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Holmes, Timothy Pathological conditions, signs and symptoms
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Charles Ely, 34, Brewhouse labourer

Occupation or role: Brewhouse labourer
Age: 34
Gender: Male
Date of admission: 22 Feb 1860
Date of death: 23 Apr 1860
Disease (transcribed): Softening of the brain. Gangrene. Peritonitis
Disease (standardised): Softening (Brain); Gangrene; Peritonitis (Abdomen)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Dickinson, William Howship and Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A brewhouse labourer. In the habit of drinking freely, according to his own admission 5 pints a day. He was said to have had epileptic fits latterly, but it was not learned how long he had been so affected. He attributed his illness to a lump of coal falling upon the lower part of his back 7 weeks ago’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Charles Glasspoole, 18, Footman

Occupation or role: Footman
Age: 18
Gender: Male
Date of admission: 4 Apr 1857
Date of death: 16 May 1857
Disease (transcribed): Malignant tumours of chest and loins. Similar deposit in various organs
Disease (standardised): Tumour (Thorax); Tumour (Abdomen); Deposits (Viscera)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: He had been ill for a month with pain in his back which was for a long time supposed to be rheumatism brought on by sleeping in a damp bed.
Body parts examined in the post mortem: Neck, thorax and abdomen
Type of incident: n/a

Frederick Tilner, 12, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 12
Gender: Male
Date of admission: 3 Feb 1869
Date of death: 6 Apr 1869
Disease (transcribed): Amputation of thigh. Pyaemia
Disease (standardised): Amputation (Leg); Sepsis (Systemic)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Leigh, William
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: Four months ago he noticed pain in his right knee and shortly after swelling and pain. Three months ago the left elbow was also affected.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Thomas Skilton, 47, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 47
Gender: Male
Date of admission: 21 Mar 1875
Date of death: 11 Apr 1875
Disease (transcribed): Gangrene of left foot. Phlebitis of right leg
Disease (standardised): Gangrene (Foot); Phlebitis (Leg)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Thrupp, James Godfrey
Post mortem examination performed by: Lee, Robert James
Medical notes: The wheel of a cattle truck passed over the toes of this patient’s left boot which were protected by a thick leather boot.
Body parts examined in the post mortem: Lungs, heart, kidney and spleen
Type of incident: Trauma/accident

Edward Wilkins, 61, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 61
Gender: Male
Date of admission: 16 Feb 1853
Date of death: 25 May 1853
Disease (transcribed): Caries of body and ramus of jaw. Ulceration of thyroid and occipital arteries
Disease (standardised): Caries (Jaw); Ulcer (Arteries)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: He was admitted on account of swelling on the right side of the jaw which he said had existed for about ten months.
Body parts examined in the post mortem: Neck, face, thorax and abdomen
Type of incident: n/a

Ellen Cooper, 17, Servant

Occupation or role: Servant
Age: 17
Gender: Female
Date of admission: 15 Apr 1861
Date of death: 27 Apr 1861
Disease (transcribed): Fever. Softening of the brain
Disease (standardised): Fever (Systemic); Softening (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: This young woman had been attacked with pains forehead a week before her admission, without showing any other prominent symptom.
Body parts examined in the post mortem: Cranium, thorax, abdomen and pelvis, and facial features
Type of incident: n/a

Caroline Cunningham, 60, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 60
Gender: Female
Date of admission: 10 Mar 1876
Date of death: 20 Apr 1876
Disease (transcribed): Hernia. Oedema of lungs
Disease (standardised): Hernia (Abdomen); Oedema (Lung)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Morgan, John Hammond
Post mortem examination performed by: Lee, Robert James
Medical notes: The patient had noticed a swelling for more than a year in the right groin. Three days before admission this swelling had come down and could not be returned.
Body parts examined in the post mortem: Lungs, heart, liver and intestines
Type of incident: n/a

William Thorn, 55, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 55
Gender: Male
Date of admission: 31 Mar 1852
Date of death: 15 May 1852
Disease (transcribed): Hypertrophied heart. Diseased kidneys. Atheroma of aorta. Old double pleural adhesions. Cheese like scrofulous matter in apices of both lungs
Disease (standardised): Disease (Heart); Disease (Kidney); Plaque, atherosclerotic (Arteries); Adhesions (Pleura); Tuberculosis (Lung)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holmes, Timothy
Medical notes: He was in the hospital for a short period last August with swelled leg. Despite treatment e was never entirely free from dropsy, but of late the swelling had much increased.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Sarah Wilkie, 6, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 6
Gender: Female
Date of admission: 21 Apr 1852
Date of death: 16 May 1852
Disease (transcribed): Disease of the hip joint and femur. Effusion of fluid and lymph under the arachnoid at the base of the brain. Fluid in ventricles. Death by coma and convulsions
Disease (standardised): Disease (Hip); Disease (Leg); Effusion (Brain); Lymph (Brain); Coma (Brain); Seizures (Brain)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Holmes, Timothy
Medical notes: The child had been ill for about a year, her symptoms being referred to the left hip.
Body parts examined in the post mortem: Cranium, thorax, abdomen and hip joint
Type of incident: n/a

