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Ewart, William Bacterial infections and mycoses
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William Gannon, 28, [No occupation]

Occupation or role: [No occupation]
Age: 28
Gender: Male
Date of admission: 26 May 1876
Date of death: 4 Feb 1877
Disease (transcribed): Splenic abscess. Multiple abscesses in the brain. Pulmonary tuberculosis.
Disease (standardised): Abscess (Spleen); Abscess (Brain); Tuberculosis (Lung)
Admitted under the care of: Pollock, George
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient was transferred from Dr Barclay. For history see Medical register for number 684. The case was taken from Mr Morgan's notes.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum, meninges and brain
Type of incident: n/a

Eliza Shelton, 26, [No occupation]

Occupation or role: [No occupation]
Age: 26
Gender: Female
Date of admission: 4 Oct 1876
Date of death: 31 Jan 1877
Disease (transcribed): Tuberculosis of lungs and kidneys. Hydatid disease of the spine
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Kidney); Echinococcosis (Spine)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: Three months before admission the patient felt pain in the right leg, and then in the back and shortly before being transferred from Dr Dickenson, lost power and sensation in the right lower limb.
Body parts examined in the post mortem: Pleurae, lungs, heart, kidneys, spleen, liver, uterus, brain and spinal cord
Type of incident: n/a

William Curtis, 37, [No occupation]

Occupation or role: [No occupation]
Age: 37
Gender: Male
Date of admission: 11 Oct 1876
Date of death: 11 Jan 1877
Disease (transcribed): Old hydatids of the liver. Caseous pneumonia with tubercle. Tubercular laryngitis.
Disease (standardised): Echinococcosis (Liver); Pneumonia (Lung); Tuberculosis (Lung); Tuberculosis (Larynx)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient had a venereal sore three years before admission, followed by ulcers on the tongue and mouth, and later by a sore throat, dysphagia, dyspnoea and aphonia. The symptoms worsened up to admission when the air passage was suddenly and completely secluded.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and larynx
Type of incident: n/a

George Naldrett, 33, Dispenser

Occupation or role: Dispenser
Age: 33
Gender: Male
Date of admission: 22 Nov 1876
Date of death: 9 Jan 1877
Disease (transcribed): Spinal myelitis. Caseous pneumonia with tubercle.
Disease (standardised): Myelitis (Spinal cord); Pneumonia (Lung); Tuberculosis (Lung)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient had suffered previously from scarlatina, pneumonia and rheumatism, and had had syphilis 10 years before. He had also been troubled by nervous symptoms resembling hypochondriasis. Up until admission he suffered with a cough and expectoration, severe shaking fits, twitchings and night sweats.
Body parts examined in the post mortem: Lungs, heart, spleen, liver, kidneys, brain and spinal cord
Type of incident: n/a

Harry Timbrell, 70, [No occupation]

Occupation or role: [No occupation]
Age: 70
Gender: Male
Date of admission: 24 Nov 1876
Date of death: 6 Aug 1877
Disease (transcribed): Hip disease, excision. Tubercular meningitis with large ventricular effusion.
Disease (standardised): Disease (Hip); Excision (Hip); Tuberculosis, Meningitis (Brain); Effusion (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient was admitted with Disease of the Right Hip of six months standing.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, brain and spinal cord
Type of incident: n/a

John Corner, 48, [No occupation]

Occupation or role: [No occupation]
Age: 48
Gender: Male
Date of admission: 29 Nov 1876
Date of death: 9 Jan 1877
Disease (transcribed): Tubercular Peritonitis
Disease (standardised): Tuberculosis (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient had been liable all his life to dyspepsia and cough, had drunk about three pints of beer daily, and, during the last ten years and indulged freely in whiskey. His abdomen was swollen.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and peritoneum
Type of incident: n/a

Mary Ann Honour, 50, [No occupation]

Occupation or role: [No occupation]
Age: 50
Gender: Female
Date of admission: 6 Dec 1876
Date of death: 3 Jan 1877
Disease (transcribed): Tubercular Nephritis (chronic)
Disease (standardised): Tuberculosis (Kidney); Nephritis (Kidney)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The family history pointed only to phthisis. The patient had enjoyed good health until the June previous to admission when her legs began to swell, followed by her abdomen. There was a slight cough and dyspnoea on admission.
Body parts examined in the post mortem: Lungs, heart, peritoneum, liver, spleen, kidneys and brain
Type of incident: n/a

