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St George's Hospital Reports, Vol. IV

CONTENTS:
I. On the Variations of the Acidity of the Urine that occur when Vegetable and Mineral Acids are used. By H. BENCE JONES, Esq.
II. A Case of Angina Pectoris. With Remarks. By J. LOCKHART CLARKE, M.D.
III. Notes on the Subcutaneous Injection of Morphia. By EDWARD T. WILSON, M.D.
IV. On Rheumatic Pericarditis. By REGINALD E. THOMPSON, M.D.
V. Cases of Syphilitic Disease of the Nervous System. By T. CLIFFORD ALLBUTT, M.D.
VI. Clinical Observations on Acute Tubercle. By EDWARD LONG Fox, M.D.
VII. Contributions to the Surgery of the Head : Sebaceous Tumours of the Cranial Region. By PRESCOTT HEWÉTT, Esq., Senior Surgeon to the Hospital .
VIII. On Inflammation of the Retina. By GEORGE COWELL, Esq., Assistant Surgeon to the Westminster Hospital ; Ophthalmic Surgeon to the Victoria Hospital for Children .
IX. On Chronic Bone- and Joint-Disease. By J. WARRINGTON HAWARD, Esq.
X. The Causes of Pulmonary Consumption. By CHARLES THEODORE WILLIAMS, M.D.
XI. Exophthalmic Goître. By W. B. CHEADLE, M.D.
XII. Clinical Notes on unusual Surgical Cases. By H. LEE, Esq., Surgeon to the Hospital
XIII. Reminiscences of Cases from Private Practice. By J. NICHOLLS, M.D., Chelmsford
XIV. Two Cases of Excision of the Scapula. With Remarks. By GEORGE POLLOCK, Esq., Surgeon to the Hospital .
XV. Note on Excision of the Ankle-joint. By T. HOLMES, Esq., Surgeon to the Hospital
XVI. On Aphasia. By W. WADHAM, M.D., Physician to the Hospital.
XVII. On the Treatment of Acute Orchitis. By J. ROUSE, Esq., Assistant Surgeon to the Hospital
XVIII, Remarks on a Case of Locomotor Ataxy with Hydrarthrosis. By T. C. ALLBUTT, M.D.
XIX. Report of the Curator of the Pathological Museum. By T. P. PICK, Esq., Assistant Surgeon to the Hospital .
XX. Annual Report of Medical Cases during the year 1868. By REGINALD THOMPSON, M.D., Medical Registrar
XXI. Annual Report of Surgical Cases during the year 1868. By W. LEIGH, Esq., Surgical Registrar
Supplement to Dr. Clifford Allbutt's Article on Syphilitic Disease of the Nervous System
Prospectus of the Medical School for 1869-70, showing the arrangements for Lectures and Hospital Practice, the Prizes and Exhibitions, with List of Prizemen for 1869.
LIST OF ILLUSTRATIONS:
Tables showing Variations in the Acidity of the Urine (Dr. Bence Jones)
Tables showing Variations in the Pulse and Temperature in Acute Tubercle and other Diseases (Dr. Cheadle)
Pulse-traces in Exophthalmic Goître
Exfoliated Portion of the Humerus in & Case of Compound Fracture, with Recovery of the Use of the Arm (Dr. Nicholls)
Portrait of a Patient after Recovery from Excision of the Scapula (Mr. Pollock)
Anterior View of a Tumour of the Scapula, removed by Excision (Mr. Pollock)
Posterior View of the same (Mr. Pollock)
Bones removed in a Case of Excision of the Ankle-joint (Mr. Holmes)
The lower surface of the Astragalus in the same Case (Mr. Holmes)

St George's Hospital Reports, Vol. I

The volume includes a brief history of the hospital and the medical school.

