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Rouse, James Pathological conditions, signs and symptoms
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George Waterton, 22, Labourer

Occupation or role: Labourer
Age: 22
Gender: Male
Date of admission: 15 Oct 1870
Date of death: 2 Nov 1870
Disease (transcribed): Disease of the femur. Operation. Osteomyelitis. Pyaemia.
Disease (standardised): Disease (Leg); Osteomyelitis (Leg); Sepsis (Systemic)
Admitted under the care of: Rouse, James. Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: Five years before admission, the patient had inflammation and swelling of the right thigh bone, no cause assigned. An abscess formed and some bone came away from an opening at the outer side of the femur.
Body parts examined in the post mortem: Exterior of body. No further examination of the body was permitted
Type of incident: n/a

Edward Lack, 53, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 53
Gender: Male
Date of admission: 16 Jan 1860
Date of death: 16 Jan 1860
Disease (transcribed): Operation for strangulated inguinal hernia
Disease (standardised): Hernia (Groin); Operation
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man was admitted with the following history. Five years before he was knocked down by a blow in the abdomen, & an oblique inguinal hernia appeared on the right side’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

Charles Heath, 29, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 29
Gender: Male
Date of admission: 23 Jan 1860
Date of death: 25 Jan 1860
Disease (transcribed): Effusion (traumatic) of blood in arachnoid. Compression & bruise of the brain
Disease (standardised): Effusion (Brain); Bruising (Brain)
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 had been subject to epileptic fits for some years & on the morning of admission (while walking on the pavement) he fell down in a fit & struck his head against the kerb stone, he was picked up & brought to the hospital [and] it was stated by those who brought him that a large amount of blood had been lost’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

Ann Burt, 8, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 8
Gender: Female
Date of admission: 21 Sep 1859
Date of death: 6 Feb 1859
Disease (transcribed): Diseased hip. Fever (?scarlatina)
Disease (standardised): Disease (Hip); Scarlet fever (Systemic)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient was admitted into the hospital in September 1859 with a strumous hip joint. She had been out of health for nearly a year, & six months before symptoms of hip disease began to shew themselves’
Body parts examined in the post mortem: Hip joint, throat, thorax, abdomen

Type of incident: n/a

Thomas Barnes, 43, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 43
Gender: Male
Date of admission: 17 Nov 1859
Date of death: 7 Feb 1860
Disease (transcribed): Fractured spine. Rectovesical fistula
Disease (standardised): Fracture (Spine); Fistula (Peritoneum)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'Shortly before admission, this man was driving a coal waggon under an archway, with his body bent somewhat forwards, when his back & shoulders came in contact with the top of the arch & he was completely doubled up’
Body parts examined in the post mortem: Spine, thorax, abdomen, pelvis

Type of incident: Trauma / accident

Stephen Pratt, 29, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 29
Gender: Male
Date of admission: 13 Feb 1860
Date of death: 17 Feb 1860
Disease (transcribed): Simple fracture of the skull. Effusion of blood between bone & dura mater. Scalp wound
Disease (standardised): Fracture (Skull); Effusion (Brain); Wound (Scalp)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient was admitted (having fallen through a skylight to the ground, a distance of 12 feet) with an extensive scalp wound’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: Trauma / accident

George Carter, 45, Omnibus driver

Occupation or role: Omnibus driver
Age: 45
Gender: Male
Date of admission: 11 Jan 1860
Date of death: 5 Mar 1860
Disease (transcribed): Diseased heart & kidneys. Dropsy
Disease (standardised): Disease (Heart, kidneys); Edema (Systemic)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man was an omnibus driver of drunken habits, like most of his class. Three months before his admission he noticed a small swelling in the right groin, for which he wore a truss’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

James South, 41, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 41
Gender: Male
Date of admission: 28 Mar 1860
Date of death: 1 Apr 1860
Disease (transcribed): Chronic rheumatic arthritis of hip. Fatty heart
Disease (standardised): Arthritis (Hip); Disease (Heart)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man stated that 4 months before his admission he was pushing a carriage into a coach house, when he felt something give way in his left knee. The following morning the left hip was […] swollen, & the thigh became perfectly black, as if from a severe bruise’
Body parts examined in the post mortem: Thorax, abdomen, hip joint

