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St George's Hospital Reports, Vol. IV

CONTENTS:
I. On the Variations of the Acidity of the Urine that occur when Vegetable and Mineral Acids are used. By H. BENCE JONES, Esq.
II. A Case of Angina Pectoris. With Remarks. By J. LOCKHART CLARKE, M.D.
III. Notes on the Subcutaneous Injection of Morphia. By EDWARD T. WILSON, M.D.
IV. On Rheumatic Pericarditis. By REGINALD E. THOMPSON, M.D.
V. Cases of Syphilitic Disease of the Nervous System. By T. CLIFFORD ALLBUTT, M.D.
VI. Clinical Observations on Acute Tubercle. By EDWARD LONG Fox, M.D.
VII. Contributions to the Surgery of the Head : Sebaceous Tumours of the Cranial Region. By PRESCOTT HEWÉTT, Esq., Senior Surgeon to the Hospital .
VIII. On Inflammation of the Retina. By GEORGE COWELL, Esq., Assistant Surgeon to the Westminster Hospital ; Ophthalmic Surgeon to the Victoria Hospital for Children .
IX. On Chronic Bone- and Joint-Disease. By J. WARRINGTON HAWARD, Esq.
X. The Causes of Pulmonary Consumption. By CHARLES THEODORE WILLIAMS, M.D.
XI. Exophthalmic Goître. By W. B. CHEADLE, M.D.
XII. Clinical Notes on unusual Surgical Cases. By H. LEE, Esq., Surgeon to the Hospital
XIII. Reminiscences of Cases from Private Practice. By J. NICHOLLS, M.D., Chelmsford
XIV. Two Cases of Excision of the Scapula. With Remarks. By GEORGE POLLOCK, Esq., Surgeon to the Hospital .
XV. Note on Excision of the Ankle-joint. By T. HOLMES, Esq., Surgeon to the Hospital
XVI. On Aphasia. By W. WADHAM, M.D., Physician to the Hospital.
XVII. On the Treatment of Acute Orchitis. By J. ROUSE, Esq., Assistant Surgeon to the Hospital
XVIII, Remarks on a Case of Locomotor Ataxy with Hydrarthrosis. By T. C. ALLBUTT, M.D.
XIX. Report of the Curator of the Pathological Museum. By T. P. PICK, Esq., Assistant Surgeon to the Hospital .
XX. Annual Report of Medical Cases during the year 1868. By REGINALD THOMPSON, M.D., Medical Registrar
XXI. Annual Report of Surgical Cases during the year 1868. By W. LEIGH, Esq., Surgical Registrar
Supplement to Dr. Clifford Allbutt's Article on Syphilitic Disease of the Nervous System
Prospectus of the Medical School for 1869-70, showing the arrangements for Lectures and Hospital Practice, the Prizes and Exhibitions, with List of Prizemen for 1869.

LIST OF ILLUSTRATIONS
Tables showing Variations in the Acidity of the Urine (Dr. Bence Jones)
Tables showing Variations in the Pulse and Temperature in Acute Tubercle and other Diseases (Dr. Cheadle)
Pulse-traces in Exophthalmic Goître
Exfoliated Portion of the Humerus in & Case of Compound Fracture, with Recovery of the Use of the Arm (Dr. Nicholls)
Portrait of a Patient after Recovery from Excision of the Scapula (Mr. Pollock)
Anterior View of a Tumour of the Scapula, removed by Excision (Mr. Pollock)
Posterior View of the same (Mr. Pollock)
Bones removed in a Case of Excision of the Ankle-joint (Mr. Holmes)
The lower surface of the Astragalus in the same Case (Mr. Holmes)

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)

William Hutchens, 49, Civil Engineer

Occupation or role: Civil Engineer
Age: 49
Gender: Male
Date of admission: 24 Oct 1894
Date of death: 2 Feb 1895
Disease (transcribed): Epithelioma of tongue
Disease (standardised): Cancer (Tongue)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: See surgical notes.
Body parts examined in the post mortem: No post mortem examination made
Type of incident: n/a