Contents:
I. Some Account of St. George’s Hospital and School. By W. E. PAGE, M.D., Senior Physician to the Hospital
II. Contributions to the Surgery of the Head. No. I. On the Deviations of the Base of the Skull in Chronic Hydrocephalus. By PRESCOTT HEWETT, Surgeon to the Hospital
III. A Case of Meningocele, in the Occipital Region, which was injected with Iodine, without ill consequences, the Patient dying of Broncho-pneumonia. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Anatomy
IV. On the Typhus Epidemic of 1864-5, as observed at St. George’s Hospital. By R. E. THOMPSON, M.D., Medical Registrar of the Hospital
V. Notes on an Epidemic of Typhus at Leeds, in the Year 1865-6. By T. CLIFFORD ALLBUTT, M.B., Physician to the Fever Infimmary, Fever Hospital, &0. at Leeds
VI. On the Diagnosis, Pathology, and Treatment of Progressive Locomotor Ataxy. By J. LOCKHART CLARKE, F.R.S.
VII. On Rheumatic Iritis. By J. ROUSE, Lecturer on Anatomy at the Hospital School
VIII. On Cerebral Symptoms occurring in certain Affections of the Ear. By J. TOYNBEE, F.R.S., late Consulting Aural Surgeon to St. Mary’s Hospital, Asylum for the Deaf and Dumb, and to St. George’s and St. James’s Dispensary
IX. On some Points connected with the Treatment of Hernia. By J. WARRINGTON HAWARD, Resident Medical Oflicer to the Hospital for Sick Children
X. On Amputation at the Hip-joint, and on the Applicability of this Operation in some of the worst Cases of Morbus Coxarius. Part I. For recurrent Fibro-plastic Tumour. Part II. In Morbus Coxarius. By T. HOLMES, Assistant Surgeon to the Hospital
XI. On Disease of the Brain as a result of Diabetes Mellitus, illustrated by the Narrative of a Case (with Clinical Observations) in which Paralysis, due to Softening of the Brain, came on in a Diabetic Patient, and proved fatal. Followed by a Notice of Fifteen Fatal Cases of Diabetes, cited from the Records of the Hospital. By Dr. JOHN W. OGLE, Physician to the Hospital
XII. On Jaundice and Biliousness. By Dr. H. BENCE JONES, formerly Physician to the Hospital
XIII. On Paralysis occurring in Childbed. By Dr. F. F. FUSSELL, Physician to the Brighton Dispensary
XIV. Remarks upon the Modus Operandi of Hypodermic Injections. By C. HUNTER, Surgeon to the Royal Pimlico Dispensary
XV. On Congenital Dislocations of the Femur. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XVI. On the Diurnal Variations in the Temperature of the Human Body in Health. By Dr. WILLIAM OGLE, Lecturer on Physiology at the Medical School of the Hospital
XVII. On Rupture of Arteries dependent on external Injury. By GEORGE POLLOCK, Surgeon to the Hospital
XVIII. On the Formation of Coagula in the Cerebral Arteries. By Dr. DICKINSON, Assistant Physician to the Hospital
XIX. On Talipes Varus. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XX. On Talipes Equinus. By G. NAYLER, Assistant Surgeon to the Royal Orthopaedic Hospital, and the Hospital for Diseases of the Skin
XXI. On the Amputation-Book of St. George’s Hospital, and on some Points connected with the Statistics of Three Hundred Amputations there recorded. Part I. On the Influence of Age upon the Results of Amputation. Part II. 'On the Causes of Death, after Amputation; with special reference to the proportion of Deaths due to causes preceding the Amputation. By T. HOLMES, Assistant Surgeon to the Hospital
XXII. Statistical Tables from the Dental Case-Books of St. George’s Hospital. By C. VASEY, Surgeon-Dentist to the Hospital
Annual Report of Cases admitted into the Medical Wards of St. George’s Hospital during the Year 1865. By Dr. STURGES
Annual Report of Surgical Cases treated in the Hospital during the Year 1865. By Mr. PICK

Robert McLarren, 29, Footman

Occupation or role: Footman
Age: 29
Gender: Male
Date of admission: 19 Mar 1862
Date of death: 29 Mar 1862
Disease (transcribed): Phthisis. Pneumothorax (?) Diphtheria
Disease (standardised): Tuberculosis (Lung); Pneumothorax (Lung); Diphtheria (Pharynx)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man stated that he had been getting out of health for about twelve months, and during that time he had cough with thick expectoration.
Body parts examined in the post mortem: Chest, larynx and abdomen
Type of incident: n/a

Sarah Bennett, 37, Married

Occupation or role: Married
Age: 37
Gender: Female
Date of admission: 19 Mar 1862
Date of death: 27 Mar 1862
Disease (transcribed): Hepatic abscess, consequent upon dysentery
Disease (standardised): Abscess (Liver); Dysentery (Intestines)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: On admission this woman’s feet were slightly anasarcous and she complained of pain in her right hypochondrium.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Ann Hooper, 3, Child

