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Ewart, William Anatomy
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Post Mortem Examinations and Case Books

  • 406 PM
  • Collection
  • 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

Sans titre

William Watson, 19, Labourer

Occupation or role: Labourer
Age: 19
Gender: Male
Date of admission: 3 Nov 1875
Date of death: 4 Nov 1875
Disease (transcribed): Fracture of the occipital region of the skull. Dislocation of the humerus on the left side
Disease (standardised): Fracture (Skull); Dislocation (Humerus)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: n/a
Post mortem examination performed by: Lee, Robert James.Ewart, William
Medical notes: n/a
Body parts examined in the post mortem: Brain and humerus
Type of incident: Trauma/accident

Philadelphia Catt, 16, Servant

Occupation or role: Servant
Age: 16
Gender: Female
Date of admission: 17 May 1876
Date of death: 31 Dec 1876
Disease (transcribed): Diseased knee: amputation:thrombosis of veins
Disease (standardised): Disease (Knee); Amputation (Knee); Thrombosis (Veins)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient was admitted with a history of having had a diseased knee for eleven years. Eleven weeks before admission she fell down and injured the knee. The case was taken from Mr Morgan's notes.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, uterus and intestines
Type of incident: Trauma/accident

Charlotte Anstey, 27, [No occupation]

Occupation or role: [No occupation]
Age: 27
Gender: Female
Date of admission: 29 Dec 1876
Date of death: 7 Jan 1877
Disease (transcribed): Chronic tubular nephritis. Dilatation of pelvis in both kidneys. Uremia
Disease (standardised): Nephritis (Kidney); Disease (Kidney); Uremia (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: Two months before admission, she laid down on a floor to ease the dorsal pain of the menstrual period. She then developed a sore throat, a swollen face and legs, and the dorsal pain continued.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, bladder, uterus and larynx
Type of incident: n/a

Charles Turner, 24, Gardener

Occupation or role: Gardener
Age: 24
Gender: Male
Date of admission: 31 Jan 1877
Date of death: 19 Mar 1877
Disease (transcribed): Tubercular and caseous pneumonia; ulcers of large bowel.
Disease (standardised): Tuberculosis (Lung); Pneumonia (Lung); Ulcer (Intestines)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Since early in 1875 he had not been free from cough. He spat a little, but there was no unusual dyspnoea, nor did the sputa even contain blood. About the same time began a looseness of the bowels.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen, peritoneum and intestine
Type of incident: n/a

Joseph Bennett, 22, Lath Render

Occupation or role: Lath Render
Age: 22
Gender: Male
Date of admission: 17 Mar 1877
Date of death: 20 Mar 1877
Disease (transcribed): Abscesses in the brain
Disease (standardised): Abscess (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: This patient was admitted, complaining of severe headache in the right occipital region with dimness of vision, slight cough, and occasional giddiness.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, meninges, brain and spinal cord
Type of incident: n/a

Mary Harrington, 50, Cook

Occupation or role: Cook
Age: 50
Gender: Female
Date of admission: 20 Mar 1877
Date of death: 21 Mar 1877
Disease (transcribed): Fatty heart. Pleurisy. Emphysema
Disease (standardised): Disease (Heart); Pleurisy (Pleura); Emphysema (Lung)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: This case was not seen by the Registrar.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen and douglas' pouch
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

Joseph Sharp, 24, Machinist

Occupation or role: Machinist
Age: 24
Gender: Male
Date of admission: 21 Feb 1877
Date of death: 26 Mar 1877
Disease (transcribed): Leukaemia. Cancer of spleen and of liver. Pulmonary and cerebral congestion, from the formation of white blood clots.
Disease (standardised): Leukaemia (Blood, Bone Marrow); Cancer (Spleen); Cancer (Liver); Congestion (Lung, Brain); Thrombosis (Lung, Brain)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: From August 1876 the patient had noticed a lump in the lower part of the right side of the abdomen, increasing in size, and from September a lump in the left side also. He suffered from nausea and vomiting, frontal headaches, cough, palpitations, anorexia and slight haematemesis.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, pulmonary vessels, heart, vascular system, liver, kidneys, spleen, brain, bones, lymphatic system, thyroid and tonsils
Illustration or photograph: Yes
Type of incident: n/a

Lydia Bishop, 36, Housemaid

Occupation or role: Housemaid
Age: 36
Gender: Female
Date of admission: 11 Oct 1876
Date of death: 28 Mar 1877
Disease (transcribed): Ulcerating cancer of breast. Pericardium and pleura implicated: serous effusions.
Disease (standardised): Cancer (Breast); Cancer (Heart); Cancer (Pleura); Effusion (Pleura)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient had had a tumour from the right breast removed the previous January. The right breast was later removed.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, spleen, kidneys, douglas' pouch, uterus and lymphatics
Type of incident: n/a

