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Hewett, Prescott Gardner Cardiovascular diseases
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Samuel Hullam, 60, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 60
Gender: Male
Date of admission: 20 Jul 1842
Date of death: 26 Jul 1842
Disease (transcribed): Pericarditis. Dilatation with slight hypertrophy of Left Ventricle. Liver granular. Kidneys granular.
Disease (standardised): Pericarditis (Heart); Disease (Heart); Disease (Liver); Granular (Kidney)
Admitted under the care of: Macleod, Roderick
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: n/a
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Thomas Dimond, 49, Servant

Occupation or role: Servant
Age: 49
Gender: Male
Date of admission: 5 Jun 1844
Date of death: 13 Oct 1844
Disease (transcribed): Ascites and anasarca. Dilatation with hypertrophy of the Heart. Kidneys slightly rough on the surfaces.
Disease (standardised): Ascites (Abdomen); Oedema (General); Dilatation (Heart); Hypertrophy (Heart); Rough surface (Kidney)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient had lived freely but enjoyed good health until 12 weeks before his admission when his illness commenced with an attack of vomiting and purging.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Mary Watkins, 44, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 44
Gender: Female
Date of admission: 3 Jan 1844
Date of death: 28 Jan 1844
Disease (transcribed): Hypertrophy of right ventricle. Slight cirrhosis of liver. Kidneys congested. Dropsy.
Disease (standardised): Disease (Heart); Liver cirrhosis (Liver); Disease (Kidney); Oedema (Extremities)
Admitted under the care of: Macleod, Roderick
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: At her admission she was suffering from extreme dyspnoea with ascites, and anasarcous swelling of the lower extremities.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Charles Mitchell, 47, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 47
Gender: Male
Date of admission: 18 Sep 1844
Date of death: 20 Jan 1845
Disease (transcribed): Effusion in sub-arachnoid cellular tissue. Arteries of brain extensively thickened by atheroma. Diffuse cellular inflammation of the neck, spreading to the mediastina. Old pericarditis. Heart dilated. Kidneys granular
Disease (standardised): Effusion (Brain); Plaque, atherosclerotic (Brain); Inflammation (Neck); Pericarditis (Heart); Disease (Heart, kidneys)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'Stated that about 10 months ago, he began to experience much giddiness & uneasiness in the head, which had gone on increasing up to the time of admission. That he never had a fit, but at times had found his limbs numb and weaker than usual, & his extremities cold, more especially on the left side’
Body parts examined in the post mortem: Cranium, neck, thorax, abdomen

Type of incident: n/a

John Smith , 70, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 70
Gender: Male
Date of admission: 25 Sep 1844
Date of death: 9 Oct 1844
Disease (transcribed): Dilatation, with slight thickening, of the heart. Universal anasarca, with effusion into the chest.
Disease (standardised): Dilatation (Heart); Oedema (Systemic); Effusion (Thorax)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with general anasarca with dyspnoea and orthopnea.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

William Apted, 54, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 54
Gender: Male
Date of admission: 28 Sep 1844
Date of death: 3 Oct 1844
Disease (transcribed): Comminuted fracture of the head and neck of the Humerus with extensive suppuration of the parts in the neighbourhood. Heart dilated and very soft. Kidneys slightly granular
Disease (standardised): Fracture (Arm); Suppuration (Arm); Dilatation (Heart); Granular (Kidney)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with a fracture of the neck of the right Humerus in consequence of a fall through the floor of a house into the rooms below where he alighted on his shoulder. He had received several contusions and a fracture of the left little finger.
Body parts examined in the post mortem: Right superior extremity, cranium, thorax and abdomen
Type of incident: Trauma/accident

Mary Trigg, 57, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 57
Gender: Female
Date of admission: 11 Sep 1844
Date of death: 28 Sep 1844
Disease (transcribed): Disease of thyroid gland. Ascites and anasarca. Granular kidneys. Heart slightly dilated, mitral and aortic valves slightly thickened. Old pleurisy. Lungs emphysematous. Old peritonitis.
Disease (standardised): Disease (Thyroid gland); Ascites (Abdomen); Oedema (Leg); Dilatation (Heart); Emphysema (Lung); Pleurisy (Pleura);Peritonitis (Abdomen)
Admitted under the care of: Macleod, Roderick
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with ascites and anasarca of the lower extremities and complaining of constriction of the chest and a constant hard cough.
Body parts examined in the post mortem: Cranium, neck, thorax and abdomen
Type of incident: n/a

