardised): Typhoid fever (Systemic); Ulcer (Intestines)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: A fortnight before admission he began to feel pain in the back with headache. He sweated profusely and was languid and drowsy.
Body parts examined in the post mortem: Pleurae, heart, abdomen, liver, spleen, kidneys and alimentary canal
Type of incident: n/a

Alice Davey, 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Female
Date of admission: 8 Oct 1889
Date of death: 17 Oct 1889
Disease (transcribed): Fatty heart. Collapsed lung. Ovarian tumour and ascites
Disease (standardised): Disease (Heart); Atelectasis (Lung); Cancer (Ovary); Ascites (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Bradley, James Edmund Campbell
Medical notes: About three months before she came to St George’s the woman fell down and hurt herself. She was pregnant at the time but her attention was called to the fact that her abdomen was of abnormal size.
Body parts examined in the post mortem: Abdomen, ovaries, liver, spleen, kidneys, uterus, pleurae, lungs and heart
Illustrations: Yes
Type of incident: n/a

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