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Owen, Herbert Isambard Digestive system diseases
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William Howe, 46, Stableman

Occupation or role: Stableman
Age: 46
Gender: Male
Date of admission: 15 Jan 1879
Date of death: 16 Mar 1879
Disease (transcribed): Hepatic cirrhosis. Tubercle. Pleuropneumonia. Vesicular measles
Disease (standardised): Cirrhosis (Liver); Tuberculosis (Lung); Pleuropneumonia (Lung); Measles (Immune system)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient was admitted in a very weak condition, emaciated, pale and sickly, with a severe cough and pains about the chest on coughing.
Body parts examined in the post mortem: Heart, liver, kidneys and spleen
Type of incident: n/a

Thomas Wellman, 36, Lath-render

Occupation or role: Lath-render
Age: 36
Gender: Male
Date of admission: 9 Mar 1881
Date of death: 24 Mar 1881
Disease (transcribed): Dysentery. Abscess of the liver. Pleurisy
Disease (standardised): Dysentery (Intestines); Abscess (Liver); Pleurisy (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: 'On Feb 14, 1881 he was attacked with sudden & severe diarrhoea which had not left him at the time of his admission. Previous to this attack he had been in fairly good health, though he had lost 2 stone in weight in the last 4 years, & had had slight winter cough. He had never been out of England, & had had no previous attack of diarrhoea. He attributed the present attack to eating some muscles [mussels] on Feb 14'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, intestines

Type of incident: n/a

Jonathan Pearce, 60, Carman

Occupation or role: Carman
Age: 60
Gender: Male
Date of admission: 20 Mar 1901
Date of death: 23 Mar 1901
Disease (transcribed): Chronic peritonitis. Intestinal obstruction. Acute peritonitis. Perforation of gut
Disease (standardised): Peritonitis (Abdomen); Obstruction (Intestines); Peritonitis (Abdomen); Perforation (Gastrointestinal tract)
Admitted under the care of: Owen, Herbert Isambard
Medical examination performed by: Whipham, Thomas Roland Charles
Post mortem examination performed by: Fenton, William James
Medical notes: On March 19th he had a large meal which he ate very quickly and soon after was suddenly attacked by a sharp pain in the left side of the abdomen which recurred in paroxysms until admission.
Body parts examined in the post mortem: Abdomen only opened
Type of incident: n/a

Emily Archer, 25, Fruit packer

Occupation or role: Fruit packer
Age: 25
Gender: Female
Date of admission: 4 Feb 1903
Date of death: 5 Apr 1903
Disease (transcribed): Morbus cordis. Mitral stenosis. Tricuspid incompetence. Recent endocarditis. Pulmonary infarction. Hydrothorax. Ascites. Gastrectasia
Disease (standardised): Disease (Heart); Endocarditis (Heart); Infarction (Lung); Hydrothorax (Lung); Ascites (Abdomen); Gastrectasia (Stomach)
Admitted under the care of: Owen, Herbert Isambard
Medical examination performed by: Pearson, Sidney Vere
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: She had suffered from cough and shortness of breath for two years, and these symptoms had gradually increased.
Body parts examined in the post mortem: Lungs, pericardium, heart and liver
Type of incident: n/a

Charles Faulkner, 17, Gardener

Occupation or role: Gardener
Age: 17
Gender: Male
Date of admission: 9 Mar 1877
Date of death: 11 Mar 1877
Disease (transcribed): Typhoid ulceration of bowel. Perforation. Peritonitis.
Disease (standardised): Typhoid Fever (Systemic); Ulcer (Intestines); Perforation (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient was in failing health, when three weeks or more before admission, commenced cough and nasal catarrh.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum and intestine
Type of incident: n/a

