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St George's Hospital Reports, Vol. VI

CONTENTS
I. Lettsomian Lectures: On Syphilitic Urethral Discharges. By H. LEE, Esq.
II. Lettsomian Lectures: On Prostatic Discharges. By H. LEE, Esq.
III. Lettsomian Lectures : On Non-Syphilitic Urethral Discharges. By H. LEE, Esq.
IV. A Case of Osteomalacia. By S. W. MOORE, Esq.
V. Remarks on the most common Forms of Cutaneous Diseases in Children. By R. J. LEE, M.D.
VI. On Sudden Death by Entrance of Air into Uterine Veins. By G. CORDWENT, M.D.
VII. On the Calculous Disease in Bombay and some other Parts of India. By H. V. CARTER, M.D.
VIII. Some Remarks on Inhalation. By R. J. LEE, M.D.
IX. Indican in the Urine. By F. LAKING, M.D.
X. On the Employment of Quinine in the Treatment of Rheumatic Fever. By A. W. BARCLAY, M.D.
XI. Contributions to the Surgery of the Head: No. IV. On Congenital Encephalocele and Hydrencephalocele. By PRESCOTT HEWETT, Esq. .
XII. On Cleft Palate. By T. P. PICK, Esq.
XIII. On Partial Rupture of Arteries from External Violence. By T. P. PICK, Esq. XIV. On the Influence of Impaired Hearing on the Voice and Speech. By W. B. DALBY, Esq.
XV. On the Therapeutical Action of Sulphur. By C. ROBERTS, Esq.
XVI. A Case of Femoral Aneurism. By C. WALTER, Esq.
XVII. A Case of Cancer of the Upper Lip. By E. VENNING, Esq.
XVIII. A Case of Cancer of the Upper Lip, following Lupus. By T. HOLMES, Esq. XIX. On Contagious Ophthalmia. By R. B. CARTER, Esq.
XX. A Case of Aneurism of the Aorta and Innominate Artery, in which the Right Subclavian and Carotid were ligatured simultaneously. By T. HOLMES, Esq.
XXI. On Thrombosis, in Cases in which the Arterial Walls and Viscera are natural. By T. WHIPHAM, M.B.
XXII. Regarding Certain Influences exercised by the Nervous System upon Bone. By J. W. OGLE, M.D.
XXIII. Report of Medical Cases for 1870. By J. CAVAFY, M.D.
XXIV. Report of Medical Cases for 1871. By J. CAVAFY, M.D., and F. LAKING, M.D.
XXV. Report of Surgical Cases for 1870-71. By J. W. HAWARD, Esq.
XXVI. Report on the Department for Diseases of the Ear. By W. B. DALBY, Esq.
XXVII. Report of the Maternity Department from 1854 to 1871, with Observations on Revaccination during the Smallpox Epidemic of 1871. By EDGAR G. BARNES, M.B.

LIST OF ILLUSTRATIONS
Microscopical Appearances in a Case of Mollities Ossium (lithograph)
Three Views of a Patient labouring under Encephalocele, at different Ages
A Case of Cancer of the Upper Lip (coloured lithograph)
Thermographs in a Case of Simultaneous Ligature of the Subclavian and Carotid Arteries
An Artery after Ligature with Carbolised Catgut; obliterated but not divided .

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

William Ward, 24, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Male
Date of admission: 16 Aug 1862
Date of death: Brought in dead
Disease (transcribed): Suffocation from false teeth
Disease (standardised): Asphyxia (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: It was stated that he was running along when his foot slipped and he fell to the ground.
Body parts examined in the post mortem: Cranium, chest, pharynx and spine
Type of incident: Trauma/accident

Michael Maloney, 25, Labourer

Occupation or role: Labourer
Age: 25
Gender: Male
Date of admission: 9 Aug 1862
Date of death: 24 Aug 1862
Disease (transcribed): Fracture of skull. Abscess of brain
Disease (standardised): Fracture (Skull); Abscess (Brain)
Admitted under the care of: Lee, Henry
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: It was stated that half an hour before admission he fell down an area, striking the back of his head. He was drunk at the time.
Body parts examined in the post mortem: Cranium
Type of incident: Trauma/accident

