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Whipham, Thomas Tillyer Digestive system diseases
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Abraham Jackson, 62, Messenger

Occupation or role: Messenger
Age: 62
Gender: Male
Date of admission: 10 Apr 1872
Date of death: 23 Apr 1872
Disease (transcribed): Erysipelas faciei. Fatty heart. Peritonitis
Disease (standardised): Erysipelas (Skin); Disease (Heart); Peritonitis (Abdomen)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man stated that for the last six months he had had pain in the chest which always became much worse after food, and of late he was subject to cough and spitting.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and organs of generation
Type of incident: n/a

Sarah Atkins, 63, Nurse

Occupation or role: Nurse
Age: 63
Gender: Female
Date of admission: 21 Dec 1881
Date of death: 2 Apr 1882
Disease (transcribed): Cancer of peritoneum. Peritonitis
Disease (standardised): Cancer (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Margerison, Richard
Medical notes: Four months before admission she began to lose strength and found occasional abdominal discomfort. Two months later she noticed abdominal swelling.
Body parts examined in the post mortem: Heart, lungs, liver, spleen, kidneys, peritoneum, intestines, uterus and ovaries
Type of incident: n/a

Joseph Small, 56, Carpenter

Occupation or role: Carpenter
Age: 56
Gender: Male
Date of admission: 5 Mar 1900
Date of death: 12 Mar 1900
Disease (transcribed): Hepatic Cirrhosis. Fatty degeneration of myocardium. Pleural Effusion
Disease (standardised): Cirrhosis (Liver); Disease (Heart); Effusion (Pleura)
Admitted under the care of: Rolleston, Humphry Davy
Medical examination performed by: Whipham, Thomas Tillyer
Post mortem examination performed by: Fenton, William James
Medical notes: The patient had not been able to work since he was inpatient last owing to weakness. Two months ago his breath became short with cough and pain in the chest. He was jaundiced and his legs were swollen.
Body parts examined in the post mortem: Pleura, lungs, larynx, pericardium, heart, throat, valves, abdomen, liver, spleen, pancreas, kidneys, suprarenal glands, gall bladder, oesophagus, duodenum and alimentary canal
Type of incident: n/a

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

Christopher Cartlege, 47, Cooper

Occupation or role: Cooper
Age: 47
Gender: Male
Date of admission: 26 Mar 1866
Date of death: 28 Mar 1866
Disease (transcribed): Peritonitis
Disease (standardised): Peritonitis (Abdomen)
Admitted under the care of: Pollock, George
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: This man was admitted with a strangulated inguinal hernia on the right side.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

William Claxton, 40, Coachman

Occupation or role: Coachman
Age: 40
Gender: Male
Date of admission: 28 Feb 1872
Date of death: 11 Apr 1872
Disease (transcribed): Scrofulous disease of the peritoneum. Chronic peritonitis. Miliary tubercles in the lungs
Disease (standardised): Tuberculosis (Abdomen); Peritonitis (Abdomen); Tuberculosis (Lung)
Admitted under the care of: Wadham, William
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This patient was in the hospital in May of last year with ascites and was then thought to be dependent on cirrhosis of the liver.
Body parts examined in the post mortem: Pleurae, lungs, heart, intestines, liver, spleen and kidneys
Type of incident: n/a

Louisa Court, 59, Married

Occupation or role: Married
Age: 59
Gender: Female
Date of admission: 23 Feb 1870
Date of death: 11 Mar 1870
Disease (transcribed): Cirrhosis of liver. Ascites.
Disease (standardised): Cirrhosis (Liver); Ascites (Abdomen)
Admitted under the care of: Ogle, John William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had been ill for three years before her admission with pain and swelling of the abdomen, which as she stated began on the right side and had gone on increasing up to the date of admission. She had a cachectic sallow look, and had been accustomed to drink spirits rather freely.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, organs of generation , intestines and peritoneum
Type of incident: n/a

