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Owen, Herbert Isambard
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Pathology Museum

Prescott Hewett was appointed the first curator of the museum in the 1840s, and he also introduced the practice of keeping post mortem books. The curator of the museum was also responsible for conducting post mortem examinations together with the assistant curator, and the post mortem casebooks frequently refer to pathological specimens preserved in the museum. Specimens were regularly obtained from post mortem examinations or during surgery at the hospital, and the museum has continued to be an integral part of teaching at St George's.

The first printed museum catalogue was published in 1866, edited by John William Ogle and Timothy Holmes. This was apparently based on a scheme by Henry Gray, which however has not survived.

The museum was rearranged in 1881, and a new numbering system was adopted. In 1882, a supplementary catalogue, edited by Isambard Owen, was published.

Additionally, two manuscript catalogues exist, the first one covering the years 1884-1899, and the second one 1900-c.1917.

The so-called ‘Green books’ include ‘historical specimens’, numbered 1-101 and introduce a new classification based on diseases.

Sin título

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

Emma Webster, 18, General Servant

Occupation or role: General Servant
Age: 18
Gender: Female
Date of admission: 21 Feb 1877
Date of death: 5 Mar 1877
Disease (transcribed): Pericarditis. Old valvular disease.
Disease (standardised): Pericarditis (Heart); Disease (Heart)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Recent history included diarrhoea for a fortnight, cough and sore throat, pain in the trunk and limbs, vomiting and slight rigors.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, kidneys, spleen, peritoneum, intestine and brain
Type of incident: n/a

Thomas Harlis, 25, [No occupation]

Occupation or role: [No occupation]
Age: 25
Gender: Male
Date of admission: 28 Feb 1877
Date of death: 5 Mar 1877
Disease (transcribed): Cerebellar tumour (glioma). Increase of fluid in ventricles
Disease (standardised): Glioma (Brain); Fluid (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient was admitted with severe occipital headaches, a red, foul tongue and no other symptoms.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, meninges and brain
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

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

Henry Hills, 42, Watchman

Occupation or role: Watchman
Age: 42
Gender: Male
Date of admission: 7 Mar 1877
Date of death: 16 Mar 1877
Disease (transcribed): Granular kidneys. Pneumonia. Bronchitis. Cardiac hypertrophy and dilatation.
Disease (standardised): Disease (Kidney); Pneumonia (Lung); Bronchitis (Lung); Disease (Heart)
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 dated the swelling of the legs from a month before admission, and the cough and dyspnoea from a fortnight previously. He was accustomed to taking about three pints of beer and a glass of spirits daily.
Body parts examined in the post mortem: Lungs, bronchi, pericardium, heart, liver, kidneys, spleen and peritoneum
Type of incident: n/a

Henry Hone, 57, Shoemaker

Occupation or role: Shoemaker
Age: 57
Gender: Male
Date of admission: 7 Mar 1877
Date of death: 26 Mar 1877
Disease (transcribed): Cardiac dilatation with hypertrophy. Congestion of viscera. Old emphysema
Disease (standardised): Disease (Heart); Congestion (Systemic); Emphysema (Lung)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: About October 1876 the patient began to feel weak and chilly and suffered from pain about the epigastrium. Early in the following January he suffered from palpitation, a fortnight later from dyspnoea, and for a month before entrance to the hospital from swelling of the legs and abdomen.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, kidneys, spleen and peritoneum
Type of incident: n/a

John McLea, 46, Blacksmith

Occupation or role: Blacksmith
Age: 46
Gender: Male
Date of admission: 9 Feb 1877
Date of death: 7 Apr 1877
Disease (transcribed): Sarcomatous tumour of the Brain
Disease (standardised): Tumour (Brain)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: For four or five weeks he had suffered from partial obscurity of vision and hearing, staggering in gait, and inability to articulate distinctly. He fell down the night before admission.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, brain and spinal cord.
Type of incident: n/a

Samuel White, 56, Foundry man

Occupation or role: Foundry man
Age: 56
Gender: Male
Date of admission: 18 Apr 1877
Date of death: 18 Apr 1877
Disease (transcribed): Pneumonia. Tubular Nephritis.
Disease (standardised): Pneumonia (Lung); Nephritis (Kidney)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The attack began with shivering, cough and pain in the right inframammary region.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys and spleen.
Type of incident: n/a

