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Holmes, Timothy Pathological conditions, signs and symptoms
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Frederick Groombridge, 65, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Male
Date of admission: 7 May 1855
Date of death: 10 May 1855
Disease (transcribed): Retention of urine. Stricture of Urethra. Puncture of bladder
Disease (standardised): Constriction (Urethra); Puncture (Bladder)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This man was admitted on account of retention of urine which had existed since the previous afternoon. It seemed that he had been labouring under difficulty of making water for about three years.
Body parts examined in the post mortem: Thorax
Type of incident: n/a

Francis Axtell, 24, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Male
Date of admission: 22 Jun 1853
Date of death: 8 Jul 1853
Disease (transcribed): Abscess in the great toe. Secondary deposits in the anterior mediastinum, lungs, kidneys and right testis
Disease (standardised): Abscess (Toes); Deposits (Thorax); Deposits (Lung); Deposits (Kidney); Deposits (Testis)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This man was admitted on account of an abscess in the great toe of the right foot.
Body parts examined in the post mortem: Thorax, abdomen and right inferior extremity
Type of incident: n/a

James Cross, 13, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 13
Gender: Male
Date of admission: 1 Jul 1851
Date of death: 1 Jul 1851
Disease (transcribed): Injury from a blow across the chest. Fracture of both clavicles of the sternum & of ribs on both sides of the thorax. Lesion of the right jugular internal vein by fractured clavicle. Laceration of both lungs by broken ribs
Disease (standardised): Injury (Chest); Fracture (Sternum, ribs, clavicle); Lesion (Clavicle); Laceration (Lungs)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'He was standing under a tree in the Park during a heavy shower when one of the boughs which seems to have been rotten, fell on him & struck him against a hurdle which was near. He was brought here immediately, but died just before his admission’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

Sophia Watson, 53, Laundress

Occupation or role: Laundress
Age: 53
Gender: Female
Date of admission: 9 Sep 1874
Date of death: 22 Sep 1874
Disease (transcribed): Ulcer on leg. Pyaemia?
Disease (standardised): Ulcer (Leg); Sepsis (Systemic)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: n/a
Post mortem examination performed by: Haward, John Warrington
Medical notes: This patient complained of pain over the internal condyle of the femur of the left side and also pain down the tibia. An ulcer formed on the back and lower part of the right leg about sixteen years ago.
Body parts examined in the post mortem: Cranium, pleurae, lungs, heart, liver, spleen, kidneys, joints and femoral vein
Type of incident: n/a

Mark Brand, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 44
Date of admission: 24 May 1854
Date of death: 31 May 1854
Disease (transcribed): Stricture of urethra. Abscess of prostate. Diseased heart
Disease (standardised): Stricture (Urethra); Abscess (Prostate); Disease (Heart)
Admitting doctor: Cutler, Edward
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This man was admitted in consequence of difficulty of making water, the result of stricture of the urethra. On examination with an instrument, a stricture was discovered’
Body parts examined in the post mortem: Cranium, larynx & trachea, thorax, abdomen

Type of injury: n/a

George Pack, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 48
Date of admission: 22 Feb 1854
Date of death: 5 Jun 1854
Disease (transcribed): Dropsy. Cirrhosis of liver. Chronic peritonitis
Disease (standardised): Edema (Systemic); Fibrosis (Liver); Peritonitis (Abdomen)
Admitting doctor: Wilson, James Arthur
Surgeon: Gray, Henry and Holmes, Timothy
Physician: Barclay, Andrew Whyte
Medical notes: 'This patient stated that after having ‘brain fever’ 23 years ago he had enjoyed remarkably good health until the last 8 months, and that he had been a man of temperate habits’
Body parts examined in the post mortem: Thorax, abdomen

Type of injury: n/a

Catherine Jackman, 47, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 47
Gender: Female
Date of admission: 12 May 1858
Date of death: 24 May 1858
Disease (transcribed): Gangrene of the lung. Granular kidneys
Disease (standardised): Gangrene (Lungs); Disease (Kidneys)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'This woman stated that her age was forty-seven, but she appeared to be considerably older. Very little account was given by her or friends of her previous history. For nearly eighteen months she had been feeling languid & out of sorts, but six weeks before admission she caught a violent cold which was followed by sharp pain in the right side, & a fortnight later by spitting of blood which continued more or less for three weeks’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Edward Andrews, 68, Carpenter

Occupation or role: Carpenter
Age: 68
Gender: Male
Date of admission: 6 Jun 1861
Date of death: 8 Jun 1861
Disease (transcribed): Operation for inguinal hernia
Disease (standardised): Hernia (Abdomen); Operation (Abdomen)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Brodie, George Bernard
Post mortem examination performed by: Holmes, Timothy
Medical notes: The patient had had a rupture for 40 years
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

William Hamlet, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 42
Date of admission: 16 May 1854
Date of death: 7 Jun 1854
Disease (transcribed): Phthisis pulmonalis. Ulceration of the intestinal canal
Disease (standardised): Tuberculosis (Lung); Ulcer (Intestines)
Admitting doctor: Bence Jones, Henry
Surgeon: Gray, Henry and Holmes, Timothy
Physician: Barclay, Andrew Whyte
Medical notes: 'This man was admitted with an attack of diarrhoea which had lasted nearly 3 weeks. He had slight cough’
Body parts examined in the post mortem: Thorax, larynx, abdomen

