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Rouse, James Pathological conditions, signs and symptoms With digital objects
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Mary Winter, 45, Married

Occupation or role: Married
Age: 45
Gender: Female
Date of admission: 25 Jan 1877
Date of death: 28 Apr 1877
Disease (transcribed): Softening of the brain. Granular kidney. Catarrhal pneumonia.
Disease (standardised): Softening (Brain); Disease (Kidney); Pneumonia (Lung)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: There was some doubt whether this patient fell down insensible, or whether she was struck down by her husband.
Body parts examined in the post mortem: Lungs, bronchi, heart, liver, kidneys, spleen, brain, douglas' pouch and uterus.
Type of incident: Trauma/accident? Homicide/murder?

Susan Suffolk , 21, Parlour maid

Occupation or role: Parlour maid
Age: 21
Gender: Female
Date of admission: 30 Jan 1877
Date of death: 13 May 1877
Disease (transcribed): Tumour of leg. Amputation. Pyaemia.
Disease (standardised): Tumour (Leg); Amputation (Leg); Sepsis (Systemic)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: The case was not reported here.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

James Manning, 43, Potman

Occupation or role: Potman
Age: 43
Gender: Male
Date of admission: 21 May 1877
Date of death: 27 Jun 1877
Disease (transcribed): Fractured skull: meningeal haemorrhage: softening of brain
Disease (standardised): Fracture (Skull); Haemorrhage (Meninges); Softening (Brain)
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 fell off some steps four feet high on to the back of the head.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, meninges, fracture, brain
Type of incident: Trauma/accident

Susan Davis, 76, Widow

Occupation or role: Widow
Age: 76
Gender: Female
Date of admission: 27 Mar 1877
Date of death: 30 Jun 1877
Disease (transcribed): Inguinal hernia, operated. Emphysema. Fatty heart. Granular kidney. Cerebral softening.
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Emphysema (Lung); Disease (Heart); Disease (Kidney); Softening (Brain)
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 had had a rupture on both sides for ten years, the one on the left side always partially reducible, that on the right side completely so. Four hours before admission, the rupture on the left side became suddenly longer and very painful. In three hours vomiting set in.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, kidneys, spleen, intestine, hernia and brain
Type of incident: n/a

Edward Harold, 13, Schoolboy

Occupation or role: Schoolboy
Age: 13
Gender: Male
Date of admission: 21 Mar 1877
Date of death: 8 July 1877
Disease (transcribed): Hip Disease. Cerebral congestion and meningeal thromboses. Chronic tubular nephritis. Amyloid spleen.
Disease (standardised): Disease (Hip); Congestion (Brain); Thrombosis (Meninges); Nephritis (Kidney); Amyloidosis (Spleen)
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 had suffered from abscesses about the left hip since three years of age and since that time always walked lame. A fortnight before admission the patient slipped and fell down, having stepped on some orange peel which caused the abscesses to discharge profusely.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, brain and cord
Type of incident: Trauma/accident

Henry Smith , [No age stated], Infant

Occupation or role: Infant
Age: [No age stated]
Gender: Male
Date of admission: n/a
Date of death: 25 July 1877
Disease (transcribed): Diarrhoea
Disease (standardised): Diarrhoea (Intestines)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Medical case. No notes taken by Surgical Registrar.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

James H Lee, 60, [No occupation]

Occupation or role: [No occupation]
Age: 60
Gender: Male
Date of admission: 5 Aug 1877
Date of death: 5 Aug 1877
Disease (transcribed): Hernia – operation
Disease (standardised): Hernia (Abdomen); Operation (Abdomen)
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 had had an inguinal rupture on the left side for fourteen years and was vomiting blood for the previous three days.
Body parts examined in the post mortem: Lungs, pericardium, liver, kidneys, spleen, hernia and peritoneum
Type of incident: n/a

William Marsh , 43, Gardener

Occupation or role: Gardener
Age: 43
Gender: Male
Date of admission: 19 Sep 1877
Date of death: 1 Oct 1877
Disease (transcribed): Carcinoma of thyroid, ulcerating into larynx
Disease (standardised): Carcinoma (Thyroid Gland); Ulcer (Larynx)
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 quite well until five months before admission when a small lump appeared above the sternal notch.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, kidneys, spleen, peritoneum, stomach, brain, thyroid and larynx
Type of incident: n/a