Mary Mortlock, 57, Housekeeper

Occupation or role: Housekeeper
Age: 57
Gender: Female
Date of admission: 4 Apr 1877
Date of death: 25 Apr 1877
Disease (transcribed): Cardiac hypertrophy and dilatation. Granular kidney
Disease (standardised): Disease (Heart); Disease (Kidney)
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 admitted with oedema of five weeks standing, cough of six weeks and dyspnoea with palpitation of two months date.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, douglas' pouch and uterus.
Type of incident: n/a

Emily Bannister, 31, Married

Occupation or role: Married
Age: 31
Gender: Female
Date of admission: 2 May 1877
Date of death: 6 May 1877
Disease (transcribed): Pyaemia. Secondary abscesses. Large perinephritic abscess.
Disease (standardised): Sepsis (Systemic); Abscess (Kidney); Perinephritis (Kidney)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: This patient was admitted into the Surgical Wards on 7th February for abscesses on the right leg and the nape of the neck, the former of one, the latter of five weeks standing. The abscess of the leg was opened in the hospital and she was sent to Wimbledon.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, abscess, kidneys, spleen, spinal column, brain and uterus.

Type of incident: n/a

Mary Buckley, 49, Cook

Occupation or role: Cook
Age: 49
Gender: Female
Date of admission: 7 May 1877
Date of death: 12 May 1877
Disease (transcribed): Goitre. Cancerous tumours in the lungs. Pneumonia. Granular kidney.
Disease (standardised): Goitre (Thyroid Gland); Tumour (Lung); Pneumonia (Lung); Disease (Kidney)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The isthmus of the thyroid began to enlarge in 1848, the left lobe in 1872. Since that year she had been weaker than usual and since 1874 had lost flesh. On admission she had a slight cough, with scanty viscid sputa, plentifully streaked with blood.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, goitre, heart, aorta, liver, kidneys, spleen, stomach, brain and uterus.
Type of incident: n/a

Ann Mears, 42, Married

Occupation or role: Married
Age: 42
Gender: Female
Date of admission: 16 May 1877
Date of death: 19 May 1877
Disease (transcribed): Heart disease. Tubercular disease of lung. Bronchitis. Granular kidney.
Disease (standardised): Disease (Heart); Tuberculosis (Lung); Bronchitis (Lung); Disease (Kidney)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The recent history comprised increasing cough, commencing with a general catarrh, frequent headaches, night sweats, loss of strength, flesh and appetite, and bearing down pains.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, intestine, skull and contents, and uterus.
Type of incident: n/a

Henry Bateman , 50, Labourer

Occupation or role: Labourer
Age: 50
Gender: Male
Date of admission: 4 May 1877
Date of death: 21 May 1877
Disease (transcribed): Emphysema. Cardiac hypertrophy with dilatation. Granular kidney
Disease (standardised): Emphysema (Lung); Disease (Heart); Disease (Kidney)
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 had been a healthy man but a very hard drinker. The recent history included swelling of the legs, cough and wheezing and expectoration.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, kidneys, spleen, intestine and peritoneum
Type of incident: n/a

John J Bowler, 23, Wine Cellarman

Occupation or role: Wine Cellarman
Age: 23
Gender: Male
Date of admission: 22 July 1876
Date of death: 30 May 1877
Disease (transcribed): Chronic tubal nephritis. Passive effusions.
Disease (standardised): Nephritis (Kidney); Effusion (Kidney)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient was admitted with slight general oedema, of five days date, which had been preceded by a fortnight of general malaise.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum and brain
Type of incident: n/a

Margaret Reed, 50, Cook

Occupation or role: Cook
Age: 50
Gender: Female
Date of admission: 9 May 1877
Date of death: 30 May 1877
Disease (transcribed): Pulmonary Phthisis. Tubercular ulcers of intestine. Amyloid disease of the abdominal organs.
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Intestines); Ulcer (Intestines); Amyloidosis (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: This patient, ill nourished, anaemic and sickly, was admitted in a state of delirium of a low type, which prevented a history being obtained.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum and intestine
Type of incident: n/a