Charlotte Barclay, 24, Ladiesmaid

Occupation or role: Ladiesmaid
Age: 24
Gender: Female
Date of admission: 7 Dec 1876
Date of death: 25 Feb 1877
Disease (transcribed): Pulmonary Phthisis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Six months before admission, the morning after sleeping in a damp bed, she began to have a slight hacking cough. She began to spit muco purulent matter, to suffer from occasional dyspnoea, to perspire at night, to shiver occasionally, to lose appetite and to fall away in flesh.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum and douglas' pouch
Type of incident: n/a

William Philipps, 43, [No occupation]

Occupation or role: [No occupation]
Age: 43
Gender: Male
Date of admission: 13 Dec 1876
Date of death: 26 Jan 1877
Disease (transcribed): Syphilitic disease of bone. Gummata of liver. Pneumonia and lobular congestion of lungs. Erysipelas.
Disease (standardised): Syphilis (Bone); Gummata (Liver); Pneumonia (Lung); Congestion (Lung); Erysipelas (Skin)
Admitted under the care of: Lee, Henry
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: The patient had had constitutional syphilis for nine years. Twelve months before he injured his face and this was followed by caries of the nose. At the same time a node came on the skull, which suppurated and exposed the bone, and two others followed.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, peritoneum and brain
Type of incident: n/a

Thomas or James Garden, 58, Bootmaker

Occupation or role: Bootmaker
Age: 58
Gender: Male
Date of admission: 20 Dec 1876
Date of death: 7 Mar 1877
Disease (transcribed): Cirrhosis of liver. Granular kidney. Peritonitis. Tubercle of lung.
Disease (standardised): Cirrhosis (Liver); Disease (Kidney); Peritonitis (Abdomen); Tuberculosis (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Five weeks before admission, his legs began to swell. A fortnight later, came on cough, dyspnoea and pain in the loins, and the abdomen enlarged.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen and peritoneum
Type of incident: n/a

Mary Ann Wilson , 22, Washerwoman

Occupation or role: Washerwoman
Age: 22
Gender: Female
Date of admission: 26 Dec 1876
Date of death: 8 Jan 1877
Disease (transcribed): Typhus
Disease (standardised): Typhus, Epidemic Louse-Borne (Systemic)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Four days before admission, the patient was exposed to a severe chill. She began to shiver and the next morning she found herself suffering from cough, dyspnoea and pain in the left side of the chest.
Body parts examined in the post mortem: Lungs, spleen, liver, kidneys, uterus, heart, intestine
Type of incident: n/a

St George's Hospital Reports, Vol. IX

CONTENTS
I. Report of the Medical Registrar, Dr. OWEN, for 1877
II. Report of the Medical Registrar, Dr. OWEN, for 1878.
III. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1877
IV. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1878
V. Report of the Post-mortem Department for 1877, by Dr. EWART
VI. Report of the Obstetrical Department for 1877, by Mr. G. S. HARPER
VII. Report of the Obstetrical Department for 1878, by Dr. H. BLAKE
VIII. Report of the Ophthalmic Department for 1877, by. Mr. MCHARDY
IX. Report of the Ophthalmic Department for 1878, by Mr. MCHARDY
X. Report of the Out-patients' Ophthalmic Department for 1878, by Mr. MCHARDY
XI. Notes from the Department for the Treatment of Diseases of the Throat for 1877 and 1878, by Dr. WHIPHAM
XII. Report of the Orthopaedic Department, by Mr. HAWARD .
XIII. Report of the Aural Department for 1877 and 1878, by Mr. DALBY
XIV. Report of the Dental Department for 1877 by Mr. C. WINTERBOTTOM
XV. Report of the Dental Department for 1878, by Mr. A. WINTERBOTTOM
XVI. On the Treatment of Gout by Salicylic Acid, by Dr. BARCLAY
XVII. On the Results of the Treatment of Compound Fracture of the Leg in this Hospital, with special reference to Lister's Antiseptic Method, by Mr. HOLMES
XVIII. Clinical Lecture on a Case of Enchondromatous Tumour of the Brain, by Mr. Pick
XIX. Abstract of a Case of Diabetes, illustrating the Effects of Remedies, by Dr. CAVAFY and Mr. BERTOLACCI
XX. Report on the Cases of Tetanus, by Mr. E. C. STIRLING
XXI. Some Cases of Mitral Disease without Murmur, by Dr. WATNEY
XXII. Observations on Outbreaks of Diphtheria in Rural Districts, by Dr. WILLIAM OGLE
XXIII. On a Novel Method of reducing Dislocation of the Shoulder, by Mr. J. JONES
XXIV. Notes on some forms of Intestinal Obstructions, by Dr. E L. Fox .
XXV. On Ichthyosis, by Mr. G. GASKOIN
XXVI. On Chrysophanic Acid, by Mr. WYNDHAM COTTLE .
XXVII. On Warty Growths, by Mr. WYNDHAM COTTLE
XXVIII. On the Opening and Drainage of Joints, by Mr. J. H. MORGAN
XXIX. History of an Illness, by Mr. S. WILSON HOPE
XXX. Case of Tympanic Abscess, by Dr. E. C. BABER
XXXI. Exophthalmic Goître, by Dr. W. B. CHEADLE