George Harris, 52, Labourer

Occupation or role: Labourer
Age: 52
Gender: Male
Date of admission: 15 Aug 1862
Date of death: 1 Sep 1862
Disease (transcribed): Compound dislocation of elbow. Pyaemia
Disease (standardised): Dislocation (Elbow); Sepsis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Elizabeth Woodhouse, 19, General servant

Occupation or role: General servant
Age: 19
Gender: Female
Date of admission: 7 Sep 1862
Date of death: 9 Sep 1862
Disease (transcribed): Burn
Disease (standardised): Burn (Skin)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Jeremiah Crawley, 30, Carman

Occupation or role: Carman
Age: 30
Gender: Male
Date of admission: 11 Sep 1862
Date of death: Died immediately
Disease (transcribed): Ruptured spleen
Disease (standardised): Rupture (Spleen)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man was admitted in a moribund condition and it was stated that he had been crushed between the wheel of a cart and the wall.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: Trauma/accident

Henry Bayly, 17, Carter

Occupation or role: Carter
Age: 17
Gender: Male
Date of admission: 15 Sep 1862
Date of death: Brought in dead
Disease (transcribed): Laceration of brain and lung
Disease (standardised): Laceration (Brain); Laceration (Lung)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: It was stated that he had been found lying dead in the Edgware Road.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: Trauma/accident?

Jane Vincent, 26, Married

Occupation or role: Married
Age: 26
Gender: Female
Date of admission: 3 Sep 1862
Date of death: 18 Sep 1862
Disease (transcribed): Phthisis. Pleurisy
Disease (standardised): Tuberculosis (Lung); Pleurisy (Pleura)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Tepper, John
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: She stated that she had cough with thick tenacious expectoration occasionally streaked with blood for four months.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

James Pickett, 57, Stone mason

Occupation or role: Stone mason
Age: 57
Gender: Male
Date of admission: 15 Aug 1862
Date of death: 28 Sep 1862
Disease (transcribed): Anasarca. Disease of heart
Disease (standardised): Oedema (Leg); Disease (Heart)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Harvey, Edward Robinson
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: Three months ago, when carrying a load this man was seized with want of breath which obliged him to stand still.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Alice Grant, 22, Married

Occupation or role: Married
Age: 22
Gender: Female
Date of admission: 16 Jul 1862
Date of death: 29 Sep 1862
Disease (transcribed): Phthisis. Empyema
Disease (standardised): Tuberculosis (Lung); Empyema (Pleura)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Harvey, Edward Robinson
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This woman stated that for the last four months she had suffered acute pain in the back and right hypochondrium.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Henry Rumble, 40, Labourer

Occupation or role: Labourer
Age: 40
Gender: Male
Date of admission: 10 Sep 1862
Date of death: 1 Oct 1862
Disease (transcribed): Disease of heart. Aneurism
Disease (standardised): Disease (Heart); Aneurysm (Arteries)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Tepper, John
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: He had had cough for two or three years in the winter. Eight or nine weeks ago he had cold and cough with much difficulty in breathing and palpitation.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

John Lyons, 38, Coachman

Occupation or role: Coachman
Age: 38
Gender: Male
Date of admission: 30 Sep 1862
Date of death: 7 Oct 1862
Disease (transcribed): Suppuration in knee and shoulder joint
Disease (standardised): Suppuration (Leg); Suppuration (Arm)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted with the history that seven days before he had been attacked with rigors, followed by sickness and severe pains in the left knee joint.
Body parts examined in the post mortem: Chest, abdomen and joints
Type of incident: n/a

Joseph Knight, 62, Labourer

Occupation or role: Labourer
Age: 62
Gender: Male
Date of admission: 2 Oct 1862
Date of death: 19 Oct 1862
Disease (transcribed): Fracture of thigh
Disease (standardised): Fracture (Leg)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted having been knocked down by a cab, the wheel of which had passed over his leg.
Body parts examined in the post mortem: Chest, abdomen and thigh
Type of incident: Trauma/accident