Mary Ann Wilson , 22, Washerwoman

Occupation or role: Washerwoman
Age: 22
Gender: Female
Date of admission: 26 Dec 1876
Date of death: 8 Jan 1877
Disease (transcribed): Typhus
Disease (standardised): Typhus, Epidemic Louse-Borne (Systemic)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Four days before admission, the patient was exposed to a severe chill. She began to shiver and the next morning she found herself suffering from cough, dyspnoea and pain in the left side of the chest.
Body parts examined in the post mortem: Lungs, spleen, liver, kidneys, uterus, heart, intestine
Type of incident: n/a

Mary Brown, 66, [No occupation]

  • Occupation or role: [No occupation]
    Age: 66
    Gender: Female
    Date of admission: 21 Feb 1877
    Date of death: 30 Mar 1877
    Disease (transcribed): Pneumonia; Pleurisy; granular kidneys
    Disease (standardised): Pneumonia (Lung); Pleurisy (Pleura); Disease (Kidney)
    Admitted under the care of: Whipham, Thomas Tillyer
    Medical examination performed by: Owen, Herbert Isambard
    Post mortem examination performed by: Ewart, William
  • Whipham, Thomas Tillyer
    Medical notes: The patient had enjoyed good health and a sound constitution until six years before admission when she was attacked, after wetting, with cough, dyspnoea and expectoration.
    Body parts examined in the post mortem: Pleurae, lungs, heart, kidneys, spleen and liver. The post mortem was from Dr Whipham's notes
    Type of incident: n/a

Mary Kemp, 21, Housemaid

  • Occupation or role: Housemaid
    Age: 21
    Gender: Female
    Date of admission: 23 Mar 1877
    Date of death: 30 Mar 1877
    Disease (transcribed): Typhoid ulcerations of bowel. Pneumonia. Pleurisy.
    Disease (standardised): Typhoid Fever (Systemic); Ulcer (Intestines); Pneumonia (Lung); Pleurisy (Pleura)
    Admitted under the care of: Wadham, William
    Medical examination performed by: Owen, Herbert Isambard
    Post mortem examination performed by: Ewart, William
  • Whipham, Thomas Tillyer
    Medical notes: For ten days the patient had had a headache, felt chilly and shivered; for five she had been very weak and kept to her bed; for four had had a cough and for three a sore throat. The bowels were confined.
    Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen and intestine. The post mortem was from Dr Whipham's notes
    Type of incident: n/a

John Hagan, 40, Bricklayer

Occupation or role: Bricklayer
Age: 40
Gender: Male
Date of admission: 31 Mar 1877
Date of death: 31 Mar 1877
Disease (transcribed): Fractured spine, ribs and sternum. Haemothorax.
Disease (standardised): Fracture (Spine); Fracture (Ribs); Fracture (Sternum); Haemothorax (Thorax)
Admitted under the care of: Pollock, George
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This patient fell from a scaffold about 16 feet high.
Body parts examined in the post mortem: Pleurae, lungs, liver, kidneys, spleen, heart, brain and injuries. The post mortem was from Mr Golding Collet's notes.
Type of incident: Trauma/accident

William Down, 64, Coachman

Occupation or role: Coachman
Age: 64
Gender: Male
Date of admission: 31 Mar 1877
Date of death: 2 Apr 1877
Disease (transcribed): Perineal section. Urinary infiltration. Amyloid liver.
Disease (standardised): Operation (Perineum); Amyloidosis (Liver)
Admitted under the care of: Pollock, George
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient had had difficulty in passing water for many years.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen, pubic and perineal regions. The post mortem was from Mr Golding Collet's notes.
Type of incident: n/a

William Harris, 19, Shopman

Occupation or role: Shopman
Age: 19
Gender: Male
Date of admission: 2 Apr 1877
Date of death: 4 Apr 1877
Disease (transcribed): Hernia (operation). Perforation of the bowel. Peritonitis.
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Perforation (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Pollock, George
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient had had a rupture on the right side since he was four years old which had previously always been reduced with ease until the day of admission when it became larger and painful. The right testicle had never descended into the scrotum.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, peritoneum and right testicle. The post mortem was from Mr Golding Collet's notes.
Type of incident: n/a