Emily Smith, 40, Married

Occupation or role: Married
Age: 40
Gender: Female
Date of admission: 8 Jan 1880
Date of death: 23 Mar 1880
Disease (transcribed): Scirrhus of the peritoneum. Encephaloid of the spleen. Cystic disease of the ovaries. Abdominal section. Peritonitis
Disease (standardised): Cancer (Abdomen); Cancer (Spleen); Cysts (Ovary); Section (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Barnes, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Three months ago she noticed that her dresses were getting too small. The increase in size was at first gradual and then rapid.
Body parts examined in the post mortem: Lungs,liver, heart, liver, spleen, kidneys, peritoneum and generative organs
Illustrations: Yes
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

Elizabeth Britton, 54, [Wife of] Baker

Occupation or role: [Wife of] Baker
Age: 54
Gender: Female
Date of admission: 2 Jan 1902
Date of death: 10 Jan 1902
Disease (transcribed): Fatty infiltration of heart. Chronic bronchitis. Oedema of left lung. Collapse of right lung (lower lobe). Old peritonitis
Disease (standardised): Disease (Heart); Bronchitis (Lung); Oedema (Lung); Atelectasis (Lung); Peritonitis (Abdomen)
Admitted under the care of: Owen, Herbert Isambard
Medical examination performed by: Stokes, Whitley Bland
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: The patient was admitted cyanosed, and with great dyspnoea.
Body parts examined in the post mortem: Lungs, larynx, trachea, pericardium, heart, liver, spleen, pancreas, kidneys, urinary tract, alimentary canal and uterus
Type of incident: n/a

George Pattison, 4 years 6 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 4 years 6 months
Gender: Male
Date of admission: 6 Mar 1880
Date of death: 13 Mar 1880
Disease (transcribed): 'Large white kidneys’. Peritonitis
Disease (standardised): Disease (Kidney); Peritonitis (Abdomen)
Admitted under the care of: Wadham, William
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: A fortnight before admission his mother had noticed a rash all over his body, accompanied with a little soreness of throat, feverishness and discharge from the ears. Three days before admission dropsy was noticed, and he complained of headache and pain in the back.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and peritoneum
Type of incident: n/a

Thomas or James Garden, 58, Bootmaker

Occupation or role: Bootmaker
Age: 58
Gender: Male
Date of admission: 20 Dec 1876
Date of death: 7 Mar 1877
Disease (transcribed): Cirrhosis of liver. Granular kidney. Peritonitis. Tubercle of lung.
Disease (standardised): Cirrhosis (Liver); Disease (Kidney); Peritonitis (Abdomen); Tuberculosis (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Five weeks before admission, his legs began to swell. A fortnight later, came on cough, dyspnoea and pain in the loins, and the abdomen enlarged.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen and peritoneum
Type of incident: n/a

Joseph Bates, 55, Bootmaker

Occupation or role: Bootmaker
Gender: Male
Age: 55
Date of admission: 11 Mar 1878
Date of death: 20 Mar 1878
Disease (transcribed): Weak heart – no important structural lesion – Dysentery. Old intestinal ulcers
Disease (standardised): Disease (Heart); Dysentery (Intestines); Ulcer (Intestines);
Admitting doctor: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. A Healthy man previously; without constitutional peculiarity: temperate in liquor: In the spring of 1875 diarrhoea commenced, with blood and slime in the motions: it continued at intervals till October 1876. He was in India during all this time. He left the country in 1877, arriving in England during July. From the following October diarrhoea was present to the extent of 4-20 motions daily, no blood or slime was passed, the looseness of the bowels was aggravated by cold. He uniformly lost flesh while the diarrhoea lasted, and recovered it in the intervals: Cough 1 mo. [month] before admn [admission]: onset sudden, with nasal catarrh. Lumbar pain and difficult micturition 1 week'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, intestine, brain
Type of incident: n/a

William Biddle, 29, Waiter

Occupation or role: Waiter
Age: 29
Gender: Male
Date of admission: 1 Mar 1880
Date of death: 8 Mar 1880
Disease (transcribed): Hypertrophic cirrhosis
Disease (standardised): Cirrhosis (Liver)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: On admission the patient was semi-delirious, the abdomen was much swollen and there was marked dyspnoea.
Body parts examined in the post mortem: Liver, kidneys, heart, lungs, blood and arteries
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

