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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

Richard Neale, 43, Carman

Occupation or role: Carman
Age: 43
Gender: Male
Date of admission: 9 Apr 1861
Date of death: 20 Apr 1861
Disease (transcribed): Tetanus
Disease (standardised): Tetanus (Systemic)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: Two months before he was admitted he grazed his right elbow and the back of his thumb, but both places were quite healed in less than a week, and presented no symptoms afterwards. About a month afterwards he thought he caught cold, followed by shivering, sore throat and difficulty swallowing
Body parts examined in the post mortem: Cranium and spine, thorax and abdomen
Illustrations: yes
Type of incident: Trauma/accident

Jane Hull, General servant

Occupation or role: General servant
Age: 30
Gender: Female
Date of admission: 5 Apr 1871
Date of death: 21 Jul 1871
Disease (transcribed): Morbus cordis. Pericarditis
Disease (standardised): Disease (Heart); Pericarditis (Heart)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: n/a
Medical notes: 'Not reported here’
Post mortem notes: Body parts examined in the post mortem: 'Not examined’
Illustrations or photographs: Yes (relating to case PM/1871/248)
Type of incident: n/a

Caroline Parker, 42, Married

Occupation or role: Married
Age: 42
Gender: Female
Date of admission: 13 Dec 1865
Date of death: 21 Dec 1865
Disease (transcribed): Aneurism of middle cerebral artery. Rupture
Disease (standardised): Aneurysm (Brain); Rupture (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Sturges, Octavius
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This woman stated that her health had been good until nine weeks before admission when while engaged in washing clothes she had a fit.
Body parts examined in the post mortem: Cranium, chest and abdomen
Type of incident: n/a

Ann Phillips, 40, Milliner

Occupation or role: Milliner
Age: 40
Gender: Female
Date of admission: 21 Feb 1866
Date of death: 20 Mar 1866
Disease (transcribed): Malignant disease. Encephaloid
Disease (standardised): Cancer (Abdomen)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: She had been ill for eight months before admission. At this date she suffered from vaginal discharge followed in a very short time by pain and swelling in the left iliac fossa.
Body parts examined in the post mortem: Chest and abdomen
Illustrations: Yes
Type of incident: n/a

George Hall, 39, Attendant

Occupation or role: Attendant
Age: 39
Gender: Male
Date of admission: 31 May 1869
Date of death: 3 Jun 1869
Disease (transcribed): Old dysentery. Amyloid degeneration. Phthisis. Ulceration
Disease (standardised): Dysentery (Intestines); Amyloidosis (Spleen); Amyloidosis (Kidney); Tuberculosis (Lung); Ulcer (Intestines)
Admitted under the care of: Wadham, William
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man had been in the army from 1852 to 1860 and had served in the Crimea.
Body parts examined in the post mortem: Abdomen
Illustrations of photographs: Yes
Type of incident: n/a

Mary Ann Madigan, 13, School girl

Occupation or role: School girl
Age: 13
Gender: Female
Date of admission: 28 Mar 1869
Date of death: 20 Jun 1869
Disease (transcribed): Morbus cordis. Pneumonia. Diseased hip
Disease (standardised): Disease (Heart); Pneumonia (Lung); Disease (Hip)
Admitted under the care of: Wadham, William. Holmes, Timothy
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: n/a
Medical notes: This child was admitted under Mr Holme’s care in March with a congenital hare lip and in aspect disease of the left hip.
Body parts examined in the post mortem: Thorax, lungs, heart, abdomen and hip joint
Illustrations or photographs: Yes
Type of incident: n/a

Samuel Patridge, 29, Labourer, ex soldier

Occupation or role: Labourer, ex soldier
Age: 29
Gender: Male
Date of admission: 13 July 1877
Date of death: 19 July 1877
Disease (transcribed): Pneumonia. Old hepatic abscesses. Amyloid disease
Disease (standardised): Pneumonia (Lung); Abscess (Liver); Amyloidosis (Liver, Spleen)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: During the Ashanti war in 1874 he had a fever, and he was invalided in 1875 for pain in the right side of the chest. Early in November he began to cough, shiver, vomit and to experience pain in the right shoulder. He spat green matter and sweated much.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, intestine and brain
Illustration or photograph: Yes
Type of incident: n/a

Sarah Young, 67, Widow

Occupation or role: Widow
Age: 67
Gender: Female
Date of admission: 13 Jun 1877
Date of death: 19 July 1877
Disease (transcribed): Tubercular phthisis; granular kidneys
Disease (standardised): Tuberculosis (Lung); Disease (Kidney)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: This patient was not examined by the Registrar, as her extreme weakness precluded it.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, stomach, uterus and brain
Type of incident: n/a