Louisa Wright, 56, Ladies maid

Occupation or role: Ladies maid
Age: 56
Gender: Female
Date of admission: 31 Oct 1877
Date of death: 24 Nov 1877
Disease (transcribed): Perinephritic abscess. Purulent Peritonitis.
Disease (standardised): Perinephritis (Kidney); Abscess (Kidney); Peritonitis (Abdomen)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This patient seemed too ill to give any history of her illness. She was complaining to great abdominal pain.
Body parts examined in the post mortem: Lungs, bronchi, pleurae, heart, liver, kidneys, spine, peritoneum, spleen, brain and uterus
Type of incident: n/a

Ann Grey , 64, [No occupation]

Occupation or role: [No occupation]
Age: 64
Gender: Female
Date of admission: 28 Nov 1877
Date of death: 29 Nov 1877
Disease (transcribed): Hernia (operated) Pulmonary oedema. Granular kidney.
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Oedema (Lung); Disease (Kidney)
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 had had a hernia as long as she could remember in the right groin of which she took no notice. Three days before admission the lower part of the abdomen became painful and she found the rupture larger than normal. Vomiting came on.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, brain and intestine
Type of incident: n/a

Mary Hughes, 20, Housemaid

Occupation or role: Housemaid
Gender: Female
Age: 20
Date of admission: 28 Nov 1877
Date of death: 1 Jan 1878
Disease (transcribed): Diffuse inflammation hand – Pyaemia
Disease (standardised): Inflammation (Hand); Sepsis (Indeterminate);
Admitting doctor: Rouse, James
Medical examination performed by: n/a
PM performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: 'Not examined'
Type of incident: n/a

Ellen Campbell, 68, Schoolmistress

Occupation or role: Schoolmistress
Gender: Female
Age: 68
Date of admission: 27 Dec 1877
Date of death: 7 Jan 1878
Disease (transcribed): Intestinal obstruction from adhesions, enteritis, gangrene, perforation, etc
Disease (standardised): Obstruction (Intestines); Enteritis (Intestines); Gangrene (Intestines); Perforation (Intestines);
Admitting doctor: Rouse, James
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: History. Was well till 3 years ago – Since that time has suffered generally from constipation – A year ago an attack of Rheumatism which lasted 3 months. From that time the difficulty in getting action of Bowels increased and sometimes there was much pain during defaecation. Ten months ago difficulty and pain in passing water. Three months ago a single severe bleeding after defaecation. Bowels acted last a week ago. For five days vomiting after taking any food – Family history good – Has lost flesh'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, peritoneum, intestine,vagina
Type of incident: n/a

Thomas Leonard, 52, Coachman

Occupation or role: Coachman
Gender: Male
Age: 52
Date of admission: 1 Jan 1878
Date of death: 25 Jan 1878
Disease (transcribed): Erysipelas. Oedema and congestion of the lungs. Congestion of viscera
Disease (standardised): Erysipelas (Skin); Oedema (Lung); Congestion (Lung); Congestion (Abdomen);
Admitting doctor: Rouse, James
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. A week ago was kicked by horse on right shin. Two days afterwards leg became swollen and red. Swelling and tenderness extended upwards of thigh. No rigor. Symptoms. Skin coal and moist – Pulse 92 weak. Tongue furred. Great pain in Rt [Right] leg and groin. Right leg much swolen, red, oedematous and very tender and over shin just above middle a vertical wound about 2 inches long'
Body parts examined in the post mortem: Lungs, heart, spleen, kidneys, liver, stomach
Type of incident: Trauma/accident

Michael Duggin, 52, Stone sawyer

Occupation or role: Stone sawyer
Gender: Male
Age: 52
Date of admission: 24 Jan 1878
Date of death: 29 Jan 1878
Disease (transcribed): Fracture of skull. Intrameningeal haemorrhage. Lobular pneumonia
Disease (standardised): Fracture (Skull); Haemorrhage (Brain, spine); Pneumonia (Lung);
Admitting doctor: Rouse, James
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Was run over by a Hansom Cab. Symptoms Jan [January] 24. Insensible – Face pale – Surface cold – Pulse very weak and irregular – Pupils contracted quite inert – Breathing loud and shallow. Lies still – Limbs flaccid. Vomited soon after admission. On Back of right Parietal region an irregular lacerated wound at base of which is exposed bone'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, meninges, brain
Type of incident: Trauma/accident

John James, 41, Coachman

Occupation or role: Coachman
Gender: Male
Age: 41
Date of admission: 26 Dec 1877
Date of death: 30 May 1878
Disease (transcribed): Disease of the knee joint. Extensive bedsores etc
Disease (standardised): Disease (Knee); Pressure ulcer (Skin);
Admitting doctor: Rouse, James
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Fell between Railway carriages and Platform. Symptoms. Much Collapsed – No evidence of Skull injury. Right Femur dislocated at Hip onto Dorsum Ilii. Whole of right buttock occupied by a very large Haematoma which which extended over hip and down thigh'
Body parts examined in the post mortem: Knee joint, hip
Type of incident: Trauma/accident