George Bell, 53, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 53
Gender: Male
Date of admission: 6 Aug 1845
Date of death: 3 Sep 1845
Disease (transcribed): Anasarca. Adherent pericardium. Heart dilated & atrophied. Laminated coagula in all the cavities resembling the coagula found in aneurysmal sacs. Pulmonary apoplexy. Abdominal viscera congested. Spleen hard and very small
Disease (standardised): Edema (Systemic); Disease (Heart); Stroke (Lungs); Congestion (Abdomen); Disease (Spleen)
Admitted under the care of: Macleod, Roderick
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'This patient was admitted complaining of ascites & anasarca, and severe palpitation which symptoms, according to his statement, commenced only three weeks prior to admission. He stated that they began rather suddenly, with palpitation, & that the dropsy shortly afterwards ensued. In answering questions, he admitted that he formerly drank & lived freely, but insisted that latterly he had lived soberly and abtemiously’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Sarah Pond, 30, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Female
Date of admission: 19 Aug 1846
Date of death: 8 Sep 1846
Disease (transcribed): Pericarditis. Dilatation of heart, especially the left ventricle. Endocarditis. Pulmonary apoplexy. Emphysema. Old pleuritis.
Disease (standardised): Pericarditis (Heart); Disease (Heart); Endocarditis (Heart); Haemorrhage (Lung); Emphysema (Lung); Pleurisy (Pleura)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: From the account given by this patient it appeared that last December a swelling about the size of a marble formed in the right leg.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Anne Lee, 34, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 34
Gender: Female
Date of admission: 12 Sep 1844
Date of death: 18 Sep 1844
Disease (transcribed): Extensive diffuse cellular inflammation of inferior extremity. Extensive pneumonia. Heart loaded with fat and very flaccid.
Disease (standardised): Inflammation (Leg); Pneumonia (Lung); Fatty (Heart)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with diffuse cellular inflammation of the right leg and thigh which were much distended and presented numerous red vescications.
Body parts examined in the post mortem: Thorax, abdomen and inferior extremity
Type of incident: n/a

Robert Ford, 59, Tailor

Occupation or role: Tailor
Age: 59
Gender: Male
Date of admission: 30 Jun 1869
Date of death: 2 Jul 1869
Disease (transcribed): Intra-capsular fracture of neck of femur. One kidney granular the other containing stone. Pericarditis
Disease (standardised): Fracture (Leg); Disease (Kidney); Calculi (Kidney); Pericarditis (Heart)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: The history given was that a fortnight before he fell and hurt his left hip while in a fit to which he had been subject.
Body parts examined in the post mortem: Thorax, abdomen and hip
Type of incident: n/a

Charles Pepper, 35, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 35
Gender: Male
Date of admission: 17 Jul 1844
Date of death: 17 Sep 1844
Disease (transcribed): Anasarca and ascites from disease of the kidneys, with hypertrophy of the heart and thickening of the serous and subserous coverings of the liver. This thickening of these tissues existed in other parts of the peritoneum.
Disease (standardised): Ascites (Abdomen); Oedema (Foot); Disease (Kidney); Hypertrophy (Heart); Thickening (Liver)
Admitted under the care of: Nairne, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: In January 1844 he had suffered an attack of rheumatic fever and remained weak. Three weeks before his admission he perceived his clothes getting tighter and his feet beginning to swell. In addition to his ascites and anasarca, he had considerable orthopnea.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

John King, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 6 Jul 1842
Date of death: 8 Jul 1842
Disease (transcribed): Atheromatous deposit in arteries at base of Brain. Emphysema and lobular inflammation of lung. Hypertrophy of Heart. Thickening of Aortic and Mitral Valves. Granular Kidneys.
Disease (standardised): , Atherosclerotic (Arteries); Emphysema (Lung); Inflammation (Lung); Disease (Heart); Granular (Kidney)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: n/a
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

