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Rouse, James Anatomy
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Post Mortem Examinations and Case Books

  • 406 PM
  • Collection
  • 1840-1946

The post mortem records contain manuscript case notes, with medical notes both pre and post mortem. These include details on patients’ admission to the hospital, treatments and medication administered to patients and the medical history of patients; the medical histories were copied into the volumes from hospital registers, which are no longer extant. The post mortem cases include detailed pathological findings made during the detailed examination of the body after death. From the 1880s onwards the case books contain original anatomical drawings and photographs.

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The following information is recorded for each case. The information is transcribed from the case notes and/or the relevant index and, where relevant, additionally standardised using MeSH (Medical Subject Headings)

• Name of the patient. If a name is not entered in the volume, it is noted in the catalogue as ‘[No name stated]’

• Gender of the patient (female / male / unknown)

• Age of the patient. Usually in numbers, following the original, with the following exceptions: 4/12 = 4 months, 4/52 = 4 weeks, 4/365 = 4 days. If no age is entered, it is noted in the catalogue as ‘[No age stated]’

• Occupation of the patient. Where no occupation is entered, it is noted in the catalogue as ‘[No occupation stated]’. Children are often designated according to their father’s or mother’s occupation and women by their husband’s occupation (e.g. ‘F / Horsekeeper’, ‘M. Charwoman’, ‘Hd Grocer’); these have been rendered in the catalogue as ‘[Child of] Horsekeeper’, ‘[Wife of] Grocer’

• Date of admission and date of death

• The names of the doctors treating or examining the patient. ‘Admitted under the care of’ denotes the senior doctor in charge of the case (usually entered at the top of the page and in the index); ‘Post mortem performed by’ denotes the doctor responsible for the post mortem examination (usually signed at the bottom of the page) and ‘Medical examination performed by’ denotes the doctor responsible for the medical examination prior to death (usually signed at the bottom of the page). The earliest records usually contain only one name, and some of the later ones may contain multiple names in each category. An authority record (name access point) with basic biographical details has been created for each doctor mentioned in the records; these can be used to explore all the cases related to a particular individual

• Disease(s) or cause of death of the patient. Transcribed from the medical case and/or the index and standardised, e.g. ‘Disease (transcribed): Phthisis. Fractured base. Disease (standardised): Tuberculosis (lungs). Fracture (skull)’

• Medical and post mortem notes. Brief summary description or transcription of the case notes relating to previous medical history (not a full transcription of the case notes)

• Note on whether the case includes illustrations or photographs; these can also be browsed via genre access points

• Note on whether the death was caused by trauma, accident or suicide

• Subject access points, using standardised terms from MeSH, with disease type (e.g. respiratory tract diseases, cardiovascular diseases) and anatomy type (e.g. cardiovascular system, musculoskeletal system), which can be used for browsing all relevant cases

Note on transcriptions and abbreviations

Names have been silently expanded, e.g. Jas = James, Wm = William

Some common abbreviations and acronyms

AMCH = Atkinson Morley Convalescent Hospital, Wimbledon
BID = Brought in dead
COA = Condition on admission
F = Father
H or Hd = Husband
HP = House physician
HS = House surgeon
IP = In-patient
L = Left
M = Mother
MR or Med reg or Med r = Medical register or Medical registrar
MS = Museum specimen
OP = Out-patient
OPD = Out-patient department
OR = Obstetric register
PMH = Previous medical history
PH = Previous history
Pt or Pat = Patient
PM = Post mortem
R = Right
RF = Rheumatic fever
Ry = Railway
SR or Surg reg = Surgical register or Surgical registrar
TB = Tuberculosis
VD = Venereal disease

St George's Hospital, London

Mary Curtis, 60, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 60
Gender: Female
Date of admission: 13 Feb 1850
Date of death: 12 Jun 1850
Disease (transcribed): Scirrhus ulceration of the mouth
Disease (standardised): Ulcer (Mouth)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: About six months before this patient was admitted, she discovered a small ulcer on the inside of the right cheek not larger than a sixpence.
Body parts examined in the post mortem: Face, thorax, abdomen and pelvis
Type of incident: n/a

Sarah Grimwood, 56, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 56
Gender: Female
Date of admission: 25 May 1850
Date of death: 21 Jun 1850
Disease (transcribed): Varicose veins of legs. Phthisis
Disease (standardised): Varicose veins (Veins); Tuberculosis (Lung)
Admitted under the care of: Keate, Robert
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This body not being examined, the case is not given
Body parts examined in the post mortem: This body was removed by the friends without examination
Type of incident: n/a