Elizabeth Gallimore, 38, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Female
Date of admission: 21 Jan 1895
Date of death: 24 Jan 1895
Disease (transcribed): Pneumonia, probably septic
Disease (standardised): Pneumonia (Lung); Sepsis (Lung)
Admitted under the care of: Rouse, James
Medical examination performed by: Ward, Arthur Henry
Post mortem examination performed by: Ogle, Cyril
Medical notes: Six weeks before admission the patient had been confined. A week later she had abdominal pain and ‘inflammation’.
Body parts examined in the post mortem: Larynx, lungs, heart, liver, spleen, suprarenals, pancreas, stomach, intestines, bladder and joints
Type of incident: n/a

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

William Fletcher, 57, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 57
Gender: Male
Date of admission: 17 Mar 1894
Date of death: 23 Mar 1894
Disease (transcribed): Cellulitis of thigh. Septic infection
Disease (standardised): Cellulitis (Leg); Sepsis (Systemic)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'See surgical notes'
Body parts examined in the post mortem: 'Not examined post mortem'
Type of incident: n/a

George McGregor, 63, Boot maker

Occupation or role: Boot maker
Age: 63
Gender: Male
Date of admission: 2 October 1893
Date of death: 17 Mar 1894
Disease (transcribed): Epithelioma of the tongue
Disease (standardised): Carcinoma (Tongue)
Admitted under the care of: Rouse, James
Medical examination performed by: Rolleston, Humphry Davy
Post mortem examination performed by: Ward, Arthur H.
Medical notes: 'There was extensive infiltration of the left cervical glands and lymphatics. The cication in the tongue was not involved in the recurrence. He suffered much pain and was kept under the influence of morphine. The skin gave way and the growth ulcerated'
Body parts examined in the post mortem: Head, neck, thorax, abdomen
Type of incident: n/a

Charles Collins, 29, Machinist

Occupation or role: Machinist
Age: 29
Gender: Male
Date of admission: 1 Mar 1894
Date of death: 6 Mar 1894
Disease (transcribed): Rupture of abdominal aneurysm
Disease (standardised): Rupture (Abdomen)
Admitted under the care of: Rouse, James
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ward, Arthur H.
Medical notes: 'Last August patient suffered from 'nervous disease'. Was in the London hospital five weeks. Three months ago he thinks he strained himself over a slift machine. A month ago he noticed a painful swelling in the abdomen. No history of syphilis. On admission. There was a pulsating expansile swelling about the size of a cricket ball in the umbilical and hypogastric regions'
Body parts examined in the post mortem: Abdomen, spine, heart
Type of incident: n/a

Francis Mitchell, 43, Messenger

Occupation or role: Messenger
Age: 43
Gender: Male
Date of admission: 14 Feb 1894
Date of death: 19 Feb 1894
Disease (transcribed): Tuberculosis of lungs
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Rouse, James
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ward, Arthur H.
Medical notes: 'This patient was admitted as a case of curolid aneurysm: no aneurysm however could be found but the man was in a late stage of pulmonary disease. He was splitting up large quantities of pus and was very dyspnoeic'
Body parts examined in the post mortem: Thyroid gland, lymphatic gland, plurae, lungs, larynx, trachea, brocnhial gland, tracheal gland, heart, liver, spleen, kidneys
Type of incident: n/a

Ruth Sevier, 60, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 60
Gender: Female
Date of admission: 15 Feb1894
Date of death: 15 Feb 1894
Disease (transcribed): Femoral herniotomy
Disease (standardised): Herniotomy (Thigh)
Admitted under the care of: Rouse, James
Medical examination performed by: Rolleston, Humphry Davy
Post mortem examination performed by: Ward, Arthur H.
Medical notes: 'Patient was admitted late at night. Had been suffering from strangulated hernia some 4 days. […] H. S. [House surgeon] reported. A strangulated left femoral hernia'
Body parts examined in the post mortem: Thorax, abdomen, liver, spleen, kidneys
Type of incident: n/a