Benjamin Barnaby, 67, Labourer

Occupation or role: Labourer
Age: 67
Gender: Male
Date of admission: 1 Oct 1862
Date of death: 20 Oct 1862
Disease (transcribed): Stricture of urethra. Perineal section. Pyaemia
Disease (standardised): Constriction (Urethra); Section (Perineum); Sepsis (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted with an impermeable stricture of the urethra.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Elizabeth Barrow, 50, Married

Occupation or role: Married
Age: 50
Gender: Female
Date of admission: 28 Oct 1862
Date of death: 29 Oct 1862
Disease (transcribed): Umbilical hernia. Operation
Disease (standardised): Hernia (Abdomen); Operation (Abdomen)
Admitted under the care of: Lee, Henry
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient stated that for the last eight years she had had a swelling at the navel.
Body parts examined in the post mortem: Abdomen and chest
Type of incident: n/a

William Crawley, 48, Store keeper

Occupation or role: Store keeper
Age: 48
Gender: Male
Date of admission: 6 Nov 1862
Date of death: 13 Nov 1862
Disease (transcribed): Fracture of spine in cervical region
Disease (standardised): Fracture (Spine)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: It was stated that a short time before admission he was on a scaffold when his foot slipped and he fell to the ground, falling across a piece of timber, a distance of about forty feet.
Body parts examined in the post mortem: Spine
Type of incident: Trauma/accident

George Livermore, 21, Labourer

Occupation or role: Labourer
Age: 21
Gender: Male
Date of admission: 3 Jan 1862
Date of death: 5 Jan 1862
Disease (transcribed): Tetanus. Lacerated wound of hand
Disease (standardised): Tetanus (Systemic); Laceration (Hand)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: n/a
Medical notes: This was a case of tetanus, following a lacerated wound of the hand.
Body parts examined in the post mortem: Not examined
Type of incident: n/a

William Knapp, 36, Gun maker

Occupation or role: Gun maker
Age: 36
Gender: Male
Date of admission: 19 Sep 1861
Date of death: 6 Jan 1862
Disease (transcribed): Malignant disease of penis
Disease (standardised): Cancer (Penis)
Admitted under the care of: Pollock, George
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man first applied to the hospital on account of a sore in the groin.
Body parts examined in the post mortem: Chest, abdomen and penis
Type of incident: n/a

George Mellor, 42, Labourer

Occupation or role: Labourer
Age: 42
Gender: Male
Date of admission: 11 Dec 1861
Date of death: 16 Jan 1862
Disease (transcribed): Erysipelas. Anasarca. Ulcer of legs
Disease (standardised): Erysipelas (Skin); Oedema (Indeterminate); Ulcer (Leg)
Admitted under the care of: Pollock, George
Medical examination performed by: Pick, Thomas Pickering
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

Harry V Muggeridge, 2, Child

Occupation or role: Child
Age: 2
Gender: Male
Date of admission: 21 Nov 1861
Date of death: 8 Feb 1862
Disease (transcribed): Extravasation of urine. Fistula in perineum
Disease (standardised): Extravasation (Bladder); Fistula (Perineum)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Pick, Thomas Pickering
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

James Ashbrook, 27, Labourer

Occupation or role: Labourer
Age: 27
Gender: Male
Date of admission: 4 Mar 1862
Date of death: 4 Mar 1862
Disease (transcribed): Fracture of the skull
Disease (standardised): Fracture (Skull)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: n/a
Medical notes: This was a fracture of the skull.
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Henry Fox, 33, Waiter

Occupation or role: Waiter
Age: 33
Gender: Male
Date of admission: 7 Mar 1862
Date of death: 9 Mar 1862
Disease (transcribed): Fractured leg and delirium tremens
Disease (standardised): Fracture (Leg); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Pollock, George
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Henry King, 41, Labourer

Occupation or role: Labourer
Age: 41
Gender: Male
Date of admission: 11 Mar 1862
Date of death: Brought in dead
Disease (transcribed): Extensive injury to extremities
Disease (standardised): Injury (Leg); Injury (Arm)
Admitted under the care of: Pollock, George
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

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