Robert Ruby, 24, Labourer

Occupation or role: Labourer
Age: 24
Gender: Male
Date of admission: 23 Mar 1877
Date of death: 8 Apr 1877
Disease (transcribed): Read: Syphilitic perihepatitis and gummata (William Ewart) instead of: (Cirrhosis and old abscesses) of the liver. Peritonitis. Ascites; paracentesis.
Disease (standardised): Syphilis (Systemic); Perihepatitis (Liver); Gummata (Liver)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Towards the end of December, whilst walking, the patient felt a pain in the right side of the abdomen. A week later a lump, which gradually enlarged, appeared at the naval. The abdomen generally enlarged at the same time as the lump. There was pain after food in the epigastrium and back, slight cough and dyspnoea, and irregularity of the bowels.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, peritoneum, intestinal canal and kidneys.
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

Eliza Gilbert, 38, [No occupation]

Occupation or role: [No occupation]
Age: 38
Gender: Female
Date of admission: 6 Jan 1877
Date of death: 9 Jan 1877
Disease (transcribed): Tubercular matter in the brain. General tuberculosis.
Disease (standardised): Tuberculosis (Brain); Tuberculosis (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: No satisfactory history could be obtained as the patient was delirious. She said she had had pains in the limbs for a year, a slight cough lately, and diarrhoea for three weeks.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, uterus, intestine and brain
Type of incident: n/a

John Whitehead, 46, Coachman

Occupation or role: Coachman
Age: 46
Gender: Male
Date of admission: 21 Feb 1877
Date of death: 9 Apr 1877
Disease (transcribed): Tubercular pneumonia and peritonitis. Scrofulous kidney and bladder.
Disease (standardised): Tuberculosis (Lung); Pneumonia (Lung); Peritonitis (Abdomen); Tuberculosis (Kidney); Tuberculosis (Bladder)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Apparently of sound constitution, he enjoyed good health till the last year, when, from an attack of pleurisy, he continued to cough slightly and to be short of breath. For four or five months he had suffered from pain about the sacrum and right buttock, extending down the sciatic nerve on coughing, from anorexia and constipation.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, kidneys, bladder spleen, peritoneum, hip joint and sciatic nerve.
Type of incident: n/a

William Smith , 52, Publican

Occupation or role: Publican
Age: 52
Gender: Male
Date of admission: 9 Apr 1877
Date of death: 10 Apr 1877
Disease (transcribed): Emphysema. Bronchitis. Dilated fatty heart.
Disease (standardised): Emphysema (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's usual winter cough had been present since December, with slight expectoration, occasionally blood stained; when six weeks before admission, the cough, expectoration, vomiting and diarrhoea suddenly increased and pain appeared in the front of the chest. He suffered from headache, was delirious and his legs swelled.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum, brain and intestines.
Type of incident: n/a

Kate Savers, 20, Needlewoman

Occupation or role: Needlewoman
Age: 20
Gender: Female
Date of admission: 4 Apr 1877
Date of death: 11 Apr 1877
Disease (transcribed): Pneumonia. Bronchitis. Dropsy of ventricles of brain.
Disease (standardised): Pneumonia (Lung); Bronchitis (Lung); Oedema (Brain)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Seven days before admission she was attacked with shivering and cough; the latter persisted and the headache increased. Two days later she became delirious. The second night of her illness she complained of severe pain in the ears and appeared to become quite deaf.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen, brain and uterus
Type of incident: n/a

Thomas Grout, 38, Coachman

Occupation or role: Coachman
Age: 38
Gender: Male
Date of admission: 8 Apr 1877
Date of death: 12 Apr 1877
Disease (transcribed): Pleurisy. Pneumonia. Granular kidney.
Disease (standardised): Pleurisy (Pleura); 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 attack began suddenly with pain in the back and right flank, cough, and scanty expectoration, which gradually increased. He was a free drinker.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum and stomach.
Type of incident: n/a

Henry Richardson, 42, Labourer

Occupation or role: Labourer
Age: 42
Gender: Male
Date of admission: 11 Apr 1877
Date of death: 12 Apr 1877
Disease (transcribed): Hypertrophy of the heart with dilatation. Emphysema. Bronchitis. Granular kidney.
Disease (standardised): Disease (Heart); Emphysema (Lung); Bronchitis (Lung); Disease (Kidney)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: The patient was admitted in a condition which precluded examination. He died next morning.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen and stomach.
Type of incident: n/a

William Crowe, 57, Carpenter

Occupation or role: Carpenter
Age: 57
Gender: Male
Date of admission: 16 Mar 1877
Date of death: 14 Apr 1877
Disease (transcribed): Obscure cerebral symptoms. Lobular pneumonia. Bronchitis. Emphysema. Granular kidneys.
Disease (standardised): Disease (Brain); Pneumonia (Lung); Bronchitis (Lung); Emphysema (Lung); 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: No history could be obtained. The patient was emaciated and sallow, presented a perfectly composed and rational manner, and performed all the ordinary functions of life with precision. He was weak and did not rise from bed.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen, brain and spinal cord.
Type of incident: n/a

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