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Haward, John Warrington Digestive system diseases
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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

Emile Bruck, 35, Clerk

Occupation or role: Clerk
Age: 35
Gender: Male
Date of admission: 28 Dec 1897
Date of death: 1 Jan 1898
Disease (transcribed): Perforated duodenal ulcer. Peritonitis
Disease (standardised): Ulcer (Duodenum); Perforation (Duodenum); Peritonitis (Abdomen)
Admitted under the care of: Hayward, John Warrington. Allingham, Herbert William
Medical examination performed by: Jaffrey, Francis
Post mortem examination performed by: Latham, Arthur Carlyle
Medical notes: The patient complained of pain in the abdomen in the region of the umbilicus.
Body parts examined in the post mortem: Lungs, heart, abdomen, liver, spleen, kidneys, bladder, testicles and toe joints
Type of incident: n/a

William Tye, 55, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 55
Gender: Male
Date of admission: 12 Dec 1889
Date of death: 21 Feb 1890
Disease (transcribed): Faecal abscess. Peritonitis. Bronchitis and pleurisy
Disease (standardised): Abscess (Intestines); Peritonitis (Abdomen); Bronchitis (Lung); Pleurisy (Pleura)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Cotes, Charles Edward Henry
Post mortem examination performed by: Bradley, James Edmund Campbell
Medical notes: Some ten weeks back he noticed a painful lump in the left side of the anus. This lump steadily increased in size and became more painful.
Body parts examined in the post mortem: Pleurae, lungs, heart, abdomen, kidneys, spleen and liver
Type of incident: n/a

Harriet Phillips, 53, [Wife of] Glazier

Occupation or role: [Wife of] Glazier
Age: 53
Gender: Female
Date of admission: 6 Nov 1886
Date of death: 13 Nov 1886
Disease (transcribed): Peritonitis. Bronchitis. Ovarian tumour. Removed
Disease (standardised): Peritonitis (Abdomen); Bronchitis (Lung); Cancer (Ovary); Operation (Ovary)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Bull, William Charles
Post mortem examination performed by: Sisley, Richard
Medical notes: The catamenia ceased thirteen years ago and since then she had irregular discharge of blood. Four years ago a small lump appeared on the left side of the abdomen.
Body parts examined in the post mortem: Pleurae, lungs, larynx, pericardium, heart, aorta, peritoneum, liver, spleen, kidneys, bladder, stomach, intestines and uterus
Type of incident: n/a

Charles Hewitt, 44, Chef

  • Occupation or role: Chef
    Age: 44
    Gender: Male
    Date of admission: 1 Jul 1886
    Date of death: 9 Sep 1886
    Disease (transcribed): Hydatids of liver. Abscess of liver. Lardaceous degeneration of kidneys, liver and intestines. Peritonitis
    Disease (standardised): Echinococcosis (Liver); Abscess (Liver); Amyloidosis (Kidney); Amyloidosis (Liver); Amyloidosis (Intestines); Peritonitis (Abdomen)
    Admitted under the care of: Cavafy, John
  • Haward, John Warrington
    Medical examination performed by: Bull, William Charles
    Post mortem examination performed by: Bull, William Charles
    Medical notes: He was admitted under Dr Cavafy in 1885 with well marked hydatid disease of the liver. There was a large cyst which extended over the greater part of the abdomen.
    Body parts examined in the post mortem: Liver, abdomen, spleen, kidneys, lungs, heart and intestines
    Type of incident: n/a

Beatrice Haile, 42, [Wife of] Messenger

Occupation or role: [Wife of] Messenger
Age: 42
Gender: Female
Date of admission: 10 Mar 1886
Date of death: 12 Mar 1886
Disease (transcribed): Ulceration of the peritoneal coat of the bowel. Peritonitis. Enteritis. Following hernia (which had been relieved by operation)
Disease (standardised): Ulcer (Intestines); Peritonitis (Abdomen); Enteritis (Intestines); Hernia (Abdomen); Operation (Abdomen)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Allingham, Herbert William. Bull, William Charles
Post mortem examination performed by: Sisley, Richard
Medical notes: The patient had been ruptured for five or six years. Four days ago the patient was carrying a heavy load and felt the rupture come down.
Body parts examined in the post mortem: Pleurae, lungs, larynx, pericardium, heart, aorta, abdomen, liver, kidneys, bladder, pancreas and uterus
Type of incident: n/a

