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St George's Hospital Reports, Vol. IV

CONTENTS:
I. On the Variations of the Acidity of the Urine that occur when Vegetable and Mineral Acids are used. By H. BENCE JONES, Esq.
II. A Case of Angina Pectoris. With Remarks. By J. LOCKHART CLARKE, M.D.
III. Notes on the Subcutaneous Injection of Morphia. By EDWARD T. WILSON, M.D.
IV. On Rheumatic Pericarditis. By REGINALD E. THOMPSON, M.D.
V. Cases of Syphilitic Disease of the Nervous System. By T. CLIFFORD ALLBUTT, M.D.
VI. Clinical Observations on Acute Tubercle. By EDWARD LONG Fox, M.D.
VII. Contributions to the Surgery of the Head : Sebaceous Tumours of the Cranial Region. By PRESCOTT HEWÉTT, Esq., Senior Surgeon to the Hospital .
VIII. On Inflammation of the Retina. By GEORGE COWELL, Esq., Assistant Surgeon to the Westminster Hospital ; Ophthalmic Surgeon to the Victoria Hospital for Children .
IX. On Chronic Bone- and Joint-Disease. By J. WARRINGTON HAWARD, Esq.
X. The Causes of Pulmonary Consumption. By CHARLES THEODORE WILLIAMS, M.D.
XI. Exophthalmic Goître. By W. B. CHEADLE, M.D.
XII. Clinical Notes on unusual Surgical Cases. By H. LEE, Esq., Surgeon to the Hospital
XIII. Reminiscences of Cases from Private Practice. By J. NICHOLLS, M.D., Chelmsford
XIV. Two Cases of Excision of the Scapula. With Remarks. By GEORGE POLLOCK, Esq., Surgeon to the Hospital .
XV. Note on Excision of the Ankle-joint. By T. HOLMES, Esq., Surgeon to the Hospital
XVI. On Aphasia. By W. WADHAM, M.D., Physician to the Hospital.
XVII. On the Treatment of Acute Orchitis. By J. ROUSE, Esq., Assistant Surgeon to the Hospital
XVIII, Remarks on a Case of Locomotor Ataxy with Hydrarthrosis. By T. C. ALLBUTT, M.D.
XIX. Report of the Curator of the Pathological Museum. By T. P. PICK, Esq., Assistant Surgeon to the Hospital .
XX. Annual Report of Medical Cases during the year 1868. By REGINALD THOMPSON, M.D., Medical Registrar
XXI. Annual Report of Surgical Cases during the year 1868. By W. LEIGH, Esq., Surgical Registrar
Supplement to Dr. Clifford Allbutt's Article on Syphilitic Disease of the Nervous System
Prospectus of the Medical School for 1869-70, showing the arrangements for Lectures and Hospital Practice, the Prizes and Exhibitions, with List of Prizemen for 1869.
LIST OF ILLUSTRATIONS:
Tables showing Variations in the Acidity of the Urine (Dr. Bence Jones)
Tables showing Variations in the Pulse and Temperature in Acute Tubercle and other Diseases (Dr. Cheadle)
Pulse-traces in Exophthalmic Goître
Exfoliated Portion of the Humerus in & Case of Compound Fracture, with Recovery of the Use of the Arm (Dr. Nicholls)
Portrait of a Patient after Recovery from Excision of the Scapula (Mr. Pollock)
Anterior View of a Tumour of the Scapula, removed by Excision (Mr. Pollock)
Posterior View of the same (Mr. Pollock)
Bones removed in a Case of Excision of the Ankle-joint (Mr. Holmes)
The lower surface of the Astragalus in the same Case (Mr. Holmes)

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

St George's Hospital Reports, Vol. I

The volume includes a brief history of the hospital and the medical school.

