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Barclay, Andrew Whyte Item Wounds and injuries
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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

Charles Hine, 48, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 48
Gender: Male
Date of admission: 13 Sep 1849
Date of death: 29 Sep 1849
Disease (transcribed): Apoplexy. Extravasation of blood in the right lateral ventricle. Optic thalamus broken up, & the corpus striatum displaced
Disease (standardised): Stroke (Brain); Extravasation (Brain); Injury (Brain)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: 'This patient was brought to the hospital having fallen down in a fit, in which he had been quite unconscious, but was not convulsed, and was found to have lost the use of his left side’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

James Goose, 69, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 69
Gender: Male
Date of admission: 12 Feb 1853
Date of death: 13 Feb 1853
Disease (transcribed): Extravasation of blood into the sub-arachnoidean tissue covering brain and cerebellum. Ventricles full of clotted blood. Breaking up of the left corpus striatum and of the walls of the left ventricle
Disease (standardised): Extravasation (Brain); Laceration (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This man was found by the police in a state of insensibility on his way to work on the morning of the twelfth and had been taken to a medical man who observed a smell of spirits about his breath.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

George Gibbett, 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 19 Jun 1848
Date of death: 20 Jun 1848
Disease (transcribed): Fracture of skull. Extensive laceration of brain. Apoplectic cyst in brain.
Disease (standardised): Fracture (Skull); Laceration (Brain); Apoplectic cyst (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: This man was brought to the Hospital by the officers of police, by whom he had been found in a state of insensibility.
Body parts examined in the post mortem: Cranium
Type of incident: n/a

Samuel G Spiers, 56, Labourer

Occupation or role: Labourer
Age: 56
Gender: Male
Date of admission: 10 Sep 1879
Date of death: 10 Sep 1879
Disease (transcribed): Spontaneous laceration of the thoracic aorta. Haemorrhage into the left pleura
Disease (standardised): Laceration (Aorta); Haemorrhage (Pleura)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: This patient was brought in dead.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys and brain
Type of incident: n/a

St George's Hospital Reports, Vol. III

CONTENTS
I. On the Treatment of Rheumatic Fever. By HENRY WILLIAM FULLER, M.D., Senior Physician to the Hospital
II. Cases of Delirium probably dependent on Impoverishment of the Blood. By A. W. BARCLAY, M.D., Physician to the Hospital, and Lecturer on Physic
III. Abstract of Clinical Lectures. By HENRY LEE, Surgeon to the Hospital
IV. Case of Cerebral Disease in a Syphilitic Patient. By T. CLIFFORD ALLBUTT, M.D., Physician to the Leeds General Infirmary
V. On the Reduction of old Dislocations. By BERNARD E. BRODHURST, Assistant Surgeon to the Hospital
VI. On Traumatic Fever. By THOMAS P. PICK, Curator of the Pathological Museum
VII. On Paralysis of the Extensors. By REGINALD THOMPSON, M.D., F.R.S., Medical Registrar to the Hospital
VIII. Are there special Trophic Nerves? By HANDFIELD JONES, M.D., F.R.S., Physician to St. Mary’s Hospital
IX. On improved Methods of inducing and accelerating Labour, with the view of obtaining increased safety to Mother and Child. By ROBERT BARNES, M.D., Lecturer on Midwifery, &c. St. Thomas’s Hospital
X. On Counter-Irritation, considered in reference to the remote and indirect effects of local morbid changes. By W. H. DICKINSON, M.D., Assistant Physician to the Hospital
XI. A Hypothesis as to the ultimate destination of Glycogen. By WILLIAM OGLE, M.D., Assistant Physician to, and Lecturer on Physiology at the Hospital
XII. Case of Poisoning by Stramonium. By C. PAGET BLAKE, M.D. Edin., M.R.C.P. Lond., Consulting Physician to the Torbay Infirmary and Dispensary
XIII. Loss of Speech from the Bite of Venomous Snakes. By WILLIAM OGLE, M.D., Assistant Physician to the Hospital
XIV. Upon certain Morbid Conditions of the Appendages of the Liver. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XV. A Case of Aneurysm. By R. J. LEE, M.B.
XVI. A Series of Fatal Cases of Poisoning. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XVII. On the Treatment of Wounds by the application, of Carbolic Acid, on Lister’s method; showing the results of a Series of Cases so treated in this Hospital during the last few months. By T. HOLMES, Surgeon to the Hospital, and Lecturer on Surgery; and W. B. HOLDERNESSE, House-Surgeon to the Hospital
XVIII. Ophthalmic Department Report. By HENRY POWER, Ophthalmic Surgeon to the Hospital
XIX. Pathological Observations. By THOMAS P. PICK, Curator of the Pathological Museum
XX. Report of the Medical Cases admitted during the year 1867-8. By REGINALD E. THOMPSON, M.D., Medical Registrar
XXI. Report of the Surgical Cases treated during the year 1867. By WILLIAM LEIGH, Surgical Registrar
XXII. Address to the Students of the Hospital on the Opening of the New School, October 1,1868. By HENRY W. ACLAND, Regius Professor of Medicine in the University of Oxford, and Honorary Physician to H.R.H. the Prince of Wales