William Thomas Jalley, 3 years 6 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 3 years 6 months
Gender: Male
Date of admission: 9 Jul 1850
Date of death: 13 Jul 1850
Disease (transcribed): Cherry stone in trachea
Disease (standardised): Obstruction (Trachea)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Rouse, James
Post mortem examination performed by: Gray, Henry
Medical notes: This man was admitted with symptoms of a foreign body in the trachea. The history being that the child had been playing with cherry stones and a boy threw one into his mouth.
Body parts examined in the post mortem: Larynx and trachea
Type of incident: Trauma/accident

William Clack, 35, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 35
Gender: Male
Date of admission: 8 Apr 1850
Date of death: 28 Jul 1850
Disease (transcribed): Lacerated wound of the leg. Erysipelas. Abscess
Disease (standardised): Wound (Leg); Erysipelas (Skin); Abscess (Leg)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient was admitted with a lacerated wound of the right tibia. He had been riding in a cart when his leg became jammed between the cart and a post.
Body parts examined in the post mortem: Thorax, abdomen and right lower extremity
Type of incident: Trauma/accident

William Scivier, 46, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Male
Date of admission: 3 Jul 1850
Date of death: 15 Aug 1850
Disease (transcribed): Scirrhus of the rectum
Disease (standardised): Cancer (Intestines)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient stated that twenty five years before his admission he had a fistula ano which was divided. He was very ill after the operation and had diffuse cellular inflammation in the neighbourhood of the rectum.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

George Woodrow, 24, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Male
Date of admission: 29 May 1850
Date of death: 3 Sep 1850
Disease (transcribed): Encephaloid tumour of the brain
Disease (standardised): Cancer (Brain)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient had been living very badly for a considerable time until six months before his admission when he obtained some railway work.
Body parts examined in the post mortem: Cranium
Type of incident: n/a

George Fox, 23, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 23
Gender: Male
Date of admission: 3 Sep 1850
Date of death: 6 Sep 1850
Disease (transcribed): Fracture of base of skull
Disease (standardised): Fracture (Skull)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient was admitted in a state of insensibility. It was stated that half an hour before he had received a blow on the right side of the head.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: Trauma/accident

Daniel Sheils, 60, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 60
Gender: Male
Date of admission: 20 Aug 1850
Date of death: 16 Sep 1850
Disease (transcribed): Injury about cervical vertebrae
Disease (standardised): Injury (Spine)
Admitted under the care of: Keate, Robert
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient, a short time before his admission, fell from a scaffold thirty feet in height and fell on his face.
Body parts examined in the post mortem: Thorax, abdomen, pelvis and spinal canal
Type of incident: Trauma/accident

John McCarthy, 9, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 9
Gender: Male
Date of admission: 12 Feb 1850
Date of death: 12 Feb 1850
Disease (transcribed): Injury of the abdomen
Disease (standardised): Injury (Abdomen)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient was admitted into the Oxford Ward and it was thought that there was some internal haemorrhage.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

James Chaplin, 11, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 11
Gender: Male
Date of admission: 22 Feb 1850
Date of death: 2 Mar 1850
Disease (transcribed): Abscess of face and disease of the hip joint
Disease (standardised): Abscess (Face); Disease (Hip)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: No history could be obtained of this case. The child was admitted with a very large abscess occupying the whole of the left side of the face.
Body parts examined in the post mortem: Head, thorax, abdomen and right lower extremity
Type of incident: n/a

George Pitts, 27, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 27
Gender: Male
Date of admission: 22 Feb 1850
Date of death: 2 Mar 1850
Disease (transcribed): Compound fracture of the right leg. Tetanus six days after injury
Disease (standardised): Fracture (Leg); Tetanus (Systemic)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient about an hour before his admission, to save himself from falling jumped from a height of ten feet and fell with his right foot twisted under him.
Body parts examined in the post mortem: Right lower extremity, cranium and spinal canal
Type of incident: n/a

Joshua Searing, 66, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 66
Gender: Male
Date of admission: 7 Mar 1850
Date of death: 7 Mar 1850
Disease (transcribed): Comminuted fracture of the pelvis. Rupture of the bladder and dislocation of the femur and compound fracture of the humerus
Disease (standardised): Fracture (Pelvis); Rupture (Bladder); Dislocation (Leg); Fracture (Elbow)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: About two hours before this patient was admitted he was engaged in sawing a tree. Before he could get out of the way it fell on him, striking him across the left thigh and it then rolled over and the whole weight of the tree fell across pubes.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

George Clark, 4, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 4
Gender: Male
Date of admission: 15 Mar 1850
Date of death: 16 Mar 1850
Disease (transcribed): Severe burn
Disease (standardised): Burn (Skin)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: As there was no examination after death the case is not recorded.
Body parts examined in the post mortem: This body was not examined
Type of incident: n/a

William Brown, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Male
Date of admission: 23 Mar 1850
Date of death: 6 Apr 1850
Disease (transcribed): Compound , comminuted fracture of the leg, and purulent deposits
Disease (standardised): Fracture (Leg); Suppuration (Leg)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: On the day before admission he was walking and a stick which he had in his hand got between his legs and threw him down twisting his left leg under him.
Body parts examined in the post mortem: Thorax, abdomen and left lower extremity
Type of incident: n/a