Type of incident: Trauma / accident

Sophia Reeves, 26, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 26
Gender: Female
Date of admission: 31 Mar 1860
Date of death: 4 Apr 1860
Disease (transcribed): Traumatic gangrene of the leg & thigh
Disease (standardised): Gangrene (Leg, thigh)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'About an hour before admission she, getting out of an omnibus, when she was knocked down by a van, the […] wheel of which passed over the […] left knee’
Body parts examined in the post mortem: Thorax, abdomen, left lower extremities

Type of incident: Trauma / accident

Henry Bartley, 47, Cabman

Occupation or role: Cabman
Age: 47
Gender: Male
Date of admission: 6 Apr 1860
Date of death: 10 Apr 1860
Disease (transcribed): Fracture (simple) of the cranium. Laceration of middle meningeal artery. Scalp wound. Diffuse inflammation of the scalp
Disease (standardised): Fracture (Skull); Laceration (Brain); Wound (Scalp); Inflammation (Scalp)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man was brought into the hospital perfectly insensible, apparently from the combined effects of gin & concussion he had been upset off a cab which he was driving’
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

Elizabeth Cant, 39, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 39
Gender: Female
Date of admission: 7 Apr 1860
Date of death: 12 Apr 1860
Disease (transcribed): Strangulated hernia. Operation. Peritonitis
Disease (standardised): Hernia Operation Peritonitis (Peritoneum)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient had been troubled with a femoral hernia for 6 years, which came on after lifting a heavy weight. She had always worn a truss’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Charles Ely, 34, Brewhouse labourer

Occupation or role: Brewhouse labourer
Age: 34
Gender: Male
Date of admission: 22 Feb 1860
Date of death: 23 Apr 1860
Disease (transcribed): Softening of the brain. Gangrene. Peritonitis
Disease (standardised): Softening (Brain); Gangrene; Peritonitis (Abdomen)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Dickinson, William Howship and Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A brewhouse labourer. In the habit of drinking freely, according to his own admission 5 pints a day. He was said to have had epileptic fits latterly, but it was not learned how long he had been so affected. He attributed his illness to a lump of coal falling upon the lower part of his back 7 weeks ago’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Edward Brown, 40, Labourer

Occupation or role: Labourer
Age: 40
Gender: Male
Date of admission: 24 Mar 1860
Date of death: 29 Apr 1860
Disease (transcribed): Chronic inflammation & hypertrophy of the skull. Chronic arachnitis. Trephining. Pyaemia
Disease (standardised): Inflammation (Skull); Arachnitis (Brain); Trephining (Skull); Sepsis (Systemic)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man was at work at the railway bridge at Pimlico, when a stone about the size of a man’s fist fell 30 feet onto his head. He was picked up insensible & conveyed here with as little delay as possible. On admission he was just recovering from his concussion’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: Trauma / accident

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

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

John J. Cooper, [No age stated], [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: [No age stated]
Gender: Male
Date of admission: 23 Jun 1860
Date of death: 23 Jun 1860
Disease (transcribed): Fractured spine & ribs. Rupture of the pleura
Disease (standardised): Fracture (Spine, ribs); Rupture (Pleura)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient was admitted in a state of extreme collapse. The wheel of a waggon having passed over his abdomen’
Body parts examined in the post mortem: Thorax, abdomen, spine

Type of incident: Trauma / accident

Henry Mends, 25, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 25
Gender: Male
Date of admission: 26 May 1860
Date of death: 27 May 1860
Disease (transcribed): Delirium tremens. Fatty heart. Bed sores
Disease (standardised): Alcohol withdrawal delirium (Brain); Disease (Heart); Pressure ulcer (Skin)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'About 10 days before this man was admitted he was getting up behind a carriage, when he struck his right foot (against the step)’
Body parts examined in the post mortem: Cranium, larynx, thorax, abdomen, foot

Type of incident: Trauma / accident

Eliza Bennett, 18, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 18
Gender: Female
Date of admission: 30 Jun 1860
Date of death: 30 Jun 1860
Disease (transcribed): Old ulceration from burn. Double pleurisy. Peritonitis
Disease (standardised): Ulcer Burn (Skin); Pleurisy (Pleura); Peritonitis (Peritoneum)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy and Dickinson, William Howship
Medical notes: 'This patient was admitted with a large sloughing ulcerated surface on the back of the right elbow […] of more than a years’ standing. She was an excessively thin, cachetic-looking girl, & had never menstruated since the original accident’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