LIST OF ILLUSTRATIONS
Diagram of Medio-lateral Operation for Lithotomy
Obstruction of Bile-duct by enlarged Glands
Cyst of Pancreas, the result of Obstruction of its Duct
TWO Views of Aneurysm of the Aorta
Diagrams explanatory of this Case
Coloured Lithographs illustrating Cases in the Ophthalmic Report

Richard Burt, 74, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 74
Gender: Male
Date of admission: 8 May 1851
Date of death: 24 May 1851
Disease (transcribed): Fracture of the thigh immediately below the capsule of the hip joint. Apparent attempt at a ‘fake joint’. Disease of the kidneys
Disease (standardised): Fracture (Thigh); Disease (Kidneys)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Barclay, Andrew Whyte
Medical notes: 'This old man fell down in the street the day before his admission & fractured the thigh, crepitus being felt at its upper part near the trochanter major. There was shortening for about an inch & the foot was rotated outwards. He had suffered from paralysis some time before the accident, & had recovered in a great measure, but he always felt weaker on the right side (the side paralyzed) on which the injury took place’
Body parts examined in the post mortem: Right leg, abdomen

Type of incident: Trauma / accident

Edmund Winter, 30, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Male
Date of admission: 3 Jun 1851
Date of death: 6 Jun 1851
Disease (transcribed): Contused & lacerated wound of the integuments & deeper structures at the lower & inner part of the thigh. Gangrene of the neighbouring parts followed. Death with typhoid symptoms
Disease (standardised): Wound (Thigh); Gangrene (Thigh); Typhoid fever (Systemic)

Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Barclay, Andrew Whyte and Ogle, John William
Medical notes: 'While driving a cart containing several sacks of flour to the amount of two tens weight, the horse went off the road & the driver was thrown from his seat to the ground, the wheel passing over his right leg & thigh causing a lacerated & contused wound three inches long over the inner side of the thigh, commencing on a level with the upper border of the patella’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

John Connor, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Male
Date of admission: 4 Aug 1852
Date of death: Brought in dead
Disease (transcribed): Severe injury of the head. Fracture of skull. Laceration of brain
Disease (standardised): Injury (Head); Fracture (Skull); Laceration (Brain)
Admitted under the care of: n/a
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: As the body was not examined the cases is not reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: Trauma/accident

Joseph Johnson, 64, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 64
Gender: Male
Date of admission: 11 May 1848
Date of death: 8 Jun 1848
Disease (transcribed): Erysipelas of face. Sloughing of sub mucous cellular tissue of tongue. Fracture of leg and union
Disease (standardised): Erysipelas (Skin); Sloughing (Tongue); Fracture (Leg)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: This patient having been admitted under the care of Mr Cutler with simple fracture of right leg, was transferred to Dr Page. He had complained of soreness of throat, with difficulty of swallowing and tenderness.
Body parts examined in the post mortem: Mouth, fauces, thorax, abdomen and lower extremity
Type of incident: n/a

