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St George's Hospital Reports, Vol. VI

CONTENTS
I. Lettsomian Lectures: On Syphilitic Urethral Discharges. By H. LEE, Esq.
II. Lettsomian Lectures: On Prostatic Discharges. By H. LEE, Esq.
III. Lettsomian Lectures : On Non-Syphilitic Urethral Discharges. By H. LEE, Esq.
IV. A Case of Osteomalacia. By S. W. MOORE, Esq.
V. Remarks on the most common Forms of Cutaneous Diseases in Children. By R. J. LEE, M.D.
VI. On Sudden Death by Entrance of Air into Uterine Veins. By G. CORDWENT, M.D.
VII. On the Calculous Disease in Bombay and some other Parts of India. By H. V. CARTER, M.D.
VIII. Some Remarks on Inhalation. By R. J. LEE, M.D.
IX. Indican in the Urine. By F. LAKING, M.D.
X. On the Employment of Quinine in the Treatment of Rheumatic Fever. By A. W. BARCLAY, M.D.
XI. Contributions to the Surgery of the Head: No. IV. On Congenital Encephalocele and Hydrencephalocele. By PRESCOTT HEWETT, Esq. .
XII. On Cleft Palate. By T. P. PICK, Esq.
XIII. On Partial Rupture of Arteries from External Violence. By T. P. PICK, Esq. XIV. On the Influence of Impaired Hearing on the Voice and Speech. By W. B. DALBY, Esq.
XV. On the Therapeutical Action of Sulphur. By C. ROBERTS, Esq.
XVI. A Case of Femoral Aneurism. By C. WALTER, Esq.
XVII. A Case of Cancer of the Upper Lip. By E. VENNING, Esq.
XVIII. A Case of Cancer of the Upper Lip, following Lupus. By T. HOLMES, Esq. XIX. On Contagious Ophthalmia. By R. B. CARTER, Esq.
XX. A Case of Aneurism of the Aorta and Innominate Artery, in which the Right Subclavian and Carotid were ligatured simultaneously. By T. HOLMES, Esq.
XXI. On Thrombosis, in Cases in which the Arterial Walls and Viscera are natural. By T. WHIPHAM, M.B.
XXII. Regarding Certain Influences exercised by the Nervous System upon Bone. By J. W. OGLE, M.D.
XXIII. Report of Medical Cases for 1870. By J. CAVAFY, M.D.
XXIV. Report of Medical Cases for 1871. By J. CAVAFY, M.D., and F. LAKING, M.D.
XXV. Report of Surgical Cases for 1870-71. By J. W. HAWARD, Esq.
XXVI. Report on the Department for Diseases of the Ear. By W. B. DALBY, Esq.
XXVII. Report of the Maternity Department from 1854 to 1871, with Observations on Revaccination during the Smallpox Epidemic of 1871. By EDGAR G. BARNES, M.B.

LIST OF ILLUSTRATIONS
Microscopical Appearances in a Case of Mollities Ossium (lithograph)
Three Views of a Patient labouring under Encephalocele, at different Ages
A Case of Cancer of the Upper Lip (coloured lithograph)
Thermographs in a Case of Simultaneous Ligature of the Subclavian and Carotid Arteries
An Artery after Ligature with Carbolised Catgut; obliterated but not divided .

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

Eliza Waters, 50, Charwoman

Occupation or role: Charwoman
Age: 50
Gender: Female
Date of admission: 6 Mar 1870
Date of death: 6 Mar 1870
Disease (transcribed): Femoral Hernia. Operation. Rupture of the Bowel.
Disease (standardised): Hernia (Blood Vessels); Rupture (Intestine )
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient was brought to the Hospital in extreme pain due to a strangulated femoral hernia of a large size. Mr Holmes operated.
Body parts examined in the post mortem: Abdomen. All the viscera and other parts of the body were natural
Type of incident: n/a

James Joliffe, 40, Time Keeper

Occupation or role: Time Keeper
Age: 40
Gender: Male
Date of admission: 24 Feb 1870
Date of death: 13 Mar 1870
Disease (transcribed): Fractured spine.
Disease (standardised): Fracture (Spine)
Admitted under the care of: Lee, Henry
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case is not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

William Arthur, 58, Butler

Occupation or role: Butler
Age: 58
Gender: Male
Date of admission: 4 Mar 1870
Date of death: 1 Apr 1870
Disease (transcribed): Fractured tibia. Old paraplegia. Bedsore.
Disease (standardised): Fracture (Leg); Paraplegia (Brain); Pressure Ulcer (Skin)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case is not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