William Males, 45, Porter

Occupation or role: Porter
Age: 45
Gender: Male
Date of admission: 12 Jan 1870
Date of death: 10 Mar 1870
Disease (transcribed): Hydatid cyst in the liver. Suppuration. Rupture into Peritoneal cavity. Peritonitis.
Disease (standardised): Echinococcosis (Liver); Rupture (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had been in good health until 4 months before admission, since which time had had suffered from pain in the right flank.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and intestines
Type of incident: n/a

Ann Edwards, 45, Married

Occupation or role: Married
Gender: Female
Age: 45
Date of admission: 20 Mar 1878
Date of death: 20 Mar 1878
Disease (transcribed): Adhesions and twisting of the bowel ulceration, perforation. Peritonitis
Disease (standardised): Disease (Intestines); Ulcer (Intestines); Perforation (Intestines); Peritonitis (Abdomen);
Admitting doctor: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. Ten days before admn [admission], attacked suddenly with pain across the abdomen below the umbilicus, which had remained, and on the whole greatly increased, though varying from time to time. Vomiting commenced almost immediately, and continued. For 3 days before admn [admission] the ejected matters were yellow and smelt 'like a watercloset'. The bowels were mored only with enemata'
Body parts examined in the post mortem: Heart, liver, peritoneum, kidneys, uterus
Type of incident: n/a

Richard Ray, 38, Butler

Occupation or role: Butler
Age: 38
Gender: Male
Date of admission: 2 Mar 1870
Date of death: 10 Mar 1870
Disease (transcribed): Cirrhosis of liver. Ascites. Paracentesis abdominis. Peritonitis.
Disease (standardised): Cirrhosis (Liver); Ascites (Abdomen); Paracentesis (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Wadham, William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had been laid up since Christmas with swelling commencing in the abdomen and subsequently extending to the thighs and legs. On admission he was emaciated and the skin had a yellowish tint.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and intestines
Type of incident: n/a

Richard Farmer, 32, Labourer

Occupation or role: Labourer
Age: 32
Gender: Male
Date of admission: 22 Feb 1872
Date of death: 6 Apr 1872
Disease (transcribed): Cirrhosis of liver. Ascites. Pleuritic effusion
Disease (standardised): Cirrhosis (Liver); Ascites (Abdomen); Effusion (Pleura)
Admitted under the care of: Ogle, John William
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man, who was in the army for twenty one years, stated that he was always a temperate man. Seventeen weeks ago he first noticed swelling of the legs and some failing of his general health.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Samuel Sanby, 44, Salesman

Occupation or role: Salesman
Age: 44
Gender: Male
Date of admission: 20 Nov 1984
Date of death: 5 Jan 1895
Disease (transcribed): Diabetes. Disease of pancreas. Caseating bronchitis
Disease (standardised): Diabetes mellitus (Pancreas); Disease (Pancreas); Bronchitis (Lung)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Fyffe, William Kington
Post mortem examination performed by: Ogle, Cyril
Medical notes: Before the symptoms came on four years ago he had suffered much mental worry from loss of money. For four years he had been losing flesh and had suffered from excessive thirst.
Body parts examined in the post mortem: Thorax, lungs, larynx, bronchial glands, heart, liver, kidneys, spleen, bladder, suprarenals, intestines, brain and pancreas
Type of incident: n/a

Clara Mittell, 39, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 39
Gender: Female
Date of admission: 12 Mar 1896
Date of death: 16 Mar 1896
Disease (transcribed): Carcinoma of sigmoid flexure. Resection. Peritonitis
Disease (standardised): Cancer (Intestines); Resection (Intestines); Peritonitis (Abdomen)

Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Ogle, Cyril
Medical notes: n/a
Body parts examined in the post mortem: Liver, spleen, stomach, kidneys, adrenals, bladder, uterus, toe joint, lungs, larynx and heart
Type of incident: n/a

