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Ewart, William
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Post Mortem Examinations and Case Books

  • 406 PM
  • Collectie
  • 1840-1946

The post mortem records contain manuscript case notes, with medical notes both pre and post mortem. These include details on patients’ admission to the hospital, treatments and medication administered to patients and the medical history of patients; the medical histories were copied into the volumes from hospital registers, which are no longer extant. The post mortem cases include detailed pathological findings made during the detailed examination of the body after death. From the 1880s onwards the case books contain original anatomical drawings and photographs.

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The following information is recorded for each case. The information is transcribed from the case notes and/or the relevant index and, where relevant, additionally standardised using MeSH (Medical Subject Headings)

• Name of the patient. If a name is not entered in the volume, it is noted in the catalogue as ‘[No name stated]’

• Gender of the patient (female / male / unknown)

• Age of the patient. Usually in numbers, following the original, with the following exceptions: 4/12 = 4 months, 4/52 = 4 weeks, 4/365 = 4 days. If no age is entered, it is noted in the catalogue as ‘[No age stated]’

• Occupation of the patient. Where no occupation is entered, it is noted in the catalogue as ‘[No occupation stated]’. Children are often designated according to their father’s or mother’s occupation and women by their husband’s occupation (e.g. ‘F / Horsekeeper’, ‘M. Charwoman’, ‘Hd Grocer’); these have been rendered in the catalogue as ‘[Child of] Horsekeeper’, ‘[Wife of] Grocer’

• Date of admission and date of death

• The names of the doctors treating or examining the patient. ‘Admitted under the care of’ denotes the senior doctor in charge of the case (usually entered at the top of the page and in the index); ‘Post mortem performed by’ denotes the doctor responsible for the post mortem examination (usually signed at the bottom of the page) and ‘Medical examination performed by’ denotes the doctor responsible for the medical examination prior to death (usually signed at the bottom of the page). The earliest records usually contain only one name, and some of the later ones may contain multiple names in each category. An authority record (name access point) with basic biographical details has been created for each doctor mentioned in the records; these can be used to explore all the cases related to a particular individual

• Disease(s) or cause of death of the patient. Transcribed from the medical case and/or the index and standardised, e.g. ‘Disease (transcribed): Phthisis. Fractured base. Disease (standardised): Tuberculosis (lungs). Fracture (skull)’

• Medical and post mortem notes. Brief summary description or transcription of the case notes relating to previous medical history (not a full transcription of the case notes)

• Note on whether the case includes illustrations or photographs; these can also be browsed via genre access points

• Note on whether the death was caused by trauma, accident or suicide

• Subject access points, using standardised terms from MeSH, with disease type (e.g. respiratory tract diseases, cardiovascular diseases) and anatomy type (e.g. cardiovascular system, musculoskeletal system), which can be used for browsing all relevant cases

Note on transcriptions and abbreviations

Names have been silently expanded, e.g. Jas = James, Wm = William

Some common abbreviations and acronyms

AMCH = Atkinson Morley Convalescent Hospital, Wimbledon
BID = Brought in dead
COA = Condition on admission
F = Father
H or Hd = Husband
HP = House physician
HS = House surgeon
IP = In-patient
L = Left
M = Mother
MR or Med reg or Med r = Medical register or Medical registrar
MS = Museum specimen
OP = Out-patient
OPD = Out-patient department
OR = Obstetric register
PMH = Previous medical history
PH = Previous history
Pt or Pat = Patient
PM = Post mortem
R = Right
RF = Rheumatic fever
Ry = Railway
SR or Surg reg = Surgical register or Surgical registrar
TB = Tuberculosis
VD = Venereal disease

Zonder titel

George Tucker, 59, Labourer

Occupation or role: Labourer
Age: 59
Gender: Male
Date of admission: 17 Mar 1877
Date of death: 18 Mar 1877
Disease (transcribed): Wound of peritoneum; peritonitis. Wound of pericardium and of heart.
Disease (standardised): Wound (Abdomen); Peritonitis (Abdomen); Wound (Heart)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: Nine hours previous to admission this patient, having been worried by his grandchildren laid open his abdomen with a penknife.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, kidneys, spleen, peritoneum and intestinal canal
Type of incident: Suicide