Frederick Leggett, 28, Cabinet maker

Occupation or role: Cabinet maker
Age: 28
Gender: Male
Date of admission: 9 Jul 1884
Date of death: 5 Sep 1884
Disease (transcribed): General peritonitis. Pyaemic abscesses
Disease (standardised): Peritonitis (Abdomen); Sepsis (Systemic); Abscess (Abdomen)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Warner, F.O.
Medical notes: This man was admitted with diarrhoea.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, abdomen, liver, spleen, kidneys and intestines
Type of incident: n/a

Percy Leonard King, 6, [No occupation stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 6
Date of admission: 18 Nov 1899
Date of death: 20 Nov 1899
Disease (transcribed): Gangrenous appendicitis
Disease (standardised): Gangrene (Appendix); Appendicitis (Appendix);
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Collard, Frederic Stuartson
Post mortem examination performed by: Fenton, William James
Medical notes: 'Not seen by S.R. [Surgical Registrar]'
Body parts examined in the post mortem: Abdomen
Type of incident: n/a

Benjamin Brittain, 1 6/12, [Child of] Labourer

Occupation or role: [Child of] Labourer
Gender: Male
Age: 1 6/12
Date of admission: 25 Oct 1899
Date of death: 25 Oct 1899
Disease (transcribed): Strangulated hernia. Richter's hernia. General peritonitis
Disease (standardised): Hernia (Intestines abdomen); Peritonitis (Abdomen);
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Collard, Frederic Stuartson
Post mortem examination performed by: Lazarus-Barlow, Walter Sydney
Medical notes: 'Bgt [Brought] in dead'
Body parts examined in the post mortem: Thorax, abdomen
Type of incident: n/a

Rhoda Vowles, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Female
Date of admission: 30 Jul 1900
Date of death: 5 Aug 1900
Disease (transcribed): Gallstones. Atrophy of Gall Bladder. Dilatation of intra hepatic bile ducts and of the hepatic and common ducts
Disease (standardised): Gall stones (Gall bladder); Atrophy (Gall bladder); Dilatation (Bile ducts)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Keyser, Charles Ralph
Post mortem examination performed by: Fenton, William James
Medical notes: Five weeks ago the patient was suddenly seized with colic in the abdomen and very severe pain lasting twelve hours and causing faintness and vomiting. On the day following colic she was jaundiced.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, pancreas, kidneys, urinary tract and appendix
Type of incident: n/a

Edward Jenkinson, 53, Butler

Occupation or role: Butler
Age: 53
Gender: Male
Date of admission: 27 Jul 1900
Date of death: 28 Jul 1900
Disease (transcribed): ? Volvulas
Disease (standardised): Volvulus (Intestines)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: n/a
Post mortem examination performed by: Fenton, William James
Medical notes: Not seen by Surgical Registrar.
Body parts examined in the post mortem: Thorax, lungs, heart, abdomen, liver, spleen, pancreas, kidneys, urinary tract, alimentary canal and brain
Type of incident: n/a

Frances Davis, 16, Servant

Occupation or role: Servant
Age: 16
Gender: Female
Date of admission: 30 May 1900
Date of death: 31 May 1900
Disease (transcribed): Pelvic Peritonitis and abscess. Suppuration and rupture of an ovarian cyst
Disease (standardised): Peritonitis (Pelvis); Abscess (Pelvis); Cysts (Ovary)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Pendlebury, Herbert Stringfellow
Post mortem examination performed by: Fenton, William James
Medical notes: Not seen by Surgical Registrar. The patient had a feeble fluttering pulse, extremities were cold and clammy, no abdominal breathing and rigid abdominal walls.
Body parts examined in the post mortem: Pelvis, appendix, ovaries
Type of incident: n/a

George Towle, 42, Bricklayer

Occupation or role: Bricklayer
Age: 42
Gender: Male
Date of admission: 10 Apr 1900
Date of death: 16 Apr 1900
Disease (transcribed): Appendicitis. Purulent Peritonitis
Disease (standardised): Appendicitis (Appendix); Peritonitis (Abdomen)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Pendlebury, Herbert Stringfellow
Post mortem examination performed by: Vellacott, Philip Northcott
Medical notes: Fourteen days before admission the patient had pain in the right lower abdomen with attacks of vomiting.
Body parts examined in the post mortem: Lungs, pericardium, heart, vessels, abdomen, liver, spleen, pancreas and kidneys
Type of incident: n/a