Frances Ellen Brown, 20, Single

Occupation or role: Single
Gender: Female
Age: 20
Date of admission: 4 Feb 1878
Date of death: 25 Apr 1878
Disease (transcribed): Tumour of the parotid region (operation); Pyaemia. Gangrene of the lung. Intracranial tumour
Disease (standardised): Tumour (Face); Operation (Face); Sepsis (Systemic); Gangrene (Lung); Tumour (Head);
Admitting doctor: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Nine months ago a hard movable lump appeared appeared [sic] behind angle of jaw (left side). This increased in size and 6 wks [weeks] ago was punctured by a surgeon and a seton passed through. The wound thus made soon began to fungate – An incision was then made and followed by free bleeding – Since that the tumour has been increasing and the tendency to bleed has been very great. Family history. Has been gaining flesh of late'
Body parts examined in the post mortem: Lungs, heart, kidneys, spleen, wound, abscess, intracranial abscess
Type of incident: n/a

Edmund Heath, 13, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 13
Gender: Male
Date of admission: 1 Apr 1880
Date of death: 6 Apr 1880
Disease (transcribed): Abscess of brain and orbit
Disease (standardised): Abscess (Brain); Abscess (Skull)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Four months before admission the patient struck his right eye against a lamp post. He was insensible for a few minutes and then recovered, but a swelling formed over the orbit.
Body parts examined in the post mortem: Head, lungs, kidneys, liver, spleen and heart
Illustrations: Yes
Type of incident: Trauma/accident

James Knapp, 50, Salesman

Occupation or role: Salesman
Age: 50
Gender: Male
Date of admission: 15 Nov 1871
Date of death: 9 Jan 1872
Disease (transcribed): Aneurysm of the aortic arch, involving the innominate artery. Erosion of the sternum and costal cartialges. Pleurisy. Ligature of the subclavian and carotid arteries
Disease (standardised): Aneurysm (Aorta); Erosion (Sternum); Pleurisy (Pleura); Ligature (Arteries)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man had suffered, on admission, for about four months with pains about the chest and shoulders which he called ‘rheumatic’, also some pain in the head.
Body parts examined in the post mortem: Bones, pleurae, lungs, pericardium, heart, oesophagus, cranium, liver, spleen and kidneys
Type of incident: n/a

Bernard Martin, 38, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Male
Date of admission: 3 Nov 1881
Date of death: 15 Jan 1882
Disease (transcribed): Gangrene of lung following thyrotomy
Disease (standardised): Gangrene (Lung); Thyrotomy (Larynx)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Turner, George Robertson
Post mortem examination performed by: Margerison, Richard
Medical notes: This man (who was under professional treatment for syphilis) whilst eating his dinner swallowed in his soup a piece of rabbit bone. He was attacked with violent coughing and great dyspnoea.
Body parts examined in the post mortem: Larynx, trachea, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

John Atto, 60, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 60
Gender: Male
Date of admission: 4 Jan 1860
Date of death: 16 Jan 1860
Disease (transcribed): Dropsy. Diseased kidneys. Sprained ankle
Disease (standardised): Edema (Systemic); Disease (Kidneys); Sprain (Ankle)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man, who had been a free liver and had had delirium tremens several times, was admitted on the 4th of January into one of the surgical wards with a sprained ankle. Nothing unusual was observed about him until the 14th, when while attempting to get out of bed, he fell down half insensible’
Body parts examined in the post mortem: Cranium., thorax, abdomen, right ankle

Type of incident: Trauma / accident

Henry Rodd, 45, Coachman

Occupation or role: Coachman
Age: 45
Gender: Male
Date of admission: 31 Mar 1852
Date of death: 17 May 1852
Disease (transcribed): Death by coma and convulsions. Nothing but effusion of fluid in the ventricles and the sub-arachnoid tissues found, with numerous bloody puncta
Disease (standardised): Coma (Brain); Seizures (Brain); Effusion (Brain)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This man was a coachman to an English nobleman resident abroad, and about six months before admission had to drive some hours from Berlin to Vienna during very hot weather. On his arrival at Vienna he felt very unwell.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Eliza Bower, 20, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 20
Gender: Female
Date of admission: 23 Feb 1853
Date of death: 27 May 1853
Disease (transcribed): Phthisis. Abscess in kidney and deposit in ureter and bladder
Disease (standardised): Tuberculosis (Lung); Abscess (Kidney); Deposits (Ureter); Deposits (Bladder)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This girl was admitted originally on the 22nd September 1852 with symptoms of inflammation of the bladder.
Body parts examined in the post mortem: Thorax, abdomen and cavity of the bladder
Type of incident: n/a