William Kimble, 23, Butcher

Occupation or role: Butcher
Age: 23
Gender: Male
Date of admission: 5 Mar 1870
Date of death: 4 Apr 1870
Disease (transcribed): Urinary calculus. Cystitis. Pyelitis with dilatation of pelvis and coxes. Peritonitis.
Disease (standardised): Urinary Calculi (Urinary Tract); Cystitis (Bladder); Pyelitis (Kidney); Peritonitis (Abdomen)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: When admitted, the patient had much cystitis and diarrhoea, and was very weak and ill so that no operation could be attempted.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, intestines, peritoneum and bladder
Type of incident: n/a

Frederick Parr, 20, Dentist Assistant

Occupation or role: Dentist Assistant
Age: 20
Gender: Male
Date of admission: 30 Mar 1870
Date of death: 11 Apr 1870
Disease (transcribed): Disease of sacroiliac synchrondrosis. Lardaceous disease.
Disease (standardised): Disease (Pelvis); Disease (Kidney)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had suffered compound dislocation of the left ankle two years before his admission. After five months treatment the leg was amputated by W. Marriot of Leicester. A month after, an abscess began to show over the ilium, which soon burst.
Body parts examined in the post mortem: Pleurae, lungs, heart, abdomen, liver, spleen and kidneys
Type of incident: Trauma/accident

Richard Cornett, 54, Plasterer

Occupation or role: Plasterer
Age: 54
Gender: Male
Date of admission: 13 Apr 1870
Date of death: 16 Apr 1870
Disease (transcribed): Compound fracture of leg.
Disease (standardised): Fracture (Leg)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case is not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Thomas Newell, 2, Child

Occupation or role: Child
Age: 2
Gender: Male
Date of admission: 8 Apr 1870
Date of death: 21 Apr 1870
Disease (transcribed): Burn.
Disease (standardised): Burn (Skin)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case is not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

William Gardener, 26, Goods Guard

Occupation or role: Goods Guard
Age: 26
Gender: Male
Date of admission: 25 May 1870
Date of death: 25 May 1870
Disease (transcribed): Crushed leg.
Disease (standardised): Injury (Leg)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case if not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Caroline Leech , 20, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 20
Gender: Female
Date of admission: 10 Nov 1869
Date of death: 30 May 1870
Disease (transcribed): Scrofulous disease of femora and tibiae. Also of iliac bones.
Disease (standardised): Tuberculosis (Leg); Tuberculosis (Pelvis)
Admitted under the care of: Lee, Henry
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This patient was in hospital in the early part of 1869, and was sent to Margate without improvement. When again admitted, there was contraction of both hips and sinuses discharging over hip and ilium.
Body parts examined in the post mortem: Bones, pleurae, lungs, heart, liver, spleen, kidneys and intestine
Type of incident: n/a

Robert Nixon, 30, Labourer

Occupation or role: Labourer
Age: 30
Gender: Male
Date of admission: 22 Nov 1869
Date of death: 31 May 1870
Disease (transcribed): Fractured spine in the dorsal region – union of the fractured parts. Large bed sore. Granular kidneys.
Disease (standardised): Fracture (Spine); Pressure ulcer (Skin, Tissues); Disease (Kidney)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man fell from a height of 30 feet onto some stone.
Body parts examined in the post mortem: Bones and joints, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: Trauma/accident

George Blomfield, [No age stated], Horsebreaker

Occupation or role: Horsebreaker
Age: [No age stated]
Gender: Male
Date of admission: 4 Jun 1870
Date of death: Brought in dead
Disease (transcribed): Fracture of spine. Rupture of left renal artery.
Disease (standardised): Fracture (Spine); Rupture (Arteries)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This patient was brought in to the Hospital dead.
Body parts examined in the post mortem: Bones, pleurae, lungs, heart, liver, spleen, kidneys and peritoneum
Type of incident: n/a

Henry Francis, 24, Bricklayer

Occupation or role: Bricklayer
Age: 24
Gender: Male
Date of admission: 6 Apr 1870
Date of death: 6 Jun 1870
Disease (transcribed): Compound fracture of fibula. Crushed leg.
Disease (standardised): Fracture (Leg)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case if not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Mary Bradley, 37, General Servant