Susan Cording, 29, Parlourmaid

Occupation or role: Parlourmaid
Age: 29
Gender: Female
Date of admission: 13 Feb 1900
Date of death: 6 Mar 1900
Disease (transcribed): Tuberculous ulceration of the Intestine. Phthisis. Localised tuberculous peritonitis. Thrombosis of left common iliac vein
Disease (standardised): Tuberculosis (Intestines); Tuberculosis (Lung); Peritonitis (Abdomen); Thrombosis (Veins); Tuberculosis (Abdomen)
Admitted under the care of: Haward, John Warrington. Ewart, William
Medical examination performed by: n/a
Post mortem examination performed by: Fenton, William James
Medical notes: See Medical Notes
Body parts examined in the post mortem: Lungs, larynx, pericardium, heart, valves and aorta, omentum, intestines, liver, spleen, pancreas, kidneys, suprarenal glands and urinary tract
Type of incident: n/a

Louisa Waterman, 50, Lodging house keeper

Occupation or role: Lodging house keeper
Age: 50
Gender: Female
Date of admission: 31 Oct 1895
Date of death: 3 Nov 1895
Disease (transcribed): (?) ‘Purulent’ peritonitis from sloughing ovarian cyst
Disease (standardised): Suppuration (Abdomen); Peritonitis (Abdomen); Cysts (Ovary)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Ward, Arthur Henry
Post mortem examination performed by: Ogle, Cyril
Medical notes: The patient stated that she had been ill for a fortnight with diarrhoea, sickness and acute abdominal pain
Body parts examined in the post mortem: Abdomen, intestines, uterus, liver, spleen, kidneys, adrenals, intestines, stomach, lungs, larynx, heart and toe joint
Type of incident: n/a

Harold W Bull, 8, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 8
Gender: Male
Date of admission: 18 May 1895
Date of death: 18 May 1895
Disease (transcribed): Peritonitis. Perforation of vermiform appendix
Disease (standardised): Peritonitis (Abdomen); Perforation (Appendix)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Ward, Arthur Henry
Post mortem examination performed by: Ogle, Cyril
Medical notes: He was reported to have been ill for some time. Four days before admission he had a fall and since then he had been getting worse.
Body parts examined in the post mortem: Lungs, heart, abdomen, spleen, pancreas, liver, adrenals, kidneys, head, brain and eyes
Type of incident: n/a

George North, 54, Carman

Occupation or role: Carman
Age: 54
Gender: Male
Date of admission: 5 Oct 1895
Date of death: 6 Oct 1895
Disease (transcribed): Rupture of intestine (Laparotomy). Peritonitis
Disease (standardised): Rupture (Intestines); Laparotomy (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Ward, Arthur Henry
Post mortem examination performed by: Ogle, Cyril
Medical notes: Four days before admission the patient was kicked in the abdomen by a horse.
Body parts examined in the post mortem: Abdomen, stomach, pancreas, spleen, kidneys, adrenals, bladder, liver, lungs, larynx, heart and hernia
Type of incident: Trauma/accident

Esther Archer, 20, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 20
Gender: Female
Date of admission: 2 Jan 1895
Date of death: 3 Jan 1895
Disease (transcribed): Ulcers of stomach. General peritonitis from perforation
Disease (standardised): Ulcer (Stomach); Peritonitis (Abdomen); Perforation (Abdomen)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Ward, Arthur Henry
Post mortem examination performed by: Ogle, Cyril
Medical notes: On the day of admission she was seized with violent abdominal pain and became much collapsed. She vomited dark fluid containing blood.
Body parts examined in the post mortem: Abdomen, liver, spleen, suprarenals, kidneys, bladder, uterus, ovaries, thorax, lungs, larynx and heart
Type of incident: n/a

