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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)

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)

Thomas Moon, 7, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 7
Gender: Male
Date of admission: 13 Oct 1884
Date of death: 22 Oct 1884
Disease (transcribed): Tubercular meningitis. Early hip disease
Disease (standardised): Tuberculosis, meningeal (Brain); Disease (Hip)
Admitted under the care of: Rouse, James
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Sheild, Arthur Marmaduke
Medical notes: He was admitted with pain and rigidity in the left hip joint. He complained of frontal headache and the abdomen was retracted.
Body parts examined in the post mortem: Brain, lungs, heart, kidneys and liver
Type of incident: n/a

Horace J Hatton, 17, Errand boy

Occupation or role: Errand boy
Age: 17
Gender: Male
Date of admission: 5 Dec 1883
Date of death: 19 Feb 1884
Disease (transcribed): Disease of knee joint. Amyloid disease
Disease (standardised): Disease (Knee); Amyloidosis (Liver); Amyloidosis (Spleen); Amyloidosis (Kidneys)
Admitted under the care of: Rouse, James
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: This boy was first known to the hospital in 1879 after he had a slight injury to his knee joint.
Body parts examined in the post mortem: Pleurae, heart, liver, spleen, kidneys and knee joint
Type of incident: n/a

George Bass, 16, Errand boy

Occupation or role: Errand boy
Age: 16
Gender: Male
Date of admission: 4 Jun 1879
Date of death: 3 Aug 1879
Disease (transcribed): Periostitis of tibia. Bedsores
Disease (standardised): Periostitis (Bone); Pressure ulcer (Skin)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Richard Large, 39, Bricklayer

Occupation or role: Bricklayer
Age: 39
Gender: Male
Date of admission: 27 Aug 1879
Date of death: 17 Sep 1879
Disease (transcribed): Scrofulous tumour in cerebellum. Ventricular dropsy. Asphyxia. Chronic disease of knee joint
Disease (standardised): Cancer (Brain); Oedema (Brain); Asphyxia (Respiratory system); Disease (Knee)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This patient was admitted on account of disease of the left knee of some twelve years standing.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, skull and brain
Type of incident: n/a

Keziah Pilbean, 29, Carriage smith

Occupation or role: Carriage smith
Age: 29
Gender: Male
Date of admission: 12 Feb 1879
Date of death: 25 Feb 1879
Disease (transcribed): Sacro-iliac disease
Disease (standardised): Disease (Pelvis)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not reported here
Body parts examined in the post mortem: Not examined
Type of incident: n/a

John Head, 15, Carpenter

Occupation or role: Carpenter
Age: 15
Gender: Male
Date of admission: 19 Jan 1876
Date of death: 11 May 1876
Disease (transcribed): Necrosis of pelvis. Hip disease. Amyloid liver
Disease (standardised): Necrosis (Pelvis); Disease (Hip); Amyloidosis (Liver)
Admitted under the care of: Rouse, James
Medical examination performed by: Morgan, John Hammond
Post mortem examination performed by: Lee, Robert James
Medical notes: This boy had been healthy and able to do hard work up to the March previous to his admission when he fell off a ladder, catching his left foot in one of the runs. An abscess followed in the foot.
Body parts examined in the post mortem: Legs, lungs, heart, peritoneum, kidneys and small intestine
Type of incident: Trauma/accident

Patrick Curran, 12, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 12
Gender: Male
Date of admission: 26 Apr 1883
Date of death: 8 Dec 1883
Disease (transcribed): Hip disease
Disease (standardised): Disease (Hip)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not reported here
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Edward Tooth, 16, Page boy

Occupation or role: Page boy
Age: 16
Gender: Male
Date of admission: 9 Sep 1880
Date of death: 10 Oct 1882
Disease (transcribed): Morbus coxae. Amyloid disease of liver, spleen and kidneys
Disease (standardised): Disease (Hip); Amyloidosis (Liver); Amyloidosis (Spleen); Amyloidosis (Kidney)
Admitted under the care of: Rouse, James
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: He had been in the hospital on a previous occasion with disease of the same hip joint. When admitted there was muscular wasting of the right leg and thigh.
Body parts examined in the post mortem: Pleurae, heart, spleen, kidneys and hip joint
Type of incident: n/a

Elijah Hutt, 40, Labourer

Occupation or role: Labourer
Age: 40
Gender: Male
Date of admission: 14 Sep 1881
Date of death: 8 Jul 1882
Disease (transcribed): Morbus coxae
Disease (standardised): Disease (Hip)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not reported here
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Lucy Stanley, 36, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 36
Gender: Female
Date of admission: 26 Oct 1881
Date of death: 20 Jan 1882
Disease (transcribed): Abscess of brain. Disease of temporal bone
Disease (standardised): Abscess (Brain); Disease (Skull)
Admitted under the care of: Rouse, James
Medical examination performed by: Turner, George Robertson
Post mortem examination performed by: Margerison, Richard
Medical notes: This woman, who had a well marked syphilitic history, was admitted with the greater part of the palate destroyed.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys and brain
Type of incident: n/a