Ethel Vizor, 6, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 6
Gender: Female
Date of admission: 28 Mar 1894
Date of death: 30 Mar 1894
Disease (transcribed): Diphtheria. (Tracheotomy)
Disease (standardised): Diphtheria (Pharynx); Tracheotomy (Trachea)
Admitted under the care of: Ewart, William
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: Fyffe, William Kington
Medical notes: 'It appeared from the history that there were cases of diphtheria in the house in which the child lived and that the neighbouring house was likewise infected with the disease - For two weeks she had had a sore at the angle of her mouth and during that time she had been ailing. On the 24th she complained of difficulty of swallowing and sore throat. On the 27th her breathing was laboured and she 'made a noise in breathing' '
Body parts examined in the post mortem: Thorax, abdomen
Type of incident: n/a

Thomas Franklin, 42, Cabman

Occupation or role: Cabman
Age: 42
Gender: Male
Date of admission: 14 Mar 1892
Date of death: 14 Mar 1892
Disease (transcribed): Rupture of internal and middle coats of aorta. Haemorrhage into pericardium
Disease (standardised): Rupture (Aorta); Haemorrhage (Heart)
Admitted under the care of: Ewart, William
Medical examination performed by: n/a
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: This man fell from the box of his cab and when picked up was found to be dead.
Body parts examined in the post mortem: Brain, pleurae, lungs, pericardium, heart, liver, spleen, pancreas, suprarenals, kidneys, bladder, prostate and testes
Type of incident: Trauma/accident

Mabel Butterworth , 17, Clerk

Occupation or role: Clerk
Age: 17
Gender: Female
Date of admission: 10 Mar 1900
Date of death: 20 Mar 1900
Disease (transcribed): Intra peritoneal adhesions. Intestinal obstruction. Laparatomy
Disease (standardised): Adhesions (Abdomen); Obstruction (Intestines); Laparotomy (Abdomen)
Admitted under the care of: Ewart, William
Medical examination performed by: Whipham, Thomas Tillyer
Post mortem examination performed by: Fenton, William James
Medical notes: The patient was ‘quite well’ until the evening of the 8th Mar when she had pain in the stomach, was sick several times and had slight haematemesis.
Body parts examined in the post mortem: Lungs, heart, abdomen, liver, spleen, kidney, stomach, duodenum, pancreas and pelvic organs
Type of incident: n/a

James Peters, 22, Gas stoker

  • Occupation or role: Gas stoker
    Gender: Male
    Age: 22
    Date of admission: 16 Jan 1878
    Date of death: 6 Apr 1878
    Disease (transcribed): Amputation at hip joint (for cancer of femur). Pulmonary congestion
    Disease (standardised): Amputation (Hip); Cancer (Leg); Congestion (Lung);
    Admitting doctor: Holmes, Timothy
    Medical examination performed by: Bennett, William Henry
    PM performed by: Ewart, William
  • Dent, Clinton Thomas
    Medical notes: 'History. Five months ago fell and injured right thigh. A little pain followed but soon subsided. Since then he has suffered from acute pain in right thigh, greatly aggravated by exercise and worse at night. Has always been healthy – Family healthy. No syphilis'
    Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen
    Type of incident: Trauma/accident

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

Bertram Groner, 40, Waiter

Occupation or role: Waiter
Age: 40
Gender: Male
Date of admission: 2 Mar 1895
Date of death: 4 Mar 1895
Disease (transcribed): Carcinoma – Suprarenal – in liver and glands also, as well as in lung
Disease (standardised): Cancer (Adrenal glands); Cancer (Liver); Cancer (Lymph nodes); Cancer (Lung)
Admitted under the care of: Ewart, William
Medical examination performed by: Fyffe, William Kington
Post mortem examination performed by: Ogle, Cyril
Medical notes: He was first taken ill six months ago when he caught cold. Two months ago he had spasmodic attacks of difficulty of breathing, followed by ascites and swollen legs.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, pancreas, stomach, intestines, kidneys, bladder and testes
Illustrations: Yes
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