Sarah Goddard, 50, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 50
Gender: Female
Date of admission: 11 Apr 1860
Date of death: 26 Apr 1860
Disease (transcribed): Jaundice
Disease (standardised): Jaundice (Skin)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient, who looked older than she was, had suffered for 5 months from pain in the right hypochondrium, especially when lying on either side. Latterly she had lost flesh to a considerable extent’
Body parts examined in the post mortem: Thorax, abdomen, pelvis

Type of incident: n/a

Charlotte Champ, 41, Married

Occupation or role: Married
Age: 41
Gender: Female
Date of admission: 19 Mar 1858
Date of death: 2 May 1858
Disease (transcribed): Peritonitis after tapping. Renal dropsy. Dilated heart. Low pneumonia
Disease (standardised): Peritonitis (Abdomen); Bleeding; Edema (Kidneys); Disease (Heart); Pneumonia (Lungs)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'A married woman who had been ill since last October when she was confined of a dead child. She had not felt well during her term of gestation. Severe flooding followed the labour, after which she was attacked with shortness of breath & palpitation with ‘inflammation on the chest’ for which blisters were applied. The flooding ceased in a few days & then her legs & abdomen began to swell’
Body parts examined in the post mortem: Thorax, abdomen, pelvis

Type of incident: n/a

Sarah Long, 22, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 22
Gender: Female
Date of admission: 22 Apr 1857
Date of death: 24 May 1857
Disease (transcribed): Emphysema (congested). Pneumonia
Disease (standardised): Emphysema (Lung); Pneumonia (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: A girl of hysterical appearance who stated that she had been out of health six months.
Body parts examined in the post mortem: Thorax, abdomen, pelvis and larynx
Type of incident: n/a

Jeremiah Malcay, 62, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 62
Gender: Male
Date of admission: 1 May 1858
Date of death: 3 May 1858
Disease (transcribed): Strangulated inguinal hernia. Operation. Peritonitis
Disease (standardised): Hernia (Groin); Operation (Groin); Peritonitis (Abdomen)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

James Bailey , [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 17 Apr 1861
Date of death: 2 May 1861
Disease (transcribed): Stricture of urethra. Pleuropneumonia. Cystitis. Secondary deposits in kidneys
Disease (standardised): Constriction (Urethra); Pleuropneumonia (Lung); Cystitis (Bladder); Deposits (Kidney)
Admitted under the care of: Cutler, Edward
Medical examination performed by: n/a
Post mortem examination performed by: Holmes, Timothy
Medical notes: n/a
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

Edward Skelton, 54, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 54
Gender: Male
Date of admission: 28 May 1853
Date of death: 30 May 1853
Disease (transcribed): Fractured ribs. Effusion of blood into the pleural sac to a great extent. Friable lung. Slightly diseased kidneys
Disease (standardised): Fracture (Ribs); Effusion (Pleura); Friable (Lung); Disease (Kidney)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: He had attended for three days as an out patient on account of a fracture of the ribs on the left side which had been caused by the kick of a horse.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: Trauma/accident

Richard Ham, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Male
Date of admission: 17 May 1853
Date of death: 4 Jun 1853
Disease (transcribed): Gangrene of the foot. Atheromatous state of the femoral arteries to a slight extent. Diseased kidneys
Disease (standardised): Gangrene (Foot); Plaque, atherosclerotic (Arteries); Disease (Kidney)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: Six weeks before his admission he noticed a small sore between the second and third toes of the left foot.
Body parts examined in the post mortem: Blood vessels of the lower extremities, abdomen and thorax
Type of incident: n/a

Thomas Horn, 77, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 77
Gender: Male
Date of admission: 23 Apr 1857
Date of death: 28 May 1857
Disease (transcribed): Stone in the bladder. Enlarged prostate. Inflamed bladder. Diseased kidneys
Disease (standardised): Calculi (Bladder); Enlarged (Prostate); Inflammation (Bladder); Disease (Kidney)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Wintle, Frederic J.W.
Post mortem examination performed by: Holmes, Timothy
Medical notes: This man was admitted into the hospital with symptoms of stone in the bladder.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

John H. Church, 45, Stone mason

Occupation or role: Stone mason
Age: 45
Gender: Male
Date of admission: 25 Apr 1860
Date of death: 28 Apr 1860
Disease (transcribed): Fever
Disease (standardised): Fever (Systemic)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man had been a stone mason, he was pretty well excepting an abscess in his hand until 6 days before admission, when he had an attack of shivering. This was followed, in 3 days, by delirium and extreme heat of surface. Next day an eruption was seen on the legs and neck’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

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