Occupation or role: Child
Age: 3
Gender: Female
Date of admission: 24 Mar 1862
Date of death: 25 Mar 1862
Disease (transcribed): Croup. Tracheotomy
Disease (standardised): Croup (Larynx); Tracheotomy (Trachea)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: On the morning of admission this child first showed symptoms of commencing croup.
Body parts examined in the post mortem: Air passages, lungs and abdomen
Type of incident: n/a

Letitia Simmons, 44, Ironer

Occupation or role: Ironer
Age: 44
Gender: Female
Date of admission: 19 Mar 1862
Date of death: 24 Mar 1862
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This woman had been ill with cough and expectoration for four months.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Susan Hulks, 55, Cook

Occupation or role: Cook
Age: 55
Gender: Female
Date of admission: 19 Feb 1862
Date of death: 22 Mar 1862
Disease (transcribed): Scirrhus of the stomach
Disease (standardised): Cancer (Stomach)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: n/a
Medical notes: This was a case of supposed scirrhus of the stomach.
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Robert Butler, 40, Coachman

Occupation or role: Coachman
Age: 40
Gender: Male
Date of admission: 19 Mar 1862
Date of death: 20 Mar 1862
Disease (transcribed): Atrophy of kidneys from stricture. Arsenic poisoning
Disease (standardised): Atrophy (Kidney); Constriction (Kidney); Poisoning (Systemic)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: On admission he had anasarca of the lower extremities and complained that for some time he had passed no urine.
Body parts examined in the post mortem: Cranium, chest and abdomen
Type of incident: n/a

Henry W Francis, 55, Paper hanger

Occupation or role: Paper hanger
Age: 55
Gender: Male
Date of admission: 19 Feb 1862
Date of death: 5 Mar 1862
Disease (transcribed): Granular degeneration of kidney
Disease (standardised): Disease (Kidney)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted complaining of debility, dyspnoea and slight cough with expectoration.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Ann Riley, 48, Cook

Occupation or role: Cook
Age: 48
Gender: Female
Date of admission: 19 Feb 1862
Date of death: 4 Mar 1862
Disease (transcribed): Disease of the heart and general dropsy
Disease (standardised): Disease (Heart); Oedema (General)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: n/a
Medical notes: This was a case of disease of the heart and general dropsy.
Body parts examined in the post mortem: Not examined
Type of incident: n/a

George Osborn, 36, Bricklayer

Occupation or role: Bricklayer
Age: 36
Gender: Male
Date of admission: 24 Feb 1862
Date of death: 26 Feb 1862
Disease (transcribed): Fever. Pneumonia
Disease (standardised): Fever (Systemic); Pneumonia (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: The only history which could be obtained of this man was that he had been ill a week. He had been in a state of delirium and left his lodgings and made several attempts to cut his throat.
Body parts examined in the post mortem: Cranium, chest and abdomen
Type of incident: n/a

Maria Wales, 22, Kitchenmaid

Occupation or role: Kitchenmaid
Age: 22
Gender: Female
Date of admission: 19 Feb 1862
Date of death: 25 Feb 1862
Disease (transcribed): Typhoid fever
Disease (standardised): Typhoid fever (Systemic)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: n/a
Medical notes: This was a case of typhoid fever of three weeks standing on admission.
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Robert Clover, 38, Valet

Occupation or role: Valet
Age: 38
Gender: Male
Date of admission: 4 Dec 1861
Date of death: 4 Jan 1862
Disease (transcribed): Inflammation of the veins of the thigh following rheumatism
Disease (standardised): Inflammation (Veins); Rheumatic diseases (Tissues)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: n/a
Medical notes: This was a case of inflammation of the veins of the thigh following rheumatism.
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Sarah J Harris, 32, Married

Occupation or role: Married
Age: 32
Gender: Female
Date of admission: 31 Oct 1861
Date of death: 21 Feb 1862
Disease (transcribed): Cirrhosis of liver
Disease (standardised): Cirrhosis (Liver)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This woman had for some time been dropsical of the abdomen and then the feet and legs began to swell.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