Ellen Jones, 22, Parlourmaid

Occupation or role: Parlourmaid
Age: 22
Gender: Female
Date of admission: 14 Mar 1894
Date of death: 18 Mar 1894
Disease (transcribed): Perforating gastric ulcer. Sub-phrenic pneumo-thorax. Laparotomy
Disease (standardised): Perforation (Stomach); Ulcer (Stomach); Pneumonia (Abdomen); Laparotomy (Abdomen)
Admitted under the care of: Whipham, Thomas Tillyer and Dent, Clinton Thomas
Medical examination performed by: Rolleston, Humphry Davy
Post mortem examination performed by: n/a
Medical notes: 'This patient was admitted in the evening of March 14th in so collapsed a condition, almost pulseless, that Mr Dent, in consultation, decided not to perform any laparotomy. She was markedly anaemic, and had been so for several years […]. On March 13th, after tea at 6.30 p.m. she was seized with sudden sharp pain in the upper part of the abdomen, she then vomited; the pain continued in paroxysms all night'
Body parts examined in the post mortem: Abdomen, thorax
Type of incident: n/a

Samuel Steele, 29, Frame maker

Occupation or role: Frame maker
Age: 29
Gender: Male
Date of admission: 7 Feb 1872
Date of death: 3 Apr 1872
Disease (transcribed): Ulcerative endocarditis. Hypertrophy. Granular kidneys with nephritis. Cirrhosis of liver
Disease (standardised): Endocarditis (Heart); Disease (Heart); Disease (Kidney); Nephritis (Kidney); Cirrhosis (Liver)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man was in the hospital in the latter end of last year. He then stated that he had had a cough for some months with much spitting and that his voice had suddenly become very husky.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Nellie Burton, 8, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 8
Gender: Female
Date of admission: 3 Jan 1890
Date of death: 9 Feb 1890
Disease (transcribed): Peritonitis. Cirrhosis of liver (probably syphilitic). Pericellular hepatitis
Disease (standardised): Peritonitis (Abdomen); Cirrhosis (Liver); Syphilis (Systemic); Hepatitis (Liver)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Bradley, James Edmund Campbell
Medical notes: The girl was in good health until about two months before her admission when he had an attack of jaundice. She had also occasional attacks of severe abdominal pain.
Body parts examined in the post mortem: Pleurae, lungs, heart, peritoneum, liver, spleen, pancreas, kidneys and alimentary canal
Type of incident: n/a

William Pincent, Coach builder

Occupation or role: Coach builder
Age: 24
Gender: Male
Date of admission: 21 Mar 1871
Date of death: 30 Mar 1871
Disease (transcribed): Ileo-typhlitis
Disease (standardised): Typhlitis (Intestines)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: 'This patient was first admitted on Feb 8 with acute rheumatism. From this he made a good recovery without cardiac affection & was sent to Wimbledon [Atkinson Morley Convalescent Home and Hospital] on March 8. While there his manner was noticed to be strange & morose & he occasionally refused his food. On March 19 he was found wandering about stark naked & talking incoherently & two days later was readmitted here when his temperature was 104.8, pulse 124’
Post mortem notes: Body parts examined in the post mortem: Thorax, abdomen, cranium

Type of incident: n/a

William Day, 27, Butler

Occupation or role: Butler
Age: 27
Gender: Male
Date of admission: 26 Feb 1889
Date of death: 28 Feb 1889
Disease (transcribed): Intestinal obstruction caused by attachment of a Meckel’s diverticulum to mesentery. Operation. Relief. Death from collapse
Disease (standardised): Obstruction (Intestines); Diverticulum (Mesentery); Operation (Mesentery); Collapse (Systemic)
Admitted under the care of: Pick, Thomas Pickering. Whipham, Thomas Tillyer
Medical examination performed by: Cotes, Charles Edward Henry
Post mortem examination performed by: Penrose, Francis George
Medical notes: On February 25th he had sudden sharp pain in his right iliac region. The pain continued until his admission.
Body parts examined in the post mortem: Abdomen, mesentery, stomach, lungs and heart
Type of incident: n/a

Benjamin Pearce, 16, Baker

Occupation or role: Baker
Age: 16
Gender: Male
Date of admission: 21 Feb 1880
Date of death: 22 Feb 1880
Disease (transcribed): Perforation of appendix caeci. Peritonitis
Disease (standardised): Perforation (Appendix); Peritonitis (Abdomen)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: This patient was not seen by the Registrar.
Body parts examined in the post mortem: Peritoneum and intestines, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Samuel Rogers, 26, Labourer