St George's Hospital Reports, Vol. II

CONTENTS
I. Contributions to the Surgery of the Head. No II. On Exostoses of the Skull. By PRESCOTT G. HEWETT, Surgeon to the Hospital
II. Clinical Cases of Insanity. By GEORGE FIELDING BLANDFORD, M.D., Lecturer on Psychological Medicine at the Medical School
III. Diseases of Artisans. No. I. The Sheffield File-Cutters’ Disease. By JOHN CHARLES HALL, M.D.
IV. On certain Epileptic Phaenomena. By EDWARD FOX, M.D.
V. Encephaloid Disease of a retained Testicle, with Remarks, including a Summary of Twelve other similar cases. By G. F. HODGSON
VI. Thermometrical Observations in Typhoid Fever. By REGINALD E. THOMPSON, M.D., Medical Registrar of the Hospital
VII. Aphasia and Agraphia. By WILLIAM OGLE, M.D., Lecturer on Physiology at the Medical School
VIII. Reports of Cases of Nervous Disease. Delirium. By C. HANDFIELD JONES, M.B. Cantab. F.R.S.
IX. On Loose Cartilages in the Knee-joint. By BERNARD BRODHURST, Assistant Surgeon to the Hospital, and Lecturer on Orthopaedic Surgery
X. Infecting and Non-infecting Chancres. Remarks on some cases, with especial reference to the Means of Diagnosis between the two forms of the Disease. By EDGCOMBE VENNING
XI. On Naso-Pharyngeal Polypi. By THOMAS P. PICK, Curator of the Pathological Museum
XII. On Croup and Diphtheria. By J. WARRINGTON HAWARD
XIII. On the Significance of Skin-Affections in the Classification of Disease. By T. CLIFFORD ALI\BUTT, M.D.
XIV. Cases of Fever, with Remarks on their Origin. By W. E. C. NOURSE
XV. The Forms of Pneumonia. By Octavius Sturges, M.D.
XVI. On a Case of Death from Haemorrhage into the Pericardium, as a result of Rupture of one of three true and circumscribed Aneurysms of the Coronary Artery of the Heart; with Observations on Aneurysm or Aneurysmal Dilatation as a result of Embolism or Thrombosis. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XVII. Statistics of Strangulated Hernia. Some Facts in reference to Strangulated Hernia, founded on a Record of 200 Cases in the Book kept at St. George‘s Hospital. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Surgery
XVIII. Two Cases of Strangulated Inguinal Hernia, with Remarks. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Surgery
XIX. A Case of Convulsions occurring after Delivery; with Remarks suggested thereby. By A. D. MACKAY, M.B.
XX. Instances of some of the rarer varieties of Morbid Growths, Swellings, &c., connected with the Organs contained within the Abdominal Cavity. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XXI. Report of the Medical Cases admitted during the year 1866. By R. E. THOMPSON, M.D., Medical Registrar
XXII. Report of the Surgical Cases admitted during the year 1866. By E. C. RING, Surgical Registrar

LIST OF ILLUSTRATIONS

Encephaloid disease of the right testicle, of about ten months’ growth (Mr. G. F. Hodgson)
Ditto ditto, of three years’ duration
Thermograph showing variation of temperature in typhoid fever (Dr. R. E. Thompson)
Ditto ditto
Ditto ditto, in enteric fever
Ditto, Table of observations in typhoid fever
View of the anterior surface of a heart showing three aneurysms of the coronary artery (Dr. John W. Ogle)
Intestine displaying a fibrous tumour attached to its inner surface (Dr. John W. Ogle)

Elizabeth Horn , 38, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Female
Date of admission: 20 Apr 1842
Date of death: 8 Jun 1842
Disease (transcribed): Phthisis. Emphysema of lung. Effusion into the left pleura. Pericardium adherent. Mottled Kidneys
Disease (standardised): Tuberculosis (Lung); Emphysema (Lung); Effusion (Pleura); Adherent (Pericardium); Mottled (Kidney)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: n/a
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Evan Evans, 22, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 22
Gender: Male
Date of admission: 23 Jul 1845
Date of death: 15 Aug 1845
Disease (transcribed): Pleurisy on both sides. Red hepatisation of left lung, upper lobe. Grey hepatisation of the lower lobe, right lung, with suppuration & several irregular cavities containing cheesy-looking substance. Heart dilated, walls thin. Atheroma at root of the aorta
Disease (standardised): Pleurisy (Lungs); Hepatisation (Lungs); Suppuration (Lungs); Disease (Heart); Plaque, atheroscelerotic (Aorta)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'This patient was admitted stating that he had had a slight hacking cough for many weeks, but that it had never troubled him till a fortnight ago, when it became suddenly worse, accompanied by pain in the chest, and attended by vomiting on lying down’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Thomas Young , 72, Labourer

Occupation or role: Labourer
Age: 72
Gender: Male
Date of admission: 19 Aug 1861
Date of death: 24 Aug 1861
Disease (transcribed): Fractured ribs and clavicle. Apoplexy
Disease (standardised): Fracture (Ribs); Fracture (Clavicle); Stroke (Brain)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Venning, Edgcombe
Post mortem examination performed by: Sturges, Octavius
Medical notes: On admission the patient gave a history that whilst he was standing on a cart he fell off falling upon some sacks.
Body parts examined in the post mortem: Thorax, cranium, liver, kidneys and spleen
Type of incident: Trauma/accident