Charles Snell, 40, Packer

Occupation or role: Packer
Gender: Male
Age: 40
Date of admission: 12 Dec 1877
Date of death: 30 Dec 1877
Disease (transcribed): Low pneumonia. Cystic disease of kidneys. Syphilitic disease of liver
Disease (standardised): Pneumonia (Lung); Kidney diseases, cystic (Kidney); Syphilis (Liver);
Admitting doctor: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No heritable disease in the family. Suffered from 'brain fever' in childhood: from 'rheumatics' in 1857, from occasional sore throats. Venereal sore in 1857 (after the rheumatism) […] A temperate man. Languor and want of appetite, with some loss of flesh for about a month. Attacked with shivering about noon 12 days before admn [admission]: had to leave work and go home. Pain in L [Left] hypochondrium, increased at night, after food, or on inspiration; cough, dyspnoea, and occasional palpitation commenced, and continued. Shivering lasted two days. Bowels costive: urine as usual'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, brain
Illustrations: Yes
Type of incident: n/a

William Howard, 21, Labourer

Occupation or role: Labourer
Gender: Male
Age: 21
Date of admission: 2 Jan 1878
Date of death: 2 Jan 1878
Disease (transcribed): Fibrinous pneumonia etc. Tubercle
Disease (standardised): Pneumonia (Lung); Tuberculosis (Lung);
Admitting doctor: Barclay, Andrew Whyte
Medical examination performed by: n/a
PM performed by: Ewart, William
Medical notes: 'Not examined by Registrar'
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, brain
Illustrations: Yes
Type of incident: n/a

Thomas Simpson, 60, Upholsterer

Occupation or role: Upholsterer
Age: 60
Gender: Male
Date of admission: 11 Nov 1880
Date of death: 12 Nov 1880
Disease (transcribed): Granular kidneys. Enteritis. Obstruction
Disease (standardised): Disease (Kidney); Enteritis (Intestines); Obstruction (Intestines)
Admitted under the care of: Wadham, William
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: This man had been seized with acute pain in the abdomen followed immediately by violent vomiting. He later became restless, unable to speak or recognise his friends.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and intestines
Illustrations: Yes
Type of incident: n/a

George Capes, 48, Labourer

Occupation or role: Labourer
Age: 48
Gender: Male
Date of admission: 1 Nov 1880
Date of death: 16 Dec 1880
Disease (transcribed): Scirrhus of liver. Great emaciation. Jaundice. Pneumonia right lung. Congested base
Disease (standardised): Cancer (Liver); Emaciation (Systemic); Jaundice (Skin); Pneumonia (Lung); Congestion (Lung)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Robinson, G L
Medical notes: For five weeks before admission he had been losing flesh rapidly, his appetite had failed and he was prone to diarrhoea.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, intestinal canal and lymphatics
Illustrations: Yes
Type of incident: n/a

Nehemiah Sharp, 28, Policeman

Occupation or role: Policeman
Age: 28
Gender: Male
Date of admission: 4 Jan 1881
Date of death: 5 Jan 1881
Disease (transcribed): Fracture of the base of the skull
Disease (standardised): Fracture (Skull)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Turner, George Robertson
Medical notes: 'As he was cleaning a window, he fell on to his face, a distance of 24 feet into a stone area beneath. Picked up insensible bleeding from the nose, mouth and right ear'
Body parts examined in the post mortem: Head, bladder, urethra
Illustrations: Yes
Type of incident: Trauma / accident

Emma Castledine, 53, Laundress

Occupation or role: Laundress
Age: 53
Gender: Female
Date of admission: 1 Feb 1881
Date of death: 8 Feb 1881
Disease (transcribed): Scirrhus of the colon. Obstruction (colotomy). Carcinoma of the liver and peritoneum
Disease (standardised): Scirrhus (Colon); Colotomy (Colon); Carcinoma (Liver, peritoneum)
Admitted under the care of: Rouse, James
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Turner, George Robertson
Medical notes: 'No history of family disease. She had always enjoyed good health and had had little if any trouble with the bowels until a month before her admission. Since Jan 2nd she had passed no motion'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, intestines, peritoneum
Illustrations: Yes (see PM/1881/34)
Type of incident: n/a

David Evans, 50, Sawyer

Occupation or role: Sawyer
Age: 50
Gender: Male
Date of admission: 25 Feb 1881
Date of death: 26 Feb 1881
Disease (transcribed): Disease of the heart valves
Disease (standardised): Disease (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Myers, Arthur Thomas
Medical notes: 'The patient has been 'stone deaf' for 12 years. His faculties on admission were somewhat blunted. He could recollect no rheumatism or serious illness. For 3 or 4 years he has had a more or less severe cough, polyurea for 3 years (urine passed 3 or 4 times in the night)'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys
Illustrations: Yes
Type of incident: n/a