Mark Pearson, 44, Gentleman's Servant

Occupation or role: Gentleman's Servant
Age: 44
Gender: Male
Date of admission: 27 Mar 1850
Date of death: 30 Apr 1850
Disease (transcribed): Ascites. False membrane lining peritoneum studded with tubercles. Old adhesions of pleura. Ulcers in small intestine. Tubercle in kidney
Disease (standardised): Ascites (Abdomen); Tuberculosis (Abdomen); Adhesions (Pleura); Ulcer (Intestines); Tuberculosis (Kidney)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This man stated on his admission that he had been more of less out of health for two years past. He had suffered a good deal form pain at the epigastrium and flatulent distension.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

Mary Beckman, 40, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 40
Gender: Female
Date of admission: 3 Apr 1850
Date of death: 2 May 1850
Disease (transcribed): Disease of the spine
Disease (standardised): Disease (Spine)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: Four years before this patient was admitted into the Hospital, he fell down stairs, striking her back violently.
Body parts examined in the post mortem: Thorax, abdomen, pelvis, spine and spinal cord
Type of incident: Trauma/accident

John Baldwin, 56, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 56
Gender: Male
Date of admission: 6 Feb 1850
Date of death: 2 May 1850
Disease (transcribed): Acute inflammation of the knee joint. Amputation. Secondary abscesses.
Disease (standardised): Inflammation (Knee); Amputation (Leg); Abscess (Indeterminate)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient, while lifting a heavy weight from a cab, strained his knee. He felt much pain for some hours and then the joint began to swell.
Body parts examined in the post mortem: Thorax, abdomen and left lower extremity
Type of incident: Trauma/accident

Elizabeth Johnson, 5, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 5
Gender: Female
Date of admission: 4 May 1850
Date of death: 9 May 1850
Disease (transcribed): Severe burn of the neck and face
Disease (standardised): Burn (Skin)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This child was playing with a lighted stick and her dress caught fire and burnt the upper part of the body.
Body parts examined in the post mortem: Cranium, throat, thorax and abdomen
Type of incident: n/a

Lenord Burnham, 65, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Male
Date of admission: 28 Apr 1850
Date of death: 11 May 1850
Disease (transcribed): Diffuse cellular inflammation of the hand and arm from a punctured wound of the throat. Secondary abscess
Disease (standardised): Inflammation (Arm); Wound (Pharynx); Abscess (Indeterminate)
Admitted under the care of: Keate, Robert
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: The body not being examined the case is not recorded.
Body parts examined in the post mortem: This body was not examined at the request of the friends
Type of incident: Trauma/accident

Lewis Lomax, 21, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 21
Gender: Male
Date of admission: 23 Apr 1850
Date of death: 19 May 1850
Disease (transcribed): Lacerated wound on left tibia. Secondary deposits
Disease (standardised): Wound (Leg); Deposits (Indeterminate)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient had a lacerated wound of the left leg caused by the wheel of a carriage.
Body parts examined in the post mortem: Thorax, abdomen, left shoulder and left lower extremity
Type of incident: Trauma/accident

Mary Batchelor, 7, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 7
Gender: Female
Date of admission: 1 May 1850
Date of death: 2 Jun 1850
Disease (transcribed): Strumous disease of the knee joint. Amputation. Pyaemia
Disease (standardised): Disease (Knee); Amputation (Leg); Sepsis (Systemic)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient was admitted with strumous disease of the knee joint which had existed for about three years.
Body parts examined in the post mortem: Thorax, abdomen and right lower extremity
Type of incident: n/a

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

Mary Lock, 43, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 43
Gender: Female
Date of admission: 31 Mar 1860
Date of death: 11 Apr 1860
Disease (transcribed): Pneumonia. Diseased kidneys
Disease (standardised): Pneumonia (Lungs); Disease (Kidneys)
Admitted under the care of: Cutler, Edward and Bence Jones, Henry
Medical examination performed by: Rouse, James and Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This woman was admitted into the Wellington ward March 31st with a small scalp wound situated about an inch above the nose, & erysipelas of the head & face. It appeared that the woman was of drunken habits & was a week before her admission knocked down by her husband, who was also drunk’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

William Adams, 57, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 57
Gender: Male
Date of admission: 10 Apr 1860
Date of death: 12 Apr 1860
Disease (transcribed): Laceration of the brain. Fractured spine & ribs
Disease (standardised): Laceration (Brain); Fracture (Spine, ribs)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A few month before admission this man fell from a scaffold about 30 feet, falling with his back across a plank, at the same time striking the back part of his head against another’
Body parts examined in the post mortem: Cranium, spine, thorax, abdomen

Type of incident: Trauma / accident

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