John Evans, 45, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 23 Jul 1845
Date of death: 9 Aug 1845
Disease (transcribed): Old and recent pleurisy. Phthisis. Heart dilated. Atheroma in aortic valves and in aorta. Old adhesions between liver & diaphragm. Spleen large & much congested. Kidneys studded with transparent cysts and miliary tubercles
Disease (standardised): Pleurisy (Lungs); Tuberculosis (Lungs); Disease (Heart); Plaque, atherosclerotic (Aorta); Adhesions (Liver, diaphragm); Disease (Spleen, kidneys)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'This patient was admitted complaining of weakness, some dyspnoea, a slight hacking cough and acute pain about the scrobiculus cordis. He stated that he was in perfect health till about six weeks before admission, when he caught cold’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Charlotte Baxter, 46, Married

Occupation or role: Married
Age: 46
Gender: Female
Date of admission: 27 Jul 1873
Date of death: 29 Jul 1873
Disease (transcribed): Laryngitis. Tracheotomy. Bronchitis. Pleurisy. Pericarditis
Disease (standardised): Laryngitis (Larynx); Tracheotomy (Trachea); Bronchitis (Lung); Pleurisy (Pleura); Pericarditis (Heart)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: The patient had been quite well up to the day before when she felt unwell and had some difficulty in breathing which increased.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, larynx, trachea, liver, spleen, kidneys and organs of generation
Type of incident: n/a

Thomas Saunders, 53, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 53
Gender: Male
Date of admission: 28 Aug 1844
Date of death: 1 Sep 1844
Disease (transcribed): Herpes Zoster. Dropsy and disease of the heart.
Disease (standardised): Herpes Zoster (Systemic); Oedema (Indeterminate); Disease (Heart)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: n/a
Body parts examined in the post mortem: The body was not examined at the request of the friends
Type of incident: n/a

John Owen, 45, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 23 Apr 1845
Date of death: 5 Aug 1845
Disease (transcribed): Old adhesions of the pleurae. Phthisis. Pneumonia. Heart dilated and thin. A few, thin patches of atheroma in aortic valves and in the root of the aorta. Kidneys granular and with some tubercles and cysts
Disease (standardised): Adhesion (Lungs); Tuberculosis (Lungs); Pneumonia (Lungs); Disease (Heart); Pleurisy (Aorta); Disease (Kidneys)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'This patient was admitted complaining of pain in the chest & cough. It appeared that he had suffered more or less from cough during the last six months, and had lately become rapidly worse, with pain in the chest, night sweats, occasional diarrhoea and emaciation’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Matilda Copeman, 38, Married

Occupation or role: Married
Age: 38
Gender: Female
Date of admission: 1 May 1872
Date of death: 15 Aug 1872
Disease (transcribed): Cancerous infiltration of glands of axilla. Cancer of lung and pericardium. Pericarditis. Cancer of forearm. Amputation
Disease (standardised): Cancer (Lymph nodes); Cancer (Lung); Cancer (Heart); Pericarditis (Heart); Cancer (Arm); Amputation (Arm)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Lacy, Charles De Lacy
Medical notes: Sixteen years before admission she severely cut the right forearm and the injury was followed by flexure of fingers and consequent impairment of the use of the hand.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, spleen and kidneys
Type of incident: n/a

Sarah Heald, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Female
Date of admission: 27 Jun 1842
Date of death: 3 Jul 1842
Disease (transcribed): Pericarditis. Endocarditis. Ulceration of caecum and ascending colon.
Disease (standardised): Pericarditis (Heart); Endocarditis (Heart); Ulcer (Intestines)
Admitted under the care of: Nairne, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: n/a
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

William Hockaday, 34, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 34
Gender: Male
Date of admission: 12 Jan 1846
Date of death: 18 Jan 1846
Disease (transcribed): Dilatation of heart with atrophy of its walls. Thickening and contraction of mitral valve. Blood fluid
Disease (standardised): Disease (Heart)
Admitted under the care of: Keate, Robert
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient was in Hospital in November 1845 after having received a contusion at the epigastrium from the buffer of a steam engine. He was readmitted in January suffering from great pain and distress from constant pulsation at the epigastrium.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: Trauma/accident

Mary Stamp, 53, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 53
Gender: Female
Date of admission: 17 Jan 1844
Date of death: 20 Jan 1844
Disease (transcribed): Dilatation of left ventricle with atrophy of its parietes; thickening of the mitral and aortic valves. Ossification of coronary arteries; atheromatous deposit in the aorta. Liver and kidneys contracted and granular.
Disease (standardised): Disease (Heart); Ossification (Heart); Plaque (Arteries); Contracted (Liver, Kidneys); Granular (Liver, Kidneys)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with general anasarca and ascites.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

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