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Rouse, James Pathological conditions, signs and symptoms
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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

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

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 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

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

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

William Smart, 72, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 72
Gender: Male
Date of admission: 1 Feb 1860
Date of death: 9 Apr 1860
Disease (transcribed): Senile gangrene
Disease (standardised): Gangrene
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A month before admission he cut a corn on the little toe of the right foot. He cut it rather more than he intended & made a small wound. He continued to walk about & it did not heal’
Body parts examined in the post mortem: Thorax, arteries, abdomen, right shoulder

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

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

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

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

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

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

Mary Prince, 35, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 35
Gender: Female
Date of admission: 27 Feb 1861
Date of death: 7 Mar 1861
Disease (transcribed): Ulcers on the leg. Diseased heart and kidneys
Disease (standardised): Ulcer (Leg); Disease (Heart); Disease (Kidney)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: The patient was admitted with an ulcer of the left leg. She was suffering from heart disease and dropsy
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

Mary Worboys, 74, Widow

Occupation or role: Widow
Age: 74
Gender: Female
Date of admission: 10 Feb 1861
Date of death: 17 Mar 1861
Disease (transcribed): Fracture of the neck of the femur. Bedsores. Secondary deposits
Disease (standardised): Fracture (Leg); Pressure ulcer (Skin); Deposits (Lung)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: n/a
Medical notes: The patient had tripped on a piece of carpet and fell to the ground. On admission it was found that she had fractured the neck of the right femur.
Body parts examined in the post mortem: Thorax, abdomen and hip joints
Type of incident: Trauma/accident

John Watson , 62, Labourer

Occupation or role: Labourer
Age: 62
Gender: Male
Date of admission: 19 Apr 1861
Date of death: 20 Apr 1861
Disease (transcribed): Operation for umbilical hernia. Peritonitis
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Peritonitis (Abdomen)
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 into the Hospital in a state of collapse having a large umbilical hernia of some days standing
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

John Shearer, 35, Butler

Occupation or role: Butler
Age: 35
Gender: Male
Date of admission: 25 Sep 1872
Date of death: 10 Oct 1872
Disease (transcribed): Circumcision. Erysipelas. Sloughing of the penis and scrotum
Disease (standardised): Circumcision (Penis); Erysipelas (Skin); Sloughing (Penis); Sloughing (Scrotum)
Admitted under the care of: Hewett, Prescott Gardner. Rouse, James
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man was admitted with a congenital phimosis.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, intestines and organs of generation
Type of incident: n/a

Patrick Lyon, 19, Labourer

Occupation or role: Labourer
Age: 19
Gender: Male
Date of admission: 26 Feb 1877
Date of death: 11 Apr 1877
Disease (transcribed): Haemorrhoids. Phthisis
Disease (standardised): Haemorrhoids (Intestines); Tuberculosis (Lung)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: The case was not reported here.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Mary Winter, 45, Married

Occupation or role: Married
Age: 45
Gender: Female
Date of admission: 25 Jan 1877
Date of death: 28 Apr 1877
Disease (transcribed): Softening of the brain. Granular kidney. Catarrhal pneumonia.
Disease (standardised): Softening (Brain); Disease (Kidney); Pneumonia (Lung)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: There was some doubt whether this patient fell down insensible, or whether she was struck down by her husband.
Body parts examined in the post mortem: Lungs, bronchi, heart, liver, kidneys, spleen, brain, douglas' pouch and uterus.
Type of incident: Trauma/accident? Homicide/murder?

Susan Davis, 76, Widow

Occupation or role: Widow
Age: 76
Gender: Female
Date of admission: 27 Mar 1877
Date of death: 30 Jun 1877
Disease (transcribed): Inguinal hernia, operated. Emphysema. Fatty heart. Granular kidney. Cerebral softening.
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Emphysema (Lung); Disease (Heart); Disease (Kidney); Softening (Brain)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient had had a rupture on both sides for ten years, the one on the left side always partially reducible, that on the right side completely so. Four hours before admission, the rupture on the left side became suddenly longer and very painful. In three hours vomiting set in.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, kidneys, spleen, intestine, hernia and brain
Type of incident: n/a

Edward Harold, 13, Schoolboy

Occupation or role: Schoolboy
Age: 13
Gender: Male
Date of admission: 21 Mar 1877
Date of death: 8 July 1877
Disease (transcribed): Hip Disease. Cerebral congestion and meningeal thromboses. Chronic tubular nephritis. Amyloid spleen.
Disease (standardised): Disease (Hip); Congestion (Brain); Thrombosis (Meninges); Nephritis (Kidney); Amyloidosis (Spleen)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient had suffered from abscesses about the left hip since three years of age and since that time always walked lame. A fortnight before admission the patient slipped and fell down, having stepped on some orange peel which caused the abscesses to discharge profusely.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, brain and cord
Type of incident: Trauma/accident

Henry Smith , [No age stated], Infant

Occupation or role: Infant
Age: [No age stated]
Gender: Male
Date of admission: n/a
Date of death: 25 July 1877
Disease (transcribed): Diarrhoea
Disease (standardised): Diarrhoea (Intestines)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Medical case. No notes taken by Surgical Registrar.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Michael Duggin, 52, Stone sawyer

Occupation or role: Stone sawyer
Gender: Male
Age: 52
Date of admission: 24 Jan 1878
Date of death: 29 Jan 1878
Disease (transcribed): Fracture of skull. Intrameningeal haemorrhage. Lobular pneumonia
Disease (standardised): Fracture (Skull); Haemorrhage (Brain, spine); Pneumonia (Lung);
Admitting doctor: Rouse, James
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Was run over by a Hansom Cab. Symptoms Jan [January] 24. Insensible – Face pale – Surface cold – Pulse very weak and irregular – Pupils contracted quite inert – Breathing loud and shallow. Lies still – Limbs flaccid. Vomited soon after admission. On Back of right Parietal region an irregular lacerated wound at base of which is exposed bone'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, meninges, brain
Type of incident: Trauma/accident

Edward Cowdell, 31, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 31
Gender: Male
Date of admission: 17 Sep 1880
Date of death: 28 Oct 1880
Disease (transcribed): Pelvic abscess. ‘Surgical kidneys’. Pyelitis
Disease (standardised): Abscess (Pelvis); Surgical (Kidney); Pyelitis (Kidney)
Admitted under the care of: Rouse, James
Medical examination performed by: Turner, George Robertson
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: From his earliest childhood he had difficulty in micturition. In 1868 he fell from the mast of a ship, on to another, hitting himself between the legs. He had gonorrhoea ten or twelve years before admission.
Body parts examined in the post mortem: Pelvic viscera, peritoneum, kidneys and liver
Type of incident: n/a

William Gigg, 22, Labourer

Occupation or role: Labourer
Age: 22
Gender: Male
Date of admission: 7 Apr 1880
Date of death: 31 Oct 1880
Disease (transcribed): Lardaceous infiltration of the liver, spleen and kidneys. Ascites. Peritonitis. Sluggish ulcer
Disease (standardised): Amyloidosis (Liver); Amyloidosis (Spleen); Amyloidosis (Kidney); Ascites (Abdomen); Peritonitis (Abdomen); Ulcer (Leg)
Admitted under the care of: Rouse, James
Medical examination performed by: Turner, George Robertson
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: A year before admission he had a severe attack of rheumatism, two months after which the leg became painful and swollen. He had several strumous scars about him and the cervical glands were slightly enlarged.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and peritoneum
Type of incident: n/a

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