Contents:
I. Some Account of St. George’s Hospital and School. By W. E. PAGE, M.D., Senior Physician to the Hospital
II. Contributions to the Surgery of the Head. No. I. On the Deviations of the Base of the Skull in Chronic Hydrocephalus. By PRESCOTT HEWETT, Surgeon to the Hospital
III. A Case of Meningocele, in the Occipital Region, which was injected with Iodine, without ill consequences, the Patient dying of Broncho-pneumonia. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Anatomy
IV. On the Typhus Epidemic of 1864-5, as observed at St. George’s Hospital. By R. E. THOMPSON, M.D., Medical Registrar of the Hospital
V. Notes on an Epidemic of Typhus at Leeds, in the Year 1865-6. By T. CLIFFORD ALLBUTT, M.B., Physician to the Fever Infimmary, Fever Hospital, &0. at Leeds
VI. On the Diagnosis, Pathology, and Treatment of Progressive Locomotor Ataxy. By J. LOCKHART CLARKE, F.R.S.
VII. On Rheumatic Iritis. By J. ROUSE, Lecturer on Anatomy at the Hospital School
VIII. On Cerebral Symptoms occurring in certain Affections of the Ear. By J. TOYNBEE, F.R.S., late Consulting Aural Surgeon to St. Mary’s Hospital, Asylum for the Deaf and Dumb, and to St. George’s and St. James’s Dispensary
IX. On some Points connected with the Treatment of Hernia. By J. WARRINGTON HAWARD, Resident Medical Oflicer to the Hospital for Sick Children
X. On Amputation at the Hip-joint, and on the Applicability of this Operation in some of the worst Cases of Morbus Coxarius. Part I. For recurrent Fibro-plastic Tumour. Part II. In Morbus Coxarius. By T. HOLMES, Assistant Surgeon to the Hospital
XI. On Disease of the Brain as a result of Diabetes Mellitus, illustrated by the Narrative of a Case (with Clinical Observations) in which Paralysis, due to Softening of the Brain, came on in a Diabetic Patient, and proved fatal. Followed by a Notice of Fifteen Fatal Cases of Diabetes, cited from the Records of the Hospital. By Dr. JOHN W. OGLE, Physician to the Hospital
XII. On Jaundice and Biliousness. By Dr. H. BENCE JONES, formerly Physician to the Hospital
XIII. On Paralysis occurring in Childbed. By Dr. F. F. FUSSELL, Physician to the Brighton Dispensary
XIV. Remarks upon the Modus Operandi of Hypodermic Injections. By C. HUNTER, Surgeon to the Royal Pimlico Dispensary
XV. On Congenital Dislocations of the Femur. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XVI. On the Diurnal Variations in the Temperature of the Human Body in Health. By Dr. WILLIAM OGLE, Lecturer on Physiology at the Medical School of the Hospital
XVII. On Rupture of Arteries dependent on external Injury. By GEORGE POLLOCK, Surgeon to the Hospital
XVIII. On the Formation of Coagula in the Cerebral Arteries. By Dr. DICKINSON, Assistant Physician to the Hospital
XIX. On Talipes Varus. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XX. On Talipes Equinus. By G. NAYLER, Assistant Surgeon to the Royal Orthopaedic Hospital, and the Hospital for Diseases of the Skin
XXI. On the Amputation-Book of St. George’s Hospital, and on some Points connected with the Statistics of Three Hundred Amputations there recorded. Part I. On the Influence of Age upon the Results of Amputation. Part II. 'On the Causes of Death, after Amputation; with special reference to the proportion of Deaths due to causes preceding the Amputation. By T. HOLMES, Assistant Surgeon to the Hospital
XXII. Statistical Tables from the Dental Case-Books of St. George’s Hospital. By C. VASEY, Surgeon-Dentist to the Hospital
Annual Report of Cases admitted into the Medical Wards of St. George’s Hospital during the Year 1865. By Dr. STURGES
Annual Report of Surgical Cases treated in the Hospital during the Year 1865. By Mr. PICK

Elizabeth Mirfield, 74, Needlewoman

Occupation or role: Needlewoman
Age: 74
Gender: Female
Date of admission: 29 Dec 1865
Date of death: 30 Dec 1865
Disease (transcribed): Granular degeneration of kidneys. Bronchitis
Disease (standardised): Disease (Kidney); Bronchitis (Lung)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was admitted in a moribund condition with bronchitis and an ulcer of the leg.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Elizabeth Screvens, 70, Widow

Occupation or role: Widow
Age: 70
Gender: Female
Date of admission: 27 Sep 1865
Date of death: 30 Dec 1865
Disease (transcribed): Cancer of foot, and groin
Disease (standardised): Cancer (Foot); Cancer (Groin)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was first admitted in May of the present year with an epithelial cancer on the inner side of the leg. This was removed.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