John McKellow, 25, Paperhanger

Occupation or role: Paperhanger
Age: 25
Gender: Male
Date of admission: 22 Nov 1894
Date of death: 30 Dec 1894
Disease (transcribed): Tuberculosis of lungs and meninges. Tubercular osteitis of tarsus
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Meninges); Osteitis (Foot)
Admitted under the care of: Rouse, James
Medical examination performed by: Rolleston, Humphry Davy
Post mortem examination performed by: Ward, Arthur H.
Medical notes: 'Patient had good health till a year ago when he had an attack of 'inflammation of the lungs'. In June last he had a similar attack. Last winter haemoptysis. Is losing flesh and sweating at night'
Body parts examined in the post mortem: Heart, thorax, abdomen
Type of incident: n/a

Robert Creed, 50, Cabman

Occupation or role: Cabman
Age: 50
Gender: Male
Date of admission: 19 Dec 1894
Date of death: 19 Dec 1894
Disease (transcribed): Fracture of clavicle and ribs. Granular kidney. Fracture of sternum
Disease (standardised): Fracture (Clavicle); Fracture (Ribs); Nephritis (Kidney); Fracture (Sternum)
Admitted under the care of: Rouse, James
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: n/a
Medical notes: 'Not seen by Reg [Registrar]'
Body parts examined in the post mortem: Thorax, abdomen, cranium, bones, stomach
Type of incident: Trauma/accident

Charles Aldhouse, 63, Labourer

Occupation or role: Labourer
Age: 63
Gender: Male
Date of admission: 23 Nov 1894
Date of death: 13 Dec 1894
Disease (transcribed): Fracture of spine and of bones of foot. Embolism of kidneys, liver, spleen, from morb. [morbus] cordis
Disease (standardised): Fracture (Spine); Fracture (Foot); Embolism (Kidney); Embolism (Liver); Embolism (Spleen); Disease (Heart)
Admitted under the care of: Rouse, James
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: Ward, Arthur H.
Medical notes: 'Patient was a healthy man. He fell a distance of about 30 feet. On admission H.S. [House surgeon] reported. Patient concussed. A large haematoma over the sacral region. The left ankle was injured and greatly swollen'
Body parts examined in the post mortem: Thorax, abdomen, head, bones
Illustrations:
Type of incident: Trauma/accident

Maria Williams, 58, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 58
Gender: Female
Date of admission: 4 Sep 1894
Date of death: 7 Dec 1894
Disease (transcribed): Malignant disease of rectum
Disease (standardised): Disease (Intestines)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'See surgical notes'
Body parts examined in the post mortem: 'No examination post mortem'
Type of incident: n/a

Samuel Worthy, 35, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 35
Gender: Male
Date of admission: 23 Nov 1894
Date of death: 6 Dec 1894
Disease (transcribed): Urethral stricture
Disease (standardised): Constriction (Urethra)
Admitted under the care of: Rouse, James
Medical examination performed by: Rolleston, Humphry Davy
Post mortem examination performed by: Ward, Arthur H.
Medical notes: 'His famy [family] histy [history] was good. He had had gon [gonorrhea?]: but denied syphilis. Two years ago he began to lose strength and appetite. 6 mos [months]: ago he could not hold his water. Two mos [months]: ago he developed sickness and diarrhoea which have since continued. Has been five weeks in bed'
Body parts examined in the post mortem: Thorax, abdomen
Type of incident: n/a

Henry Cowell, 4 months, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 4 months
Gender: Male
Date of admission: 23 Nov 1894
Date of death: 23 Nov 1894
Disease (transcribed): Death after chloroform
Disease (standardised): Operation (Systemic)
Admitted under the care of: Rouse, James
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: n/a
Medical notes: 'This death took place in O.P [Out-patient]. Not seen by Surg: [Surgical] Reg [Registar'
Body parts examined in the post mortem: Thorax, abdomen, cranium
Type of incident: Trauma/accident?