William L Payne, 42, Reporter

Occupation or role: Reporter
Age: 42
Gender: Male
Date of admission: 19 Feb 1862
Date of death: 20 Feb 1862
Disease (transcribed): Disease of heart. Recent endocarditis
Disease (standardised): Disease (Heart); Endocarditis (Heart)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was brought to the hospital in an almost dying state. He was suffering from great dyspnoea, was cold and almost pulseless.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Margaret Mahoney, 60, Widow

Occupation or role: Widow
Age: 60
Gender: Female
Date of admission: 25 Jan 1862
Date of death: 1 Feb 1862
Disease (transcribed): Bronchitis. Disease of heart
Disease (standardised): Bronchitis (Lung); Disease (Heart)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Mary Rafferty, 14, Schoolgirl

Occupation or role: Schoolgirl
Age: 14
Gender: Female
Date of admission: 27 Jan 1862
Date of death: 29 Jan 1862
Disease (transcribed): Meningitis
Disease (standardised): Meningitis (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Sturges, Octavius
Post mortem examination performed by: Dickinson, William Howship
Medical notes: The patient was brought into the hospital only partially conscious lying as one asleep.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

George Roberts, 46, Butler

Occupation or role: Butler
Age: 46
Gender: Male
Date of admission: 30 Nov 1861
Date of death: 1 Jan 1862
Disease (transcribed): Dropsy. Diseased kidneys
Disease (standardised): Oedema (Leg)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man was accustomed to live freely and was exposed to cold previous to his admission.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

John Brown, 30, Labourer

Occupation or role: Labourer
Age: 30
Gender: Male
Date of admission: 30 Dec 1861
Date of death: 14 Jan 1862
Disease (transcribed): Bronchitis
Disease (standardised): Bronchitis (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: n/a
Medical notes: This was a case of bronchitis
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Archibald Jackson, 34, Tailor

Occupation or role: Tailor
Age: 34
Gender: Male
Date of admission: 27 Nov 1861
Date of death: 1 Jan 1862
Disease (transcribed): Albuminuria
Disease (standardised): Albuminuria (Kidney)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Wadham, William
Post mortem examination performed by: n/a
Medical notes: This man was transferred from the Surgeons on account of Albuminuria
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Joseph Fennell, 65, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Male
Date of admission: 20 Mar 1861
Date of death: 3 Apr 1861
Disease (transcribed): Pleuropneumonia
Disease (standardised): Pleuropneumonia (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: This patient had for three months before admission, suffered much from pain in the loins. His chief complaint was of pain in the lumber region extending down the left leg.
Body parts examined in the post mortem: Thorax, abdomen and left hip
Type of incident: n/a

James Chapman , 36, Tailor

Occupation or role: Tailor
Age: 36
Gender: Male
Date of admission: 20 Feb 1861
Date of death: 29 Mar 1861
Disease (transcribed): Peritoneal adhesions, after peritonitis. Spontaneous coagulation of the blood
Disease (standardised): Adhesions (Abdomen); Peritonitis (Abdomen); Coagulation (Blood)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Dickinson, William Howship
Medical notes: The patient had been under the care of Dr Fuller last June for chronic Peritonitis. 5 weeks before his last admission he was again seized with pain in the belly but without shivering and vomiting.
Body parts examined in the post mortem: Chest, abdomen and blood vessels
Type of incident: n/a

Thomas Hagill, 28, Porter

Occupation or role: Porter
Age: 28
Gender: Male
Date of admission: 25 Mar 1861
Date of death: 25 Mar 1861
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: This man who had been a cabinet maker said that he had had a cough all winter with spitting of blood, in small quantities, for a fortnight.
Body parts examined in the post mortem: Larynx, thorax and abdomen
Type of incident: n/a

Henry H Head, 18, Lawyer’s Clerk

Occupation or role: Lawyer’s Clerk
Age: 18
Gender: Male
Date of admission: 20 Feb 1861
Date of death: 20 Mar 1861
Disease (transcribed): Strumous meningitis
Disease (standardised): Tuberculosis (Brain); Meningitis (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: The patient was said to have had very good health until five days before he came in, when before getting up in the morning he was seized with a convulsive fit. The attack came without any violent cause.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

William Atkins, 44, Labourer

Occupation or role: Labourer
Age: 44
Gender: Male
Date of admission: 20 Feb 1861
Date of death: 13 Mar 1861
Disease (transcribed): n/a
Disease (standardised): n/a
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: n/a
Medical notes: This case is not given
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

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