James Hazlewood, 32, Plumber

Occupation or role: Plumber
Age: 32
Gender: Male
Date of admission: 24 Nov 1865
Date of death: Brought in dead
Disease (transcribed): Internal injuries
Disease (standardised): Injury (Viscera)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not given
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Arthur Horney, 26, Labourer

Occupation or role: Labourer
Age: 26
Gender: Male
Date of admission: 30 Aug 1865
Date of death: 13 Nov 1865
Disease (transcribed): Pneumonia. Slight ‘amyloid’ affection of kidneys
Disease (standardised): Pneumonia (Lung); Amyloidosis (Kidney)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was admitted in August with old standing disease of the knee which had commenced nine months previous with pain and swelling.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Benjamin Buck, 65, Carman

Occupation or role: Carman
Age: 65
Gender: Male
Date of admission: 30 Oct 1865
Date of death: 8 Nov 1865
Disease (transcribed): Compound fracture of leg
Disease (standardised): Fracture (Leg)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: A cab ran up against a light cart he was driving and threw him out. He fell with his leg doubled under him.
Body parts examined in the post mortem: Chest, abdomen and shoulder joints
Type of incident: Trauma/accident

Thomas Coggins, 16, Labourer

Occupation or role: Labourer
Age: 16
Gender: Male
Date of admission: 30 Aug 1865
Date of death: 5 Nov 1865
Disease (transcribed): Compound fracture. Pyaemia
Disease (standardised): Fracture (Indeterminate); Sepsis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not entered
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

James Brooker, 34, Carman

Occupation or role: Carman
Age: 34
Gender: Male
Date of admission: 4 Oct 1865
Date of death: 29 Oct 1865
Disease (transcribed): Scalp wound. Injuries of bone, dura mater etc. Pyaemia
Disease (standardised): Wound (Scalp); Injury (Skull); Injury (Brain); Sepsis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted with a scalp wound, exposing the bone. The wound had been produced two days before by the pole of a brougham striking him on the forehead.
Body parts examined in the post mortem: Head, chest and abdomen
Type of incident: Trauma/accident

George Ellerfield, 21, Carpenter

Occupation or role: Carpenter
Age: 21
Gender: Male
Date of admission: 27 Oct 1865
Date of death: 27 Oct 1865
Disease (transcribed): Fracture of skull. Shock
Disease (standardised): Fracture (Skull); Shock (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: The patient had fallen down a flight of area steps.
Body parts examined in the post mortem: Head, chest and abdomen
Type of incident: Trauma/accident

Aurelius Braine, 22, Porter

Occupation or role: Porter
Age: 22
Gender: Male
Date of admission: 10 May 1865
Date of death: 5 Oct 1865
Disease (transcribed): Disease of vertebra. Amyloid infiltration
Disease (standardised): Disease (Spine); Amyloidosis (Liver); Amyloidosis (Kidney); Amyloidosis (Spleen)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was admitted with most extensive angular curvature which gave him a most distorted appearance.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Catherine Kent, 17, General servant

Occupation or role: General servant
Age: 17
Gender: Female
Date of admission: 2 Oct 1865
Date of death: Brought in dead
Disease (transcribed): Fracture of skull
Disease (standardised): Fracture (Skull)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was brought in dead having fallen out of a window.
Body parts examined in the post mortem: Head, chest and abdomen
Type of incident: Trauma/accident

Rosa A Dunning, 3, Child

Occupation or role: Child
Age: 3
Gender: Female
Date of admission: 1 Sep 1865
Date of death: 1 Sep 1865
Disease (transcribed): Scald
Disease (standardised): Scald (Skin)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not given
Body parts examined in the post mortem: n/a
Type of incident: Trauma/accident

James Webster, 45, Mechanic

Occupation or role: Mechanic
Age: 45
Gender: Male
Date of admission: 7 Jun 1865
Date of death: 11 Aug 1865
Disease (transcribed): Disease of the kidneys with enlarged prostate
Disease (standardised): Disease (Kidney); Enlarged (Prostate)
Admitted under the care of: Pitman, Henry. Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Bell, William A.
Medical notes: This patient was transferred from the Physicians suffering from symptoms of calculus in the kidney.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Charlotte Spragg, 40, Married