William Larkin, 56, Labourer

Occupation or role: Labourer
Age: 56
Gender: Male
Date of admission: 16 May 1894
Date of death: 20 Nov 1894
Disease (transcribed): n/a
Disease (standardised): n/a
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'See surgical notes'
Body parts examined in the post mortem: 'No examination made post mortem'
Type of incident: n/a

David Francis, 9, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 9
Gender: Male
Date of admission: 25 Oct 1894
Date of death: 19 Nov 1894
Disease (transcribed): Acute osteomyelitis. Purulent pericarditis
Disease (standardised): Osteomyelitis (Bones); Pericarditis (Pericardium); Suppuration (Pericardium)
Admitted under the care of: Rouse, James
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: Ward, Arthur H.
Medical notes: 'On admission the boy stated that a man fell over him and kicked him on the leg 8 days ago. Much pain with sweating and shivering came on in the limb. The patient looked very ill. […] There was redness, swelling and tension over the front of the right leg. Gas was given and incisions were made'
Body parts examined in the post mortem: Thorax, abdomen, cranium, veins, bones
Type of incident: Trauma/accident

George Perfect, 63, Gardener

Occupation or role: Gardener
Age: 63
Gender: Male
Date of admission: 23 Nov 1893
Date of death: 28 Jan 1894
Disease (transcribed): Malignant disease involving the pharynx
Disease (standardised): Disease (Pharynx)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'See surgical notes'
Body parts examined in the post mortem: 'Not examined post mortem'
Type of incident: n/a

Mary Travers, 35, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 35
Gender: Female
Date of admission: 26 Oct 1894
Date of death: 1 Nov 1894
Disease (transcribed): Burns
Disease (standardised): Burn (Skin)
Admitted under the care of: Rouse, James
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: Ward, Arthur H.
Medical notes: 'Patient's dress caught fire. On admission. There were severe burns over back of thighs, buttock and arms. Patient complained of much pain and was very restless. She sankon the 4th day'
Body parts examined in the post mortem: Thorax, abdomen, cranium, joints
Type of incident: n/a

Harriett Collett, 79, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 79
Gender: Female
Date of admission: 4 Jul 1894
Date of death: 9 Oct 1894
Disease (transcribed): Fungating scirrhus carcinoma of mamma
Disease (standardised): Carcinoma (Breast)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'See surgical notes'
Body parts examined in the post mortem: 'No post mortem examination made'
Type of incident: n/a

Alice Sands, 60, Married

Occupation or role: Married
Age: 60
Gender: Female
Date of admission: 22 Jun 1894
Date of death: 22 Aug 1894
Disease (transcribed): Malignant disease. Rectum. Colotomy. Asthenia
Disease (standardised): Disease (Intestines); Operation (Intestines); Asthenia (Systemic)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: Jaffrey, Francis
Medical notes: 'The patient had noticed pain in the rectum about 6 months before admission, had also had a discharge of blood and slime, her motions were small and tape like and lost flesh rapidly'
Body parts examined in the post mortem: 'No post mortem examination'
Type of incident: n/a

Arthur Oliver, 34, Clerk

Occupation or role: Clerk
Age: 34
Gender: Male
Date of admission: 14 Feb 1894
Date of death: 5 Aug 1894
Disease (transcribed): Gon: arthritis and septicaemia
Disease (standardised): Arthritis (Joints); Sepsis (Systemic)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'See surgical notes'
Body parts examined in the post mortem: 'No post mortem examination'
Type of incident: n/a

George Banfield, 29, Carman

Occupation or role: Carman
Age: 29
Gender: Male
Date of admission: 22 Nov 1893
Date of death: 8 Jul 1894
Disease (transcribed): Pott's disease
Disease (standardised): Tuberculosis, spinal (Spine)
Admitted under the care of: Rouse, James
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: n/a
Medical notes: 'See surgical notes'
Body parts examined in the post mortem: Kidneys, liver, spleen
Type of incident: n/a

Valentine [?] Carroll, 65, Plasterer

Occupation or role: Plasterer
Age: 65
Gender: Male
Date of admission: 10 Apr 1894
Date of death: 27 Jun 1894
Disease (transcribed): Epithelioma of floor of mouth
Disease (standardised): Carcinoma (Mouth)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'See surgical notes'
Body parts examined in the post mortem: 'No examination post mortem'
Type of incident: n/a

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