Frederick Sutton, 27, Coachman

Occupation or role: Coachman
Age: 27
Gender: Male
Date of admission: 21 Mar 1896
Date of death: 22 Mar 1896
Disease (transcribed): Gangrene of vermiform appendix. Peritonitis (Laparotomy)
Disease (standardised): Gangrene (Appendix); Peritonitis (Abdomen); Laparotomy (Abdomen) Admitted under the care of: Haward, John Warrington. Cavafy, John
Medical examination performed by: Ward, Arthur H.
Post mortem examination performed by: Ogle, Cyril
Medical notes: The patient was admitted with vomiting and constipation with distension of the abdomen and pain in the region of the caecum.
Body parts examined in the post mortem: Liver, spleen, kidneys, adrenals, stomach and toe joints
Type of incident: n/a

John W Smart, 24, Butler

Occupation or role: Butler
Age: 24
Gender: Male
Date of admission: 13 Jan 1876
Date of death: 16 Jan 1876
Disease (transcribed): Peritonitis. Gangrene of the intestine from hernia
Disease (standardised): Peritonitis (Abdomen); Gangrene (Intestine); Hernia (Abdomen)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Morgan, John Hammond
Post mortem examination performed by: Lee, Robert James
Medical notes: This man had had a hernia for four years. When in bed some gut came down and became painful at once.
Body parts examined in the post mortem: Only the abdomen was examined
Type of incident: n/a

Ernest Harris, 27, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 27
Gender: Male
Date of admission: 15 Dec 1898
Date of death: 20 Dec 1898
Disease (transcribed): Peritonitis following perforation of vermiform appendix
Disease (standardised): Peritonitis (Abdomen); Perforation (Appendix)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Collard, Frederic Stuartson
Post mortem examination performed by: Belcher Hickman, H. R.
Medical notes: On December 11th he felt unwell and dizzy, and was seized with shooting pains in the upper part of the abdomen.
Body parts examined in the post mortem: Thorax, lungs, heart, larynx, abdomen, liver, spleen, pancreas, kidneys, bladder, prostate and rectum
Type of incident: n/a

John Hughes, 47, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 47
Gender: Male
Date of admission: 19 Oct 1898
Date of death: 21 Nov 1898
Disease (transcribed): Tuberculous appendicitis
Disease (standardised): Tuberculosis (Appendix); Appendicitis (Appendix)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Collard, Frederic Stuartson
Post mortem examination performed by: n/a
Medical notes: See surgical notes
Body parts examined in the post mortem: No autopsy
Type of incident: n/a

Sarah Callaghan, 20, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 20
Gender: Female
Date of admission: 18 Nov 1898
Date of death: 20 Nov 1898
Disease (transcribed): Peritonitis following perforation of a gastric ulcer
Disease (standardised): Peritonitis (Abdomen); Ulcer (Stomach); Perforation (Stomach)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Collard, Frederic Stuartson
Post mortem examination performed by: Lazarus-Barlow, Walter Sydney
Medical notes: For two or three days the patient had complained of acute pains in the left side of the chest following a bad cold.
Body parts examined in the post mortem: Partial examination only permitted
Type of incident: n/a

Emma Andrews, 39, Laundress

Occupation or role: Laundress
Age: 39
Gender: Female
Date of admission: 15 Jan 1889
Date of death: 17 Jan 1889
Disease (transcribed): Ruptured intestines, left psoas muscle, mesentery and great omentum. Peritonitis and haemorrhage into the peritoneal cavity
Disease (standardised): Rupture (Intestines); Rupture (Psoas muscle); Rupture (Mesentery); Rupture (Abdomen); Peritonitis (Abdomen); Haemorrhage (Abdomen)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Cotes, Charles Edward Henry
Post mortem examination performed by: Penrose, Francis George
Medical notes: She was accustomed to a good deal of alcohol and whilst intoxicated she was knocked down by a cab which passed over her abdomen.
Body parts examined in the post mortem: Abdomen, thorax, heart, liver and bladder
Type of incident: n/a

Charles John Tucker, 68, Hall porter

Occupation or role: Hall porter
Age: 68
Gender: Male
Date of admission: 29 Oct 1883
Date of death: 30 Oct 1883
Disease (transcribed): Strangulated umbilical hernia. Herniotomy. Peritonitis
Disease (standardised): Hernia (Abdomen); Herniotomy (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: This man had had an umbilical hernia for more than ten years of a very large size.
Body parts examined in the post mortem: Pleura, heart, liver, spleen and kidneys
Type of incident: n/a

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