Thomas J. Andrews, 13, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 13
Gender: Male
Date of admission: 13 Jul 1860
Date of death: 18 Jul 1860
Disease (transcribed): Wound of hand. Amputation of two fingers. Haemorrhage. Diathesis
Disease (standardised): Wound (Hand); Amputation (Finger); Haemorrhage; Disease susceptibility
Admitted under the care of: Cutler, Edward
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: '10 days before admission this boy was out fishing when his companion struck the back of his right hand with a fishing rod’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

Guthrie / Catherine Gosby, 38, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 38
Gender: Female
Date of admission: 5 Jul 1860
Date of death: 16 Jul 1860
Disease (transcribed): Miscarriage. Clot in uterine vein. Deposit (?secondary) in brain
Disease (standardised): Miscarriage (Uterus); Clot (Blood vessels); Deposit (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy and Rouse, James
Medical notes: 'This woman, whose name was not Guthrie but Catharine, was the mother of 8 children. A fortnight before her admission she miscarried of a 2 months foetus, having up to that time enjoyed, as far as could be ascertained, perfectly good health. The abortion was attended with much haemorrhage, but she went on pretty well until 2 days before her admission, when she became delirious. She had been much neglected during her illness, and the precise manner of her seizure could not be ascertained’
Body parts examined in the post mortem: Cranium, thorax, abdomen, pelvis

Type of incident: n/a

Fanny Noble, 67, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 67
Gender: Female
Date of admission: 14 Jul 1860
Date of death: 21 Jul 1860
Disease (transcribed): Umbilical hernia. Operation. Fatty heart
Disease (standardised): Hernia (Abdomen); Operation; Disease (Heart)
Admitted under the care of: Pollock, George
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy and Pollock, George
Medical notes: 'This patient had had an umbilical hernia for some years & she had never worn any support for it’
Body parts examined in the post mortem: Abdomen, heart

Type of incident: n/a

William Swingwood, 24, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 24
Gender: Male
Date of admission: 11 Jul 1860
Date of death: 24 Jul 1860
Disease (transcribed): Malignant disease, recurring after amputation, in the lungs, brain & kidney. Polypus nasi (?malignant)
Disease (standardised): Malignant disease (Lungs, brain, kidneys); Amputation; Polyps (Nose)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'The patient was admitted in a state of almost insensibility with a malignant polypus […] He was perfectly unable to speak but he appeared at times to understand when he was spoken to. His wife stated that about a week [previous to] admission she had noticed that he was not himself, but his inability to speak had only existed two days’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Edward Penstone, 54, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 54
Gender: Male
Date of admission: 18 Jul 1860
Date of death: 16 Aug 1860
Disease (transcribed): Malignant disease of the liver and around the bladder. Inflammation of the bladder. Distended and inflamed kidneys
Disease (standardised): Malignant disease (Liver, bladder); Inflammation (Bladder, kidneys)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient had been subject to bladder symptoms for the last 20 years, the result of a stricture of the urethra. For the last 12 years he had passed a catheter regularly for himself’
Body parts examined in the post mortem: Thorax, abdomen, pelvis

Type of incident: n/a

Jeremiah Cooper, 47, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 47
Gender: Male
Date of admission: 6 Sep 1860
Date of death: 7 Sep 1860
Disease (transcribed): Operation for femoral hernia
Disease (standardised): Hernia (Thigh); Operation
Admitted under the care of: Pollock, George
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy and Pollock, George
Medical notes: '12 years before admission this patient had a bag of flour fall on him which freed down a hernia on the right side’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

Henry Shirley, 15, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 15
Gender: Male
Date of admission: 21 Oct 1860
Date of death: 22 Oct 1860
Disease (transcribed): Diffuse inflammation of foot. Abscess in ankle & tarsal joints. Pyaemia
Disease (standardised): Inflammation (Foot); Abscess (Ankle); Sepsis (Systemic)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'One the 17th of this month his boy tripped over a stone & sprained his left ankle, he walked home, went to bed & was attended by a medical man who ordered poultices. On the 18th he complained of much pain in foot & there was considerable swelling. During the evening he became delirious’
Body parts examined in the post mortem: Cranium, thorax, abdomen, left foot

Type of incident: n/a

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