Rice Owen, 66, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 66
Gender: Male
Date of admission: 9 Aug 1852
Date of death: 28 Oct 1852
Disease (transcribed): Fracture of neck of femur. Low fever
Disease (standardised): Fracture (Leg); Fever (Systemic)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: n/a
Medical notes: As the body was not examined the case is not given.
Body parts examined in the post mortem: The body was not examined
Type of incident: Trauma/accident

Louis Agassiz, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 20 Jul 1853
Date of death: 22 Jul 1853
Disease (transcribed): Hypertrophy and dilatation of heart. Lacerated condition of the mitral valve flaps and chordae tendinae. Fibrin deposits on valves also in substance of kidney and spleen
Disease (standardised): Disease (Heart); Laceration (Heart); Fibrin (Heart); Fibrin (Kidney); Fibrin (Spleen)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This patient had been ill about six weeks before admission. He complained chiefly of pain and tightness across the abdomen and pains of a vague ill defined character all over him.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Thomas Henry, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: [No age stated]
Date of admission: 19 Jul 1854
Date of death: 19 Jul 1945
Disease (transcribed): Drowned
Disease (standardised): Drowning
Admitting doctor: Nairne, Robert
Surgeon: Gray, Henry
Physician: Barclay, Andrew Whyte
Medical notes: 'As the body was not examined, this case is not given’
Post mortem notes: 'This body was not examined. Brought in dead’

Type of injury: n/a

James Moulder, 12, Schoolboy

Occupation or role: Schoolboy
Age: 12
Gender: Male
Date of admission: 8 Dec 1864
Date of death: 28 Dec 1864
Disease (transcribed): Scarlatina. Fracture of skull. Excavation of brain
Disease (standardised): Scarlet fever (Systemic); Fracture (Skull); Injury (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Sturges, Octavius and Pick, Thomas Pickering
Medical notes: 'This boy was originally a surgical patient, having been in the Oxford ward for six weeks for an injury to the head. He came under the care of Dr Barclay on the 8th of December for scarlatina […] This boy was admitted Nov 1st, having fallen from a second floor window into the area below’
Body parts examined in the post mortem: Head, skull, chest, throat, abdomen

Type of incident: Trauma / accident

William Kidder, 22, Labourer

Occupation or role: Labourer
Age: 22
Gender: Male
Date of admission: 23 Feb 1882
Date of death: 23 Feb 1882
Disease (transcribed): Wounds of oesophagus. Bleeding into lung and stomach
Disease (standardised): Wound (Oesophagus); Bleeding (Lung); Bleeding (Stomach)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: n/a
Post mortem examination performed by: Margerison, Richard
Medical notes: Brought in dead
Body parts examined in the post mortem: Heart, lungs, spleen, kidneys, liver, intestinal canal and brain
Type of incident: Trauma/accident?

William Porter, 38, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Male
Date of admission: 21 Apr 1851
Date of death: 21 Apr 1851
Disease (transcribed): Poisoning by hydrocyanic acid. Great congestion of the various viscera & effusion of yellow fluid into peritoneal cavity. Also effusion into the subarachnoid tissue & congestion of the cerebral membranes. Old peritonitis & pleurisy on the right side. Enlarged tricuspid orifice at right side of the heart
Disease (standardised): Poisoning (Systemic); Congestion (Internal organs); Effusion (Peritoneum, brain); Peritonitis (Abdomen); Pleurisy (Lungs); Disease (Heart)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient was brought to the hospital dead, reported to have committed suicide, a bottle which had contained hydrocyanic acid having been found in his room. It came out in evidence on the inquest that he had got into difficulties, and had appropriated money of his employer’s’
Body parts examined in the post mortem: Abdomen, thorax, cranium

Type of incident: Suicide

Henry W Carpenter, 27, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 27
Gender: Male
Date of admission: 6 May 1852
Date of death: 9 May 1852
Disease (transcribed): Cut of the finger with a piece of glass. Infiltrated pus in the pectoral and latiss dorsi muscles and in the sub-tegumentary tissues. Coagula adherent to neighbouring lumbar veins
Disease (standardised): Wound (Finger); Suppuration (Muscles); Suppuration (Tissues); Coagula (Veins)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: The patient was admitted reporting that he had cut his finger with glass, and a small portion remained in the wound which had closed up.
Body parts examined in the post mortem: Integuments of the chest, thorax and abdomen
Type of incident: Trauma/accident