Type of injury: n/a

William Harris, 36, Porter

Occupation or role: Porter
Age: 36
Gender: Male
Date of admission: 20 Apr 1886
Date of death: 23 Apr 1886
Disease (transcribed): Oedema and congestion of lungs. Cellulitis. Marasmus
Disease (standardised): Oedema (Lung); Congestion (Lung); Cellulitis (Skin); Protein-energy malnutrition (Systemic)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bull, William Charles
Post mortem examination performed by: Sisley, Richard
Medical notes: Apart from an attack of congestion of lungs six years ago, he had good health. He had been out of work for eleven months. On April 13th he got a sore on the middle finger on the right hand.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, vessels, peritoneum, liver, spleen and kidneys
Type of incident: n/a

Margaret Balmain, 50, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 50
Gender: Female
Date of admission: 13 May 1860
Date of death: 20 May 1860
Disease (transcribed): Fracture of femur. Fatty heart
Disease (standardised): Fracture (Thigh); Disease (Heart)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient was admitted with a traumatic fracture of the left femur just below the trochanter, there was considerable displacement. She was very unhealthy in appearance, her complexion being sallow […] She stated that the day before her admission, she had slipped down some steps, striking the outer side of the thigh against the floor’
Body parts examined in the post mortem: Thigh, cranium, thorax, abdomen, pelvis

Type of incident: Trauma / accident

Charles Middleton, 22, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 22
Gender: Male
Date of admission: 19 May 1858
Date of death: 25 May 1858
Disease (transcribed): Valvular lesion of the heart
Disease (standardised): Lesion (Heart)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'This young man stated that three weeks ago he overwalked himself & in addition to extreme fatigue began to experience palpitation of the heart. It appeared that for a month he had been suffering from diarrhoea also. He could not lie on the left side, but had been glad to keep his bed for more than a fortnight’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Ellen Smith Scott, 70, House keeper

Occupation or role: House keeper
Age: 70
Gender: Female
Date of admission: 26 May 1867
Date of death: 4 Jun 1867
Disease (transcribed): Strangulated hernia. Diffuse cellular inflammation
Disease (standardised): Hernia (Abdomen); Inflammation (Cells)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This patient had been ruptured for two years. The symptoms of strangulation had existed for four days.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Arthur Carter, 36, Police sergeant

Occupation or role: Police sergeant
Age: 36
Gender: Male
Date of admission: 23 Mar 1881
Date of death: 9 May 1881
Disease (transcribed): Amputation for myeloid growth. Fatty changes. Bronchitis
Disease (standardised): Amputation (Leg); Growth (Leg); Bronchitis (Lungs)

Admitted under the care of: Holmes, Timothy
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Turner, George Robertson
Medical notes: 'No family history of cancer. Never any venereal disease. Had had pneumonia in 1875 and has been subject to eczema. In July 1880 suffered from what he took to be rheumatic pains in the left leg. In October of the same year there was a slight swelling over the head of the tibia on the outer side. This swelling increased in size and was noticed to pulsate first about Xmas last. He had been a policeman, and had attended his divisional surgeon for some time before his admission'
Body parts examined in the post mortem: Left leg, lungs, heart, liver, spleen, kidneys, brain

Type of incident: n/a

John Underkill, 50, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 50
Gender: Male
Date of admission: 16 May 1860
Date of death: 24 May 1860
Disease (transcribed): Softening of the brain
Disease (standardised): Softening (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man, who had had pretty good health, except that during the preceding 6 years he had suffered much from carbuncles, became a patient on Mar 15, under Dr Page [William Page]. He then had the symptoms of not very severe pleurisy, sharp pain and dullness at the lower portion of the right lung, and a slight dry cough’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Charles Roberts, 29, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 29
Gender: Male
Date of admission: 5 May 1858
Date of death: 27 May 1858
Disease (transcribed): Valvular lesion of the heart
Disease (standardised): Lesion (Heart)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'This patient gave a history of rheumatism attacking his lower limbs a week previous to his admission but so long as two months ago he was examined by a doctor on account of pain in the side & was told that he had ‘palpitation of the heart’. There was a most intense friction sound audible over the lower cardiac region which ceased as soon as the man held his breath’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Thomas Thoday, 65, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Male
Date of admission: 4 Jan 1853
Date of death: 19 Jan 1853
Disease (transcribed): Disease of the kidneys. Ligature to femoral artery for aneurism
Disease (standardised): Disease (Kidney); Ligature (Arteries); Aneurysm (Arteries)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This man when admitted presented the usual symptoms of fractured femur. He was at his front door when he bent to pick up the key and heard something snap in his leg.
Body parts examined in the post mortem: Cranium, thorax, abdomen and left lower extremity
Type of incident: n/a