Samuel James, 33, Fisherman

Occupation or role: Fisherman
Age: 33
Gender: Male
Date of admission: 12 Mar 1879
Date of death: 15 Mar 1879
Disease (transcribed): Pneumonia
Disease (standardised): Pneumonia (Lung)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: On March 6th he began to suffer from slight nasal catarrh and oppression of breathing. The next day he began to cough.
Body parts examined in the post mortem: Heart, liver, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

Charles Drake, 25, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 25
Gender: Male
Date of admission: 21 Mar 1898
Date of death: 24 Mar 1898
Disease (transcribed): Pancreatitis. Localized peritonitis. Encysted effusion in lesser sac
Disease (standardised): Pancreatitis (Pancreas); Peritonitis (Abdomen); Cysts (Abdomen)
Admitted under the care of: Ewart, William
Medical examination performed by: Fenton, William James
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: He was quite well up to the 10th when vomiting set in and persisted since that day. He complained of pain over the lower part of the abdomen.
Body parts examined in the post mortem: Abdomen, stomach, appendix, liver, pancreas, suprarenals, testes, bladder, kidneys, thorax, lungs, pericardium and heart
Type of incident: n/a

Harriet Dimmock, 42, Ironer

Occupation or role: Ironer
Age: 42
Gender: Female
Date of admission: 18 Mar 1889
Date of death: 27 Mar 1889
Disease (transcribed): Morbus cordis. Aortic obstruction with mitral regurgitation
Disease (standardised): Disease (Heart)
Admitted under the care of: Ewart, William
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Penrose, Francis George
Medical notes: She came up from Westgate for a day’s holiday and was exposed to cold. Two or three days later she had attacks of shivering and began to suffer from dyspnoea and sharp pain in the left side of her chest followed by oedema of the legs.
Body parts examined in the post mortem: Thorax, heart, lungs, spleen, kidneys, ureters, eyes, stomach and intestines
Type of incident: n/a

Louisa M. Gardner, 18, Servant

Occupation or role: Servant
Gender: Female
Age: 18
Date of admission: 16 Mar 1878
Date of death: 3 Apr 1878
Disease (transcribed): Acute spinal myelitis affecting the anterior corner in the cervical region. Catarrhal pneumonia
Disease (standardised): Myelitis (Spine); Pneumonia (Lung);
Admitting doctor: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No heritable disease in the family. No previous illness. Subject to headaches, coughs, sore throats, epistaxis, slight rheumatics, and vomiting. Bowels rather costive: previous health otherwise good. A little out of breath and 'nervous' for 12 mo [months], since her mother's death. Otherwise quite well till 4.45 p.m. on the 13th, when she found to be powerless. The loss of power gradually extended up the arms and down the legs, and she fell to the ground. By 5.15 the limbs were completely paralysed. She vomited that evening after taking some medicine provided by a chemist. The bowels were confined till admission: the urine had to be drawn off by the catheter. On the 15th she shivered a good deal: the catam. [catamenia] appeared in the evening'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, uterus, bladder, brain, spinal cord
Type of incident: n/a

Charles Brothers, 23, Footman

Occupation or role: Footman
Age: 23
Gender: Male
Date of admission: 26 Mar 1896
Date of death: 31 Mar 18996
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Ewart, William
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: See medical notes
Body parts examined in the post mortem: No examination made post mortem
Type of incident: n/a