Emma Mott, 30, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Female
Date of admission: 6 Feb 1896
Date of death: 15 Mar 1896
Disease (transcribed): Old phthisis. Tubercular disease of intestine. Peritonitis
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Intestines); Peritonitis (Abdomen)

Admitted under the care of: Owen, Herbert Isambard
Medical examination performed by: Fenton, William James
Post mortem examination performed by: Ogle, Cyril
Medical notes: This patient came in complaining of abdominal pain for seven months which had been much worse during the week previous to admission.
Body parts examined in the post mortem: Lungs, larynx, heart, intestines, stomach, liver, spleen, adrenals, kidneys, bladder, uterus and toe joint
Type of incident: n/a

Thomas Shaw, 29, Labourer

Occupation or role: Labourer
Age: 29
Gender: Male
Date of admission: 19 Dec 1879
Date of death: 27 Feb 1880
Disease (transcribed): Abscess of brain. Inflammation of mastoid cells. Cirrhosis. Bronchopneumonia
Disease (standardised): Abscess (Brain); Inflammation (Skull); Cirrhosis (Liver); Bronchopneumonia (Lung)
Admitted under the care of: Rouse, James
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Three years before admission a scaly eruption appeared all over the body. Under treatment it disappeared, but was followed by loss of hair, headache and pains in the limbs. Two years later he had ulcerated legs and severe sore throat.
Body parts examined in the post mortem: Mastoid region, dura mater, brain, pleurae, lungs, heart, liver, spleen, kidneys, urinary apparatus
Illustrations: Yes
Type of incident: n/a

Susie Houston, 34, Lady’s maid

Occupation or role: Lady’s maid
Age: 34
Gender: Female
Date of admission: 11 Mar 1894
Date of death: 12 Mar 1894
Disease (transcribed): Perforated gastric ulcer. General peritonitis
Disease (standardised): Perforation (Stomach); Ulcer (Stomach); Peritonitis (Abdomen)
Admitted under the care of: Owen, Herbert Isambard
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'This patient was admitted in a pulseless condition, and died in less than 12 hours. […] She had been constipated for a week before March 10th when she was seized with pain about the umbilicus […] Since the onset of pain on March 10th until she was admitted on evening of March 11th not even flatus had been passed'
Body parts examined in the post mortem: Peritoneal cavity, liver, intestines, stomach, liver, spleen, kidneys, ovaries, uterus, lungs, heart
Type of incident: n/a

Charles Reynolds, 45, Labourer

Occupation or role: Labourer
Age: 45
Gender: Male
Date of admission: 2 Mar 1901
Date of death: 3 Mar 1901
Disease (transcribed): Corrosive poisoning. Perforation of stomach. General peritonitis
Disease (standardised): Poisoning (Systemic); Perforation (Stomach); Peritonitis (Abdomen)
Admitted under the care of: Owen, Herbert Isambard
Medical examination performed by: Whipham, Thomas Roland Charles
Post mortem examination performed by: Fenton, William James
Medical notes: The patient was sent up by a doctor as having taken poison, probably opium.
Body parts examined in the post mortem: Pleurae, lungs, larynx, trachea, heart, liver, spleen, pancreas, kidneys, urinary tract and alimentary canal
Type of incident: Suicide

James Payne, 60, Butler

Occupation or role: Butler
Age: 60
Gender: Male
Date of admission: 20 Feb 1880
Date of death: 24 Feb 1880
Disease (transcribed): Scirrhus of rectum. Colotomy. Peritonitis. Omental hernia
Disease (standardised): Cancer (Rectum); Colotomy (Intestines); Peritonitis (Abdomen); Hernia (Omentum)
Admitted under the care of: Pick, Thomas Pickering
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Three weeks before admission the bowels became constipated. He had no pain that he could localise at all but the abdomen became distended occasioning some distress.
Body parts examined in the post mortem: Abdomen and intestines, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

William Quincey, 13, [No occupation stated]