Henry Coombs, 45, Carman

Occupation or role: Carman
Age: 45
Gender: Male
Date of admission: 16 May 1881
Date of death: 18 May 1881
Disease (transcribed): Rupture of the bladder, previously fasciculated from stricture
Disease (standardised): Rupture (Bladder); Constriction (Bladder)
Admitted under the care of: Haward, John Warrington and Bennett, William Henry
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Turner, George Robertson
Medical notes: 'For many years had had symptoms of stricture of the urethra and cystitis. On the day of his admission he was pulled off the seat of a coal waggon, fell over the horses, and then both wheels passed over his abdomen, somewhere near the umbilicus'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, bladder, urethra
Illustrations: Yes
Type of incident: Trauma / accident

Richard Haines, 60, Labourer

Occupation or role: Labourer
Age: 60
Gender: Male
Date of admission: 11 Jun 1881
Date of death: 14 Jun 1881
Disease (transcribed): Fractured skull
Disease (standardised): Fracture (Skull)
Admitted under the care of: Haward, John Warrington and Bennett, William Henry
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Turner, George Robertson
Medical notes: 'Was knocked by a donkey engine on the side and fell into a barge on his head. No insensibility at time of accident. On admission quite sensible'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, head
Illustrations: Yes
Type of incident: Trauma / accident

William Barrett, 49, Butcher

Occupation or role: Butcher
Age: 49
Gender: Male
Date of admission: 16 Aug 1879
Date of death: 20 Sep 1879
Disease (transcribed): Tubercle of lungs. Emphysema (pulmonary). Hydropericardium
Disease (standardised): Tuberculosis (Lung); Emphysema (Lung); Hydropericardium (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Tidswell, Herbert Henry
Medical notes: He was an in-patient in this hospital in 1877 for haemoptysis. He had suffered from dyspnoea more or less for ten years, and the cough had steadily increased since 1877.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

Mary Dixon, 21, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 21
Gender: Female
Date of admission: 4 Jan 1880
Date of death: 10 Jan 1880
Disease (transcribed): Cystic carcinoma of ovary. Ovariotomy
Disease (standardised): Cancer (Ovary); Ovariotomy (Ovary)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The patient’s health had been fairly good up to three months before admission when she experienced some shortness of breath. She began to feel ill and lose flesh, and experienced a sudden sharp pain in the left groin.
Body parts examined in the post mortem: Abdomen, generative organs, lungs, pleurae, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

James Nisbet, 49, Carpenter

Occupation or role: Carpenter
Age: 49
Gender: Male
Date of admission: 7 Jan 1880
Date of death: 1 Feb 1880
Disease (transcribed): Emphysema. Fibrosis of liver and kidneys. Hypertrophy of heart. Intracranial haemorrhage
Disease (standardised): Emphysema (Lung); Fibrosis (Liver); Fibrosis (Kidney); Disease (Heart); Haemorrhage (Brain)
Admitted under the care of: Wadham, William
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: In November 1879 he complained of pain in the left side of the chest, wheezing in breathing with a cough and some little sputum. He attended here as an out patient and had continued since every week.
Body parts examined in the post mortem: Brain, lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

John Minton, 30, Plumber

Occupation or role: Plumber
Age: 30
Gender: Male
Date of admission: 3 Feb 1880
Date of death: 3 Feb 1880
Disease (transcribed): Cerebral haemorrhage. Granular kidneys
Disease (standardised): Haemorrhage (Brain); Disease (Kidney)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The patient fell down while at work, he was brought to the hospital almost immediately.
Body parts examined in the post mortem: Brain, lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Thomas Parry, 30, Cooper

Occupation or role: Cooper
Age: 30
Gender: Male
Date of admission: 15 Jan 1880
Date of death: 13 Feb 1880
Disease (transcribed): Tuberculosis of lungs and larynx. Phthisis
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Larynx)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: For sixteen months he had a cough which had been continuously getting worse, and for four months he had felt a ‘lump’ in the throat which made swallowing unneasy.
Body parts examined in the post mortem: Lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Robert Warwick, 43, Watchman

Occupation or role: Watchman
Age: 43
Gender: Male
Date of admission: 1 Nov 1879
Date of death: 19 Feb 1880
Disease (transcribed): Oedema, tubercle, and gangrene of lung. Pericarditis. Enlarged prostate
Disease (standardised): Oedema (Lung); Tuberculosis (Lung); Gangrene (Lung); Pericarditis (Heart); Enlarged (Prostate)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: No notes of this case could be found. He was transferred from the surgeons on 3rd November 1879.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, spleen, kidneys and bladder
Illustrations: Yes
Type of incident: n/a

Frederick Tisner, 20, Packer

Occupation or role: Packer
Age: 20
Gender: Male
Date of admission: 4 Feb 1880
Date of death: 25 Mar 1880
Disease (transcribed): Large white kidneys, with atrophy of cortex. Hypertrophy of heart. Pneumonia
Disease (standardised): Disease (Kidney); Disease (Heart); Pneumonia (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: About the beginning of January he noticed that the sight of the right eye was dim, everything appeared as though enveloped in a fog. For the last three to four months he had passed much water.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and brain
Illustrations: Yes
Type of incident: n/a

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