Occupation or role: Married
Age: 40
Gender: Female
Date of admission: 9 Jul 1865
Date of death: 15 Jul 1865
Disease (transcribed): Hernia (femoral). Perforation of bowel
Disease (standardised): Hernia (Abdomen); Perforation (Intestines)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This woman was admitted with a strangulated hernia. She had been ruptured two months.
Body parts examined in the post mortem: Abdomen and chest
Type of incident: n/a

Robert Gearing, 18 months , Infant

Occupation or role: Infant
Age: 18 months
Gender: Male
Date of admission: 10 Jul 1865
Date of death: 13 Jul 1865
Disease (transcribed): Scald of throat. Asphyxia. Laryngotomy. Pneumonia
Disease (standardised): Scald (Pharynx); Asphyxia (Lung); Laryngotomy (Larynx); Pneumonia (Lung)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Case not entered
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

William Markell, 44, Coachman

Occupation or role: Coachman
Age: 44
Gender: Male
Date of admission: 12 Jun 1865
Date of death: 16 Jul 1865
Disease (transcribed): Pyaemia
Disease (standardised): Sepsis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted having been pulled off the box of a carriage he was driving in consequence of the pole having broken in turning sharply round.
Body parts examined in the post mortem: Leg, eye, chest and abdomen
Type of incident: Trauma/accident

Abraham Martin, 21, Labourer

Occupation or role: Labourer
Age: 21
Gender: Male
Date of admission: 5 Jul 1865
Date of death: 5 Jul 1865
Disease (transcribed): Ruptured viscus (spleen?)
Disease (standardised): Rupture (Spleen)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Case not entered
Body parts examined in the post mortem: n/a
Type of incident: n/a

Emile Coussement, 24, Waiter

Occupation or role: Waiter
Age: 24
Gender: Male
Date of admission: 13 Jun 1865
Date of death: 15 Jun 1865
Disease (transcribed): Fracture of skull
Disease (standardised): Fracture (Skull)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: The lift as the Grosvenor Hotel broke as he was being conveyed to the top of the building, and he fell to the ground.
Body parts examined in the post mortem: Head and trunk
Type of incident: Trauma/accident

Charles V Hughes, 40, Potman

Occupation or role: Potman
Age: 40
Gender: Male
Date of admission: 7 Jun 1865
Date of death: 9 Jun 1865
Disease (transcribed): n/a
Disease (standardised): n/a
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Braine, Francis Woodhouse
Medical notes: This patient was admitted into the surgical wards with the history that a short time before admission he was standing at the head of a horse, when he was noticed to be lying on the ground. No history could be obtained as to whether he was knocked down by the horse or had fallen in a fit.
Body parts examined in the post mortem: Chest, abdomen and head
Type of incident: Trauma/accident?

Rebecca East, 57, Married

Occupation or role: Married
Age: 57
Gender: Female
Date of admission: 27 Oct 1864
Date of death: 10 Jun 1865
Disease (transcribed): Malignant disease of breast
Disease (standardised): Cancer (Breast)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was admitted with the history that two years previously she began to suffer from a stabbing, paroxysmal pain in the left breast.
Body parts examined in the post mortem: Chest, abdomen and axilla
Type of incident: n/a

Caroline Toms, 23, Needlewoman

Occupation or role: Needlewoman
Age: 23
Gender: Female
Date of admission: 15 Jan 1865
Date of death: 16 May 1865
Disease (transcribed): Stricture of the rectum
Disease (standardised): Constriction (Rectum)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Page, William Irving
Medical notes: This patient was admitted in an extremely emaciated condition, with an extremely tight stricture of the rectum.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Malvina Emmett, 30, No occupation

Occupation or role: No occupation
Age: 30
Gender: Female
Date of admission: 15 Apr 1865
Date of death: 2 May 1865
Disease (transcribed): Phthisis. Strumous disease of rectum
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Rectum)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not entered
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Catherine Lynes, 9, School girl

Occupation or role: School girl
Age: 9
Gender: Female
Date of admission: 17 Apr 1865
Date of death: 22 Apr 1865
Disease (transcribed): Tubercular meningitis
Disease (standardised): Tuberculosis, meningeal (Brain)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient fell down stairs on the 14th of April and struck the back of his head.
Body parts examined in the post mortem: Head, chest and abdomen
Type of incident: Trauma/accident

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