LIST OF ILLUSTRATIONS
Charts of Analyses of the Urine in a Case of Diabetes
Warty Growths
Membrana Tympani in Case of Tympanic Abscess
Microscopic Appearances of Medulla in Exophthalmic Goître

Elizabeth Fenwick, 34, [No occupation]

Occupation or role: [No occupation]
Age: 34
Gender: Female
Date of admission: 3 Jan 1877
Date of death: 7 Jan 1877
Disease (transcribed): (Retained placenta): acute rheumatic endocarditis
Disease (standardised): Retained (Placenta); Rheumatic Heart Disease (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient was attacked ten weeks before admission with rheumatic fever. A fortnight after getting up she was delivered of a deceased child. From that time she suffered from weakness, severe pains in the abdomen and loins, and constant diarrhoea.
Body parts examined in the post mortem: Lungs, heart, spleen, liver, kidneys, uterus and intestine
Type of incident: n/a

Eliza Gilbert, 38, [No occupation]

Occupation or role: [No occupation]
Age: 38
Gender: Female
Date of admission: 6 Jan 1877
Date of death: 9 Jan 1877
Disease (transcribed): Tubercular matter in the brain. General tuberculosis.
Disease (standardised): Tuberculosis (Brain); Tuberculosis (Lung)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: No satisfactory history could be obtained as the patient was delirious. She said she had had pains in the limbs for a year, a slight cough lately, and diarrhoea for three weeks.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, uterus, intestine and brain
Type of incident: n/a

Nicolasa Ramos, 12, [No occupation]

Occupation or role: [No occupation]
Age: 12
Gender: Female
Date of admission: 10 Jan 1877
Date of death: 26 Feb 1877
Disease (transcribed): Pulmonary Phthisis. Tubercle of intestine.
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Intestines)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: No history was obtained of this case. The patient was admitted with cough, mucopurulent expectoration, a little pain in the chest, and diarrhoea.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen, peritoneum, intestine, douglas' pouch and brain
Type of incident: n/a

Isaac Church , 46, [No occupation]

Occupation or role: [No occupation]
Age: 46
Gender: Male
Date of admission: 17 Jan 1877
Date of death: 5 Feb 1877
Disease (transcribed): Syphilitic pemphigus. Endocarditis. Pleurisy.
Disease (standardised): Pemphigus (Skin); Syphilis (Systemic); Endocarditis (Heart); Pleurisy (Pleura)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This patient had been in the hospital on a previous occasion, suffering from an impetiginous eruption of a distinctly syphilitic origin. On readmission the whole body was covered with a pustular eruption.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, meninges and brain
Type of incident: n/a

Eliza Allen, 23, Children's Nurse

Occupation or role: Children's Nurse
Age: 23
Gender: Female
Date of admission: 17 Jan 1877
Date of death: 15 Feb 1877
Disease (transcribed): Tubercles of lung, peritoneum, intestine and brain.
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Abdomen); Tuberculosis (Intestines); Tuberculosis (Brain)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient was admitted with languor, malaise, diarrhoea, cough and constantly increasing dyspnoea with little expectoration, palpitation, pain in the cardiac region and anorexia of a month's duration.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum, intestine, abdominal cavity, meninges and brain
Type of incident: n/a

Thomas Bumpstead, 34, [No occupation]