George Bond, 41, Baker

Occupation or role: Baker
Age: 41
Gender: Male
Date of admission: 11 Nov 1857
Date of death: 15 Jan 1858
Disease (transcribed): Hypertrophy of the heart. Bronchitis. Congested kidneys. Dropsy
Disease (standardised): Disease (Heart); Bronchitis (Lungs); Congestion (Kidneys); Edema (Systemic)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Holmes, Timothy and Rogers, George Goddard
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'A baker who has suffered from winter cough for 7 or 8 years. Six months ago his breathing became affected to a much greater extent’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

John Beattie, 50, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 50
Gender: Male
Date of admission: 30 Dec 1857
Date of death: 27 May 1858
Disease (transcribed): Stricture of the urethra. Diseased kidneys & bladder
Disease (standardised): Constriction (Urethra); Disease (Kidneys, bladder)
Admitted under the care of: Cutler, Edward
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

William Guymer, 22, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 22
Gender: Male
Date of admission: 23 May 1860
Date of death: 26 May 1860
Disease (transcribed): Obstruction of the bowels
Disease (standardised): Obstruction (Bowels)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man was a patient of Dr Nairne’s [Robert Nairne] once years before (Aug 1845) with an intestinal obstruction which lasted 15 days […] He was readmitted on the 23rd of May. He had suffered from diarrhoea and pain in the bowels for some days’
Body parts examined in the post mortem: Right elbow, cranium, thorax, abdomen

Type of incident: n/a

Fanny Netton, 35, Cook

Occupation or role: Cook
Gender: Female
Age: 35
Date of admission: 3 Apr 1878
Date of death: 28 May 1878
Disease (transcribed): Necrosis of rib. Syphilitic gummata of pericardium undergoing softening. Old tubercular nephritis
Disease (standardised): Necrosis (Ribs); Granuloma (Heart); Syphilis (Systemic); Nephritis (Kidney); Tuberculosis (Kidney);
Admitting doctor: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Ten months ago first noticed swelling of left forearm which gradually increased and for a short time has been painful and red – About same time a swelling about size of small egg appeared over back part of eighth rib which has given no pain – Has lost flesh – Cough and expect. [expectoration] for 3 years'
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, spleen, kidneys
Type of incident: n/a

John Read, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 13
Date of admission: 19 Apr 1854
Date of death: 14 Jun 1854
Disease (transcribed): Amputation of thigh. Abscess in femur. Inflamed profunda & femoral veins. Secondary deposits of lung, empyema
Disease (standardised): Amputation (Thigh); Abscess (Thigh); Inflammation (Blood vessels); Deposit (Lung); Empyema (Pleura);
Admitting doctor: Johnson, Henry Charles
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This boy was originally admitted with a view to his being forwarded to Margate [the Royal Sea Bathing Hospital at Margate], on account of strumous disease of the knee, but on his admission the disease was found to be in too active a state to justify that measure. There was very considerable pain in the joint’
Body parts examined in the post mortem: Thorax, abdomen, ‘the stump’ (‘the right thigh had been recently amputated about the middle’)

Type of injury: n/a

Thomas Drinkwater, 70, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 70
Gender: Male
Date of admission: 16 May 1860
Date of death: 28 May 1860
Disease (transcribed): Amputation of the thigh. Fatty heart. Diseased kidneys
Disease (standardised): Amputation (Thigh); Disease (Heart, kidneys)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: '2 years ago this patient was attacked with pain in the right knee & very shortly after the joint began to swell. He had very little treatment & continued to go about until about a year ago, when he had a few blisters applied. 10 months ago the swelling much increased, he had almost constant pain & occasional darting of the limb at night’
Body parts examined in the post mortem: Thigh, thorax, abdomen

Type of incident: n/a

Jonas Buckland, 18, Footman

Occupation or role: Footman
Age: 18
Gender: Male
Date of admission: 19 May 1858
Date of death: 29 May 1858
Disease (transcribed): Haemoptysis (from exudation?)
Disease (standardised): Haemoptysis (Lungs); Exudation
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Holmes, Timothy and Mr Roberts
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'A footman who was admitted on account of profuse haemoptysis. It appeared from the account of his mother & himself that seven years [ago] he brought up at one time a large quantity of blood, said to amount to two pints, but that his general health had been very good since that time’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Edward Mills, 19, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Male
Date of admission: 16 Apr 1851
Date of death: 11 Jul 1851
Disease (transcribed): Fracture of the right tibia & fibula followed by erysipelatous & diffuse areolar inflammation. ‘Phlegmasia dolens’ of both legs. Inflammation & variable occlusion of the femoral, iliac & other pelvic veins, & also vena cava inferior by coagula. Lobular secondary pneumonia & pleurisy on right side. Old pleurisy on left side. ‘White patch’ on heart
Disease (standardised): Fracture (Leg); Inflammation (Tissue); Thrombophlebitis (Blood vessels / Leg); Pneumonia (Lungs); Pleurisy (Lungs); Disease (Heart)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'He was admitted on account of compound fracture of the leg caused by some pieces of iron falling on him. The wound was very small, situated on the outer part of the leg. He went on very well for 10 days, until the 26th June oedema of the leg was observed & the wound assumed an unhealthy appearance’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: Trauma / accident

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