  • Occupation or role: [No occupation stated]
    Age: 13
    Gender: Male
    Date of admission: 7 Mar 1896
    Date of death: 9 Mar 1896
    Disease (transcribed): Perforation of appendix vermiformis. Peritonitis. Laparotomy
    Disease (standardised): Perforation (Appendix); Peritonitis (Abdomen); Laparotomy (Abdomen)

    Admitted under the care of: Owen, Herbert Isambard
  • Dent, Clinton Thomas
    Medical examination performed by: Ward, Arthur H.
    Post mortem examination performed by: Ogle, Cyril
    Medical notes: The case was transferred and operated upon immediately.
    Body parts examined in the post mortem: Lungs, larynx, heart, liver, spleen, kidneys, adrenals and stomach
    Type of incident: n/a

Alfred Goodwin, 35, Labourer

Occupation or role: Labourer
Age: 35
Gender: Male
Date of admission: 15 Nov 1878
Date of death: 19 Feb 1879
Disease (transcribed): Tubercular peritonitis and meningitis “of the convexity”
Disease (standardised): Tuberculosis (Abdomen); Peritonitis (Abdomen); Tuberculosis, meningeal (Brain)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: He was quite well until November 8th, when after working hard in the wet, he began towards evening to feel chilly and shiver. After going to bed he grew hot and sweated profusely.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum, intestines and brain
Illustrations: Yes
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

James Hardgrove, 47, Coachman

Occupation or role: Coachman
Age: 47
Gender: Male
Date of admission: 17 Jan 1877
Date of death: 18 Feb 1877
Disease (transcribed): Cirrhosis of liver. Fatty heart. Pulmonary apoplexy.
Disease (standardised): Cirrhosis (Liver); Disease (Heart); Haemorrhage (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient was admitted with oedema of the legs and scrotum, some degree of ascites and icterus of the head and shoulders.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, pericardium, heart, liver, kidneys, spleen, peritoneum and meninges
Type of incident: n/a

Ann Brightman, 49, Needlewoman

Occupation or role: Needlewoman
Age: 49
Gender: Female
Date of admission: 4 Feb 1880
Date of death: 11 Feb 1880
Disease (transcribed): Mitral stenosis. Dropsy. Embolism of lungs. Nutmegged and cirrhosed liver
Disease (standardised): Disease (Heart); Oedema (Leg); Embolism (Lung); Nutmeg (Liver); Cirrhosis (Liver)
Admitted under the care of: Wadham, William
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Five years ago she commenced to have attacks of fainting. She had had a cough for a few weeks, and on the day of admission there was swelling of the legs.
Body parts examined in the post mortem: Respiratory organs, heart, liver, spleen and kidneys
Type of incident: n/a

Henry Preston, 34, Coal porter

Occupation or role: Coal porter
Age: 34
Gender: Male
Date of admission: 9 Feb 1880
Date of death: 10 Feb 1880
Disease (transcribed): Hypertrophic cirrhosis. Emphysema. Hypertrophied heart. Pneumonia
Disease (standardised): Cirrhosis (Liver); Emphysema (Lung); Disease (Heart); Pneumonia (Lung)
Admitted under the care of: Wadham, William
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The patient was an inpatient with pneumonia in 1878, presenting about the same symptoms on admission then as he did at this time. He was much addicted to drink and for two months had been giving way to this habit.
Body parts examined in the post mortem: Lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Robert Hodgson, 50, Painter

Occupation or role: Painter
Age: 50
Gender: Male
Date of admission: 10 Feb 1880
Date of death: 11 Feb 1880
Disease (transcribed): Aneurism of thoracic aorta. Cirrhosis. Granular kidneys
Disease (standardised): Aneurysm (Aorta); Cirrhosis (Liver); Disease (Kidney)
Admitted under the care of: Wadham, William
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The present illness dated from April 1879 after working in the wet and standing in a draught, he caught a ‘severe cold’, and from that time there was a continuous cough and shortness of breath with progressive emaciation.
Body parts examined in the post mortem: Heart, aorta, lungs, liver, kidneys and spleen
Type of incident: n/a

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