Occupation or role: [No occupation]
Age: 34
Gender: Male
Date of admission: 17 Jan 1877
Date of death: 2 Feb 1877
Disease (transcribed): Pulmonary tuberculosis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: This case was transferred from the Surgeons. When seen by the Registrar, he was in a condition in which examination was not advisable.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys and spleen
Type of incident: n/a

Charles Turner, 24, Gardener

Occupation or role: Gardener
Age: 24
Gender: Male
Date of admission: 31 Jan 1877
Date of death: 19 Mar 1877
Disease (transcribed): Tubercular and caseous pneumonia; ulcers of large bowel.
Disease (standardised): Tuberculosis (Lung); Pneumonia (Lung); Ulcer (Intestines)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: Since early in 1875 he had not been free from cough. He spat a little, but there was no unusual dyspnoea, nor did the sputa even contain blood. About the same time began a looseness of the bowels.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen, peritoneum and intestine
Type of incident: n/a

Jessie Smith , 18, Kitchen Maid

Occupation or role: Kitchen Maid
Age: 18
Gender: Female
Date of admission: 7 Feb 1877
Date of death: 15 Feb 1877
Disease (transcribed): Typhoid Fever
Disease (standardised): Typhoid Fever (Systemic)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: No complete history of this case was to be obtained. The patient dated her illness from six days before her admission, and the diarrhoea from two.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, uterus and intestine
Type of incident: n/a

Edward King, 13, [No occupation]

Occupation or role: [No occupation]
Age: 13
Gender: Male
Date of admission: 7 Feb 1877
Date of death: 14 Feb 1877
Disease (transcribed): Tubercles of lungs, kidney, brain and meninges. Spinal disease
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Kidney); Tuberculosis (Brain); Tuberculosis (Meninges); Disease (Spine)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: For two years the patient had suffered from caries of the spine and had been subject to headache and sometimes vomiting, coughs and sore throats.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, heart, liver, kidneys, spleen, intestine, cerebrum and spinal cord
Type of incident: n/a

Jane Kenny, 30, Ladiesmaid

Occupation or role: Ladiesmaid
Age: 30
Gender: Female
Date of admission: 7 Feb 1877
Date of death: 26 Feb 1877
Disease (transcribed): Scrofulous kidney. Caseous pneumonia.
Disease (standardised): Tuberculosis (Kidney); Pneumonia (Lung)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient stated that she had been subject to coughs in the winter, and to asthma in town air. She had a cough with much expectoration, wasting, night sweats and occasional haemoptysis.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen and intestinal canal
Type of incident: n/a

Marion Long, 37, Married

Occupation or role: Married
Age: 37
Gender: Female
Date of admission: 10 Feb 1877
Date of death: 9 Mar 1877
Disease (transcribed): Scrofulous kidney. Amyloid liver and spleen. Pulmonary tubercles.
Disease (standardised): Tuberculosis (Kidney); Amyloidosis (Liver, Spleen); Amyloidosis (Spleen); Tuberculosis (Lung)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: For six months before admission the patient had been suffering from general weakness, cough, wasting, slight dyspnoea, and occasional headache. Three weeks before admission the legs began to swell.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, valves, liver, kidneys, spleen, uterus and bladder
Type of incident: n/a

Emma Elliot, 10, Schoolgirl

Occupation or role: Schoolgirl
Age: 10
Gender: Female
Date of admission: 12 Feb 1877
Date of death: 11 Mar 1877
Disease (transcribed): Tubercular phthisis. Ulceration of bowel. Ulcerative laryngitis.
Disease (standardised): Tuberculosis (Lung); Ulcer (Intestines); Ulcer (Larynx); Laryngitis (Larynx)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: This child, whose mother and all her family were consumptive, had always been ailing and languid, subject to cough and sickness.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, kidneys, spleen, peritoneum, intestine, brain and larynx
Type of incident: n/a

Harriet Tite, 7, [No occupation]

Occupation or role: [No occupation]
Age: 7
Gender: Female
Date of admission: 14 Feb 1877
Date of death: 26 Feb 1877
Disease (transcribed): Tubercles of peritoneum, spleen and lung
Disease (standardised): Tuberculosis (Abdomen); Tuberculosis (Spleen); Tuberculosis (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: From the spring of 1876 the patient was the subject of wasting, languor and anorexia, with much headache and pain in the limbs.
Body parts examined in the post mortem: Pleurae, lungs, bronchi, pericardium, heart, liver, kidneys, spleen, peritoneum, intestine and brain
Type of incident: n/a

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