John Hunt, 43, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 43
Gender: Male
Date of admission: 20 Jun 1849
Date of death: 25 Jun 1849
Disease (transcribed): Jaundice. Old adhesions on the left side of the chest. Fractured intercostal cartilage corresponding side. Enlarged liver. Kidneys congested & flabby. Serous effusion beneath the arachnoid &c
Disease (standardised): Jaundice (Skin); Disease (Chest); Fracture (Ribs); Disease (Liver, kidneys, brain)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: 'This patient was on his first admission placed under the care of the surgeon as he attributed his illness to a kick he had received from a horse on the left side. On examination however it was soon ascertained that although there had been some displacement of one rib from former accident, several years ago, that there were no symptoms referrible to a recent injury, but that he was labouring under some febrile affection’
Body parts examined in the post mortem: Thorax, abdomen, cranium

Type of incident: n/a

Thomas Cockling, 46, Engine driver

Occupation or role: Engine driver
Gender: Male
Age: 46
Date of admission: 11 Sep 1878
Date of death: 4 Dec 1878
Disease (transcribed): Aortic aneurysm. Rupture into the oesophagus
Disease (standardised): Aneurysm (Aorta); Rupture (Oesophagus);
Admitting doctor: Barclay, Andrew Whyte
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. A free drinker of spirits. Had a chancre and bubo at an ill defined time before admission: no constitutional manifestations of syphilis. In august 1877 he began to suffer from severe palpitation and dyspnoea, and had to give up work. In the Spring of 1878 he found difficulty in swallowing, which steadily increased. A swelling in the chest was noticed 'two months' before admn [admission]'
Body parts examined in the post mortem: Heart, liver, kidneys, spleen, stomach, oesophagus, aneursym
Type of incident: n/a

John Rathbone, 46, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Male
Date of admission: 20 Aug 1851
Date of death: 2 Sep 1851
Disease (transcribed): Burn. Inflammation of lung
Disease (standardised): Burn (Skin); Inflammation (Lungs)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: n/a
Medical notes: 'As the body was not examined this case is not given’
Body parts examined in the post mortem: 'The friends objected to any examination of this body’

Type of incident: Trauma / accident

Bridget Brennan, 76, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 76
Gender: Female
Date of admission: 24 Dec 1851
Date of death: 5 Jan 1852
Disease (transcribed): Diseased kidneys. Old double pleurisy. Cartilaginiform thickening of the capsule of the spleen. Bronchitis. Fracture of the neck of the thigh bone
Disease (standardised): Disease (Kidney); Pleurisy (Pleura); Thickening (Spleen); Bronchitis (Lung); Fracture (Leg)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: She alleged that she had suffered from cough for several years but she had been much worse for the last year and a half.
Body parts examined in the post mortem: Abdomen and thorax
Type of incident: n/a

Mary Butler, 68, Married

Occupation or role: Married
Age: 68
Gender: Female
Date of admission: 17 Sep 1864
Date of death: 22 Dec 1864
Disease (transcribed): Fracture of neck of femur
Disease (standardised): Fracture (Thigh)
Admitted under the care of: Lee, Henry and Barclay, Andrew Whyte
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Chest, abdomen, hip

Type of incident: n/a

Daniel McCarthy, 55, Labourer

Occupation or role: Labourer
Age: 55
Gender: Male
Date of admission: 14 Sep 1880
Date of death: 24 Sep 1880
Disease (transcribed): Fractured ribs. Clot in pulmonary artery
Disease (standardised): Fracture (Ribs); Thrombosis (Lung)
Admitted under the care of: Holmes, Timothy. Barclay, Andrew Whyte
Medical examination performed by: Turner, George Robertson
Post mortem examination performed by: Evans, Arthur Owen
Medical notes: This man was admitted under the care of Dr Barclay suffering with pneumonia. It was subsequently discovered that nine days previously he had sustained an injury of the left side of his chest, and he was transferred to the care of Mr Holmes.
Body parts examined in the post mortem: Heart, lungs, liver, kidneys, spleen and ribs
Type of incident: Trauma/accident