Elizabeth Dorset, 56, Charwoman

Occupation or role: Charwoman
Gender: Female
Age: 56
Date of admission: 7 Mar 1904
Date of death: 23 Mar 1904
Disease (transcribed): Disseminated colloid carcinoma. Primary in the gall bladder
Disease (standardised): Carcinoma (Systemic, gallbladder);
Admitted under the care of: Ewart, William
Medical examination performed by: Pearson, Sidney Vere
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: 'History – Acute Rheumatism 20 years ago. Several attacks of gout during the last 6 years. Morning retching and vomiting off and on for 8 years; also occasional cramps in the calves. Since Sept. 03. [September 1903] weakness, swelling of the legs, followed by swelling of the abdomen, and sleeplessness'
Body parts examined in the post mortem: Thorax, peritoneum, abdomen
Type of incident: n/a

James Pidding, 40, Attendant asylum

Occupation or role: Attendant asylum
Gender: Male
Age: 40
Date of admission: 11 Mar 1878
Date of death: 3 Apr 1878
Disease (transcribed): Aortic and mitral stenosis etc.
Disease (standardised): Aortic valve stenosis (Heart); Mitral valve stenosis (Heart);
Admitting doctor: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. One sister died of consumption. Scarlatina at 9: 'maltese fever' in 1856: Venereal sore in 1858: no bubo or constl. [constitutional] symptom. A healthy man, without constitutional peculiarity: accustomed to take 2-3 pints of beer daily: spirits on occasions. Subject to coughs for 5 or 6 yrs [years]: Breathing shorter than usual for two. Five weeks before admn [admission], - attacked with cough and pain from the epigastrium to the back, with malaise. After a week, during which he had profuse night sweats, the cough was relieved by treatment. (? diaphoretics) and the pain disappeared, not to return again till admission to St Geo [St George's Hospital]. Urine high coloured and turbid since the cough lessened. Increased cough, dyspnoea, swelling of legs and abdomen, sense of distension after food, and palpitation for a fortnight. Epigastric and interscapular pain returned on admission'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys
Type of incident: n/a

Thomas Coles, 35, Labourer

Occupation or role: Labourer
Age: 35
Gender: Male
Date of admission: 28 Feb 1877
Date of death: 15 Mar 1877
Disease (transcribed): Pericarditis. Pleurisy. Pneumonia. Bronchitis.
Disease (standardised): Pericarditis (Heart); Pleurisy (Pleura); Pneumonia (Lung); Bronchitis (Lung)
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 stated that in December he felt chilly and began to cough. The cough increased with dyspnoea and expectoration then diminished. During the first week only he had shivering and night sweats.

Body parts examined in the post mortem: Pleurae, lungs, bronchi, pericardium, heart, liver, kidneys and spleen
Type of incident: n/a

Maria Fisher, 54, House keeper

Occupation or role: House keeper
Age: 54
Gender: Female
Date of admission: 29 Jan 1879
Date of death: 15 Mar 1879
Disease (transcribed): Labio-pharyngeal paralysis. Bronchopneumonia
Disease (standardised): Paralysis (Pharynx); Bronchopneumonia (Lung)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: The symptoms developed gradually from the beginning of December 1878. The thickness in her throat and the weakness of the legs were noticed first. The affection of the arms, lips and speech did not attract attention until a fortnight or so later.
Body parts examined in the post mortem: Heart, liver, kidneys, spleen and brain
Type of incident: n/a

Nellie Pulter, 1 year 4 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 1 year 4 months
Gender: Female
Date of admission: 2 Mar 1895
Date of death: 3 Mar 1895
Disease (transcribed): Membranous laryngitis (Diphtheritic)
Disease (standardised): Laryngitis (Larynx); Diphtheria (Pharynx)
Admitted under the care of: Ewart, William
Medical examination performed by: n/a
Post mortem examination performed by: Ogle, Cyril
Medical notes: Not seen by Medical Registrar.
Body parts examined in the post mortem: Lungs, trachea, heart, liver, spleen, kidneys, adrenals and stomach
Type of incident: n/a