William Bunning, 61, Painter

Occupation or role: Painter
Age: 61
Gender: Male
Date of admission: 13 Jun 1877
Date of death: 19 Jun 1877
Disease (transcribed): Emphysema. Bronchitis. Hypertrophied and dilated heart. Granular Kidney
Disease (standardised): Emphysema (Lung); Bronchitis (Lung); Disease (Heart); Disease (Kidney)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: For four or five years he had been troubled with winter coughs. From September 1876 the cough and dyspnoea were unusually severe and persisted. He lost flesh, grew weaker and his legs later swelled.
Body parts examined in the post mortem: Pleurae, lungs, heart, peritoneum, liver, spleen, kidneys, stomach and brain
Type of incident: n/a

Alice Hill, 4, [No occupation]

Occupation or role: [No occupation]
Age: 4
Gender: Female
Date of admission: 30 Apr 1877
Date of death: 21 Jun 1877
Disease (transcribed): Tubercular Peritonitis
Disease (standardised): Tuberculosis (Abdomen)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: A cough commenced three months before admission, expectoration being slight at first. She later lost flesh, complained of pain in the abdomen and head and the abdomen swelled.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, brain and peritoneum
Type of incident: n/a

Robert Westlake, 57, Builder

Occupation or role: Builder
Age: 57
Gender: Male
Date of admission: 20 Jun 1877
Date of death: 25 Jun 1877
Disease (transcribed): Cardiac dilatation: Hydrothorax. Pericarditis. Cerebral softening.
Disease (standardised): Disease (Heart); Hydrothorax (Pleura); Pericarditis (Heart); Softening (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The personal history showed only frequent epistaxis and scanty diaphoresis. For two or three years he had been rather out of sorts, with slight dyspnoea, which had increased over the previous four months. For three weeks his legs had swelled.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, kidneys, spleen, stomach, meninges and brain
Type of incident: n/a

Ellen Cornwall, 23, Married

Occupation or role: Married
Age: 23
Gender: Female
Date of admission: 20 Jun 1877
Date of death: 29 Jun 1877
Disease (transcribed): Valvular disease of the heart, old and recent.
Disease (standardised): Disease (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: This patient was admitted suffering from great dyspnoea, cough and pain in the chest. The legs were extensively oedematous.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, stomach, brain and uterus
Type of incident: n/a

Joseph Crabb, 29, Labourer

Occupation or role: Labourer
Age: 29
Gender: Male
Date of admission: 13 Jun 1877
Date of death: 29 Jun 1877
Disease (transcribed): Tubercular meningitis and peritonitis. Tubercles of lung and intestine.
Disease (standardised): Tuberculosis, Meningeal (Brain); Peritonitis (Abdomen); Tuberculosis (Lung); Tuberculosis (Intestines)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: About the middle of Feb 1877, he was attacked with cough and spitting, which increased for a week, then diminished under treatment, but never wholly left him. From that time he lost flesh and strength, felt chilly and sweated much at night. Slight haemoptysis commenced early in April and continued to increase.
Body parts examined in the post mortem: Lungs, heart, peritoneum, intestine, liver, kidneys, spleen and brain
Type of incident: n/a

Joseph Cartling, 64, Coachman

Occupation or role: Coachman
Age: 64
Gender: Male
Date of admission: 23 May 1877
Date of death: 29 Jun 1877
Disease (transcribed): Cardiac dilatation and hypertrophy. Granular kidney.
Disease (standardised): Disease (Heart); Disease (Kidney)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient complained of languor, weakness and progressive dyspnoea of two years and palpitation for one year, pains about the waist, slight cough, occasional giddiness, anorexia and oedema of the legs.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum, intestines and brain
Type of incident: n/a

Samuel Patridge, 29, Labourer, ex soldier

Occupation or role: Labourer, ex soldier
Age: 29
Gender: Male
Date of admission: 13 July 1877
Date of death: 19 July 1877
Disease (transcribed): Pneumonia. Old hepatic abscesses. Amyloid disease
Disease (standardised): Pneumonia (Lung); Abscess (Liver); Amyloidosis (Liver, Spleen)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: During the Ashanti war in 1874 he had a fever, and he was invalided in 1875 for pain in the right side of the chest. Early in November he began to cough, shiver, vomit and to experience pain in the right shoulder. He spat green matter and sweated much.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, intestine and brain
Illustration or photograph: Yes
Type of incident: n/a

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