Frederick Turner, 36, Painter

Occupation or role: Painter
Gender: Male
Age: 36
Date of admission: 25 Oct 1878
Date of death: 29 Oct 1878
Disease (transcribed): Strangulated hernia relieved by operation; ulceration of the bowel
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Ulcer (Intestines);
Admitting doctor: Rouse, James
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. A rupture on right side for many years for which he always wore a truss till month before admission – day before admission after leaving W.C. - Hernia came down and he was unable to replace it – Taxis several times before admission'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, peritoneum, bowel, hernia
Type of incident: n/a

Richard Alderman, 60, Painter

Occupation or role: Painter
Age: 60
Gender: Male
Date of admission: 23 Oct 1878
Date of death: 2 Jan 1879
Disease (transcribed): Large abscess in the lumbar region. Gangrene
Disease (standardised): Abscess (Back); Gangrene (Back)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient was transferred from the physician.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys and spleen
Type of incident: n/a

Michael Sparks, 61, House keeper

Occupation or role: House keeper
Age: 61
Gender: Male
Date of admission: 24 Dec 1878
Date of death: 24 Feb 1879
Disease (transcribed): Fractured tibia and fibula. Gangrene of foot
Disease (standardised): Fracture (Leg); Gangrene (Foot)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not reported here
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Henry Jordan, 20, Potman

Occupation or role: Potman
Age: 20
Gender: Male
Date of admission: 17 Mar 1879
Date of death: 27 Mar 1879
Disease (transcribed): Rupture of duodenum and of right kidney
Disease (standardised): Rupture (Duodenum); Rupture (Kidney)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient fell from a height of twelve feet and alighted with the abdomen across an iron rail.
Body parts examined in the post mortem: Heart, liver, kidneys, spleen and peritoneum
Type of incident: n/a

William Constant, 57, Cabman

Occupation or role: Cabman
Age: 57
Gender: Male
Date of admission: 12 Feb 1879
Date of death: 29 Mar 1879
Disease (transcribed): Cancer of cervical vertebrae. Cervical glandular tumour. Oedema of lungs. Old trichinosis
Disease (standardised): Cancer (Spine); Oedema (Lung); Trichinellosis (Digestive system)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: This patient was transferred to the care of Mr Rouse from the medical wards. No intimation was given to the Registrar of the transfer of the patient, and the case was therefore unobserved by him.
Body parts examined in the post mortem: Heart, liver, kidneys, spleen and cervical tumour
Type of incident: n/a

John Hewitson, 67, Labourer

Occupation or role: Labourer
Age: 67
Gender: Male
Date of admission: 11 Apr 1879
Date of death: 11 Apr 1879
Disease (transcribed): Concussion of the brain. Intrameningeal haemorrhage
Disease (standardised): Concussion (Brain); Haemorrhage (Brain)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: The patient fell backwards down the steps at the base of the Albert Memorial.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen and brain
Type of incident: Trauma/accident

William Hayter, 67, Coachman

Occupation or role: Coachman
Age: 67
Gender: Male
Date of admission: 4 Jun 1879
Date of death: 12 Jun 1879
Disease (transcribed): Hypertrophy of prostate gland. Diffuse suppuration in the kidney. Uraemia
Disease (standardised): Hypertrophy (Prostate); Suppuration (Kidney); Uraemia (Kidney)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient was well till a year before admission when he first noticed some pain and slight difficulty in micturition. The difficulty increased.
Body parts examined in the post mortem: Heart, liver, spleen, kidneys, bladder and brain
Type of incident: n/a

Charles Gill, 15, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 15
Gender: Male
Date of admission: 16 Oct 1879
Date of death: 2 Jul 1879
Disease (transcribed): Caries of spine. Psoas abscess. Meningitis
Disease (standardised): Caries (Spine); Abscess (Psoas muscle); Meningitis (Brain)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not reported here
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Hannah Stevens, 52, Cook

Occupation or role: Cook
Age: 52
Gender: Female
Date of admission: 4 Jun 1879
Date of death: 8 Aug 1879
Disease (transcribed): Diabetes. Gangrene (of foot)
Disease (standardised): Diabetes mellitus (Pancreas); Gangrene (Foot)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Walter Hayward, 4, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 4
Gender: Male
Date of admission: 28 Aug 1879
Date of death: 28 Aug 1879
Disease (transcribed): Burn. Shock
Disease (standardised): Burn (Skin); Shock (Systemic)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: The patient died immediately after admission and was not seen by the Registrar.
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

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