Andrew Panton, 65, Labourer

Occupation or role: Labourer
Gender: Male
Age: 65
Date of admission: 29 Mar 1878
Date of death: 3 Apr 1878
Disease (transcribed): Old stricture, cystitis; cirrhosis from Biliary obstructions, etc. [?] abscesses in the kidney
Disease (standardised): Constriction (Indeterminate); Cystitis (Bladder); Liver cirrhosis, biliary (Liver); Obstruction (Biliary tract); Abscess (Kidney);
Admitting doctor: Pollock, George
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Stricture for many years – For 10 or 12 has been in Habit of passing an instrument – for 4 years, much pain about bladder and urine ill smelling, thick and often bloody – A fortnight before admission passed [?] catheter with difficulty and on withdrawing it found that the point had broken off – for 10 days urine had been dribbling from him. Bladder was aspirated by a Surgeon 2 days before admission'
Body parts examined in the post mortem: Liver, gall bladder, pancreas, intestine, spleen, kidneys
Type of incident: n/a

Selina Sharpe, 50, Married

Occupation or role: Married
Age: 50
Gender: Female
Date of admission: 12 July 1876
Date of death: 13 Mar 1877
Disease (transcribed): Cancer of the viscera. Softening of bones. Pressure on spinal cord.
Disease (standardised): Carcinoma (Systemic); Softening (Bones); Pressure (Spinal Cord)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: This patient's right breast was removed two and a half years before admission by Mr Rouse, and two other small tumours subsequently removed.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen, brain, spinal cord and uterus
Type of incident: n/a

Elizabeth Beattie, 16, Laundress

Occupation or role: Laundress
Age: 16
Gender: Female
Date of admission: 12 Mar 1892
Date of death: 13 Mar 1892
Disease (transcribed): Acute endocarditis. Double hydrothorax
Disease (standardised): Endocarditis (Heart); Hydrothorax (Lung)
Admitted under the care of: Ewart, William
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: Three weeks before her admission into the hospital she was attacked by what a medical man diagnosed as influenza, but it was very possible that the girl was also suffering from acute rheumatism.
Body parts examined in the post mortem: Head, pleurae, lungs, larynx, thyroid gland, pericardium, heart, liver, spleen, pancreas, suprarenal bodies, kidneys, bladder, uterus and ovaries
Type of incident: n/a

Jane King, 50, Married

Occupation or role: Married
Age: 50
Gender: Female
Date of admission: 19 Feb 1879
Date of death: 14 Mar 1879
Disease (transcribed): Valvular disease of heart (mitral stenosis). Pneumonia
Disease (standardised): Disease (Heart); Pneumonia (Lung)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: Not given, as the body was not examined
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen and peritoneum
Type of incident: n/a

John Pash, 15, [Child of] Caretaker

Occupation or role: [Child of] Caretaker
Age: 15
Gender: Male
Date of admission: 15 Feb 1889
Date of death: 26 Mar 1889
Disease (transcribed): Adherent pericardium. Mitral incompetence
Disease (standardised): Disease (Heart)
Admitted under the care of: Ewart, William
Medical examination performed by: n/a
Post mortem examination performed by: Penrose, Francis George
Medical notes: The patient’s mother said he had suffered from latent rheumatism. Before he came to St George’s he had much palpitation and occasional pain in his cardiac region.
Body parts examined in the post mortem: Thorax, pericardium, heart, lungs, tonsils, liver, kidneys, stomach and intestines
Type of incident: n/a

John H. Bye, 34, Painter

Occupation or role: Painter
Gender: Male
Age: 34
Date of admission: 11 Mar 1899
Date of death: 17 Mar 1899
Disease (transcribed): Morbus cordis
Disease (standardised): Disease (Heart);
Admitted under the care of: Ewart, William
Medical examination performed by: Powell, Llewellyn
Post mortem examination performed by: n/a
Medical notes: 'See medical notes'
Body parts examined in the post mortem: 'No autopsy'
Type of incident: n/a

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