Occupation or role: Labourer
Age: 26
Gender: Male
Date of admission: 13 Mar 1872
Date of death: 20 Mar 1872
Disease (transcribed): Tuberculosis. Peritonitis
Disease (standardised): Tuberculosis (Lung); Peritonitis (Abdomen)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man who was a labourer at a manufacturing chemists and had charge of the apparatus for making nitric acid, had complained for the last month of swelling of the belly.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

William Frost, 26, Marble polisher

Occupation or role: Marble polisher
Age: 26
Gender: Male
Date of admission: 26 Feb 1872
Date of death: 19 Mar 1872
Disease (transcribed): Simple ulcers in caecum and small intestine. Perforation. Peritonitis
Disease (standardised): Ulcer (Intestines); Perforation (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Ogle, John William
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The history given by this patient was that for about eight days he had had constant pains in the belly, especially in the right side.
Body parts examined in the post mortem: Pleurae, lungs, heart, intestines, liver, spleen and kidneys
Type of incident: n/a

Eleanor Groves, 49, [Wife of] Waiter

Occupation or role: [Wife of] Waiter
Age: 49
Gender: Female
Date of admission: 7 Dec 1899
Date of death: 11 Feb 1900
Disease (transcribed): Hepatic Cirrhosis
Disease (standardised): Cirrhosis (Liver)
Admitted under the care of: Rolleston, Humphry Davy
Medical examination performed by: Whipham, Thomas Tillyer
Post mortem examination performed by: Fenton, William James
Medical notes: The patient had been short of breath for two or three years, with a slight cough and occasional spitting of clots of blood. She had recently been subject to epistaxis, swollen abdomen, retching and vomiting, piles and passing blood.
Body parts examined in the post mortem: Pleurae, lungs, heart, abdomen, liver, spleen, pancreas, kidneys, urinary tract, alimentary canal and cranium
Type of incident: n/a

Charles Saddler, 60, Butler

Occupation or role: Butler
Age: 60
Gender: Male
Date of admission: 7 Feb 1883
Date of death: 17 Feb 1883
Disease (transcribed): Aortic incompetence and obstruction. Hypertrophy of heart. Cirrhosis of liver
Disease (standardised): Aortic valve insufficiency (Heart); Disease (Heart); Cirrhosis (Liver)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: He had had Rheumatic Fever about 1865, also syphilis before that, and had drunk alcohol in all forms freely.
Body parts examined in the post mortem: Pleurae, heart, abdomen, liver, spleen and kidneys
Type of incident: n/a

Jane French, 36, Cook

Occupation or role: Cook
Age: 36
Gender: Female
Date of admission: 22 Dec 1896
Date of death: 5 Jan 1897
Disease (transcribed): Suppurative pyelephlebitis. Pus in appendix vermiformis. General peritonitis
Disease (standardised): Suppuration (Portal vein); Thrombophlebitis (Portal vein); Suppuration (Appendix); Peritonitis () ()
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Wells, Sydney Russell
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'Patient first admitted 5th August 1896, Had suffered from habitual constipation and had been under treatment for indigestion for 2 months otherwise quite well till August 2nd when she felt sick and had pain in epigastrium, pain very severe 'like a sharp knife' passing from front to back, Vomited 3 times bowels obstinately confined till Aug [August] 7th – Swelling at lower part of abdomen from commencement of illness, no urine passed Aug [August] 2nd or 3rd Very little Aug [August] 4th when she had 2 rigors'
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Louisa Hutchins, 6, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 6
Gender: Female
Date of admission: 12 Feb 1883
Date of death: 12 Feb 1883
Disease (transcribed): Peritonitis
Disease (standardised): Peritonitis (Abdomen)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: She was said to have been in good health until five days previous, when diarrhoea began after a large meal of sausages and strong tea.
Body parts examined in the post mortem: Pleurae, heart, liver, spleen, kidneys and abdomen
Type of incident: n/a

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