Robert Lloyd, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 11 Aug 1875
Date of death: 3 Dec 1875
Disease (transcribed): Disease of the lower lumbar vertebra. Tuberculosis of the lungs
Disease (standardised): Disease (Spine); Tuberculosis (Lung)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: Lee, Robert James
Medical notes: n/a
Body parts examined in the post mortem: Thorax, heart, liver, kidneys and spleen
Type of incident: n/a

Ann Hayller, 46, Married

Occupation or role: Married
Age: 46
Gender: Female
Date of admission: 11 Nov 1874
Date of death: 23 Feb 1875
Disease (transcribed): Disease of knee joint
Disease (standardised): Disease (Knee)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not reported here
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Mary Lumb, 30, [Wife of] Plumber

Occupation or role: [Wife of] Plumber
Age: 30
Gender: Female
Date of admission: 12 Aug 1885
Date of death: 31 Oct 1885
Disease (transcribed): Tubercle. Broncho-pneumonia. Disintegration of right knee. Bed sore
Disease (standardised): Tuberculosis (Lung); Bronchopneumonia (Lung); Disintegration (Leg); Pressure ulcer (Skin)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: Sisley, Richard
Medical notes: She had been subject to rheumatic pains in her joints and her right knee became swollen and the seat of constant dull aching pain.
Body parts examined in the post mortem: Knee joint, coccyx, pleurae, lungs, pericardium, heart, aorta, liver, spleen, pancreas, kidneys, bladder, uterus and thyroid
Type of incident: n/a

George Manton, 34, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 34
Gender: Male
Date of admission: 10 Apr 1861
Date of death: 16 May 1861
Disease (transcribed): Diseased hip and pelvis. Phthisis
Disease (standardised): Disease (Hip); Disease (Pelvis); Tuberculosis (Lung)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: About ten months before admission, the patient noticed a swelling in the right groin, which was accompanied by pain in the back and loins.
Body parts examined in the post mortem: Thorax, abdomen and right side of the pelvis
Type of incident: n/a

George Hoby , 49, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 49
Gender: Male
Date of admission: 3 Apr 1861
Date of death: 15 Apr 1861
Disease (transcribed): Gout. Diseased kidneys. Peritonitis
Disease (standardised): Gout (Joints); Disease (Kidney); Peritonitis (Abdomen)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: The patient had been subject to gout for ten years.
Body parts examined in the post mortem: Cranium, thorax, abdomen and pelvis
Type of incident: n/a

John Clare, 6, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 6
Gender: Male
Date of admission: 13 Feb 1860
Date of death: 8 Mar 1860
Disease (transcribed): Strumous hydrocephalus and disease of the intestine. Diseased hip.
Disease (standardised): Tuberculosis (Brain); Hydrocephalus (Brain); Disease (Intestines); Disease (Hip)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: This patient was admitted into the Hospital with a diseased hip of six weeks standing.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Philadelphia Catt, 16, Servant

Occupation or role: Servant
Age: 16
Gender: Female
Date of admission: 17 May 1876
Date of death: 31 Dec 1876
Disease (transcribed): Diseased knee: amputation:thrombosis of veins
Disease (standardised): Disease (Knee); Amputation (Knee); Thrombosis (Veins)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient was admitted with a history of having had a diseased knee for eleven years. Eleven weeks before admission she fell down and injured the knee. The case was taken from Mr Morgan's notes.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, uterus and intestines
Type of incident: Trauma/accident

John Cooper, 41, Hairdresser

Occupation or role: Hairdresser
Age: 41
Gender: Male
Date of admission: 2 Jun 1877
Date of death: 29 Jun 1877
Disease (transcribed): Hip disease, with excessive formation of new bone. Pneumonia.
Disease (standardised): Disease (Hip); Pneumonia (Lung)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: Twelve months ago the patient had a small wound on the left foot beneath the little toe, which healed after about three weeks. The foot however swelled at times, but did not prevent him from getting about till nine months ago when the whole limb swelled, but did not become painful.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, hip, abscess and bones of pelvis
Type of incident: Trauma/accident

Henry Protheroe, 31, Labourer

Occupation or role: Labourer
Age: 31
Gender: Male
Date of admission: 4 Oct 1876
Date of death: 6 Mar 1877
Disease (transcribed): Hip disease. Amyloid liver and kidney.
Disease (standardised): Disease (Hip); Amyloidosis (Liver, Kidney)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: Four years before admission the patient noticed pain in left knee which swelled. A year after he felt pain in the corresponding hip which grew worse.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, pericardium, heart, liver, kidneys, stomach and hip
Type of incident: n/a

Edward Harold, 13, Schoolboy

Occupation or role: Schoolboy
Age: 13
Gender: Male
Date of admission: 21 Mar 1877
Date of death: 8 July 1877
Disease (transcribed): Hip Disease. Cerebral congestion and meningeal thromboses. Chronic tubular nephritis. Amyloid spleen.
Disease (standardised): Disease (Hip); Congestion (Brain); Thrombosis (Meninges); Nephritis (Kidney); Amyloidosis (Spleen)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient had suffered from abscesses about the left hip since three years of age and since that time always walked lame. A fortnight before admission the patient slipped and fell down, having stepped on some orange peel which caused the abscesses to discharge profusely.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, brain and cord
Type of incident: Trauma/accident

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

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

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