Occupation or role: General Servant
Age: 37
Gender: Female
Date of admission: 3 Jun 1870
Date of death: 9 Jun 1870
Disease (transcribed): Emphysema and Bronchitis. Large cyst formed by dilatation of the back of the pelvis of the right kidney.
Disease (standardised): Emphysema (Lung); Bronchitis (Lung); Disease (Kidney); Cysts (Kidney)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: On admission, the patient stated that she was suffering from the effects of being knocked down by a cab a fortnight previously and that she had had pain in the abdomen ever since. The accident apparently first called her attention to an abdominal tumour.
Body parts examined in the post mortem: Pleurae, lungs, heart, bones and joints, liver, spleen and kidneys
Type of incident: Trauma/accident

Peter Day, 37, Stableman

Occupation or role: Stableman
Age: 37
Gender: Male
Date of admission: 11 Apr 1870
Date of death: 10 Jun 1870
Disease (transcribed): Encephaloid disease of the thoracic lumbar and inguinal glands and liver and kidneys.
Disease (standardised): Cancer (Lymph nodes); Cancer (Liver); Cancer (Kidney)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had noticed a lump in the right groin, with swelling of the right lower extremity for two months. There was no history of cancer in the family.
Body parts examined in the post mortem: Pleurae, lungs, head, liver, spleen, kidneys, glands and organs of generation
Type of incident: n/a

Edward Rye, 74, Plumber

Occupation or role: Plumber
Age: 74
Gender: Male
Date of admission: 8 Jun 1870
Date of death: 20 Jun 1870
Disease (transcribed): Lithotrity. Abscess in the vesical walls. Pyelitis.
Disease (standardised): Operation (Bladder); Abscess (Bladder); Pyelitis (Kidney)
Admitted under the care of: Pollock, George
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had suffered for three years from vesical imitation, haematuria and occasional sudden stopping of stream of urine.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, ureters, bladder and urethra
Type of incident: n/a

Philip Perry , 40, Whitesmith

Occupation or role: Whitesmith
Age: 40
Gender: Male
Date of admission: 6 Jul 1870
Date of death: 10 Jul 1870
Disease (transcribed): Insanity. Compound fracture of both bones of leg.
Disease (standardised): Insanity (Brain); Fracture (Leg)
Admitted under the care of: Pollock, George
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case if not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

George Warner, 22, Coachman

Occupation or role: Coachman
Age: 22
Gender: Male
Date of admission: 11 Jul 1870
Date of death: 11 Jul 1870
Disease (transcribed): Compound fracture of the thigh. (Fracture of the skull?)
Disease (standardised): Fracture (Leg); Fracture (Skull)
Admitted under the care of: Pollock, George
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This patient, a temperate man, was thrown off a carriage and brought to the Hospital in a state of extreme collapse and with very much the appearance of some visceral rupture.
Body parts examined in the post mortem: Exterior of body. No other parts of the body was examined
Type of incident: Trauma/accident

Maria Knott, 53, Married

Occupation or role: Married
Age: 53
Gender: Female
Date of admission: 12 Jul 1870
Date of death: 26 Jul 1870
Disease (transcribed): Granular kidneys. Bruising of right temporal regions of scalp. Slight extravasation of blood under Pia Mater on Occipital lobes and cerebellum.
Disease (standardised): Disease (Kidney); Contusions (Scalp); Haemorrhage (Brain)
Admitted under the care of: Pollock, George
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had been struck on the head by a glass bottle thrown at her.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, organs of generation, cranium, cerebrum and intestines
Type of incident: Homicide/murder

William Budding, 63, Baker

Occupation or role: Baker
Age: 63
Gender: Male
Date of admission: 6 Aug 1870
Date of death: 10 Aug 1870
Disease (transcribed): Extravasation of urine. Infiltration and suppuration of areolar tissue of abdomen. Pericarditis. Granular kidneys.
Disease (standardised): Extravasation of urine (Bladder); Suppuration (Abdomen); Pericarditis (Heart); Disease (Kidney)
Admitted under the care of: Pollock, George
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient have a very indistinct account of himself, but as far as could be ascertained, he had suffered from stricture several years, and had had the scrotum and adjacent parts swollen about a week.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, spleen and kidneys
Type of incident: n/a

William Telly, 33, Fitter

Occupation or role: Fitter
Age: 33
Gender: Male
Date of admission: 20 Aug 1870
Date of death: 23 Aug 1870
Disease (transcribed): Compound fracture of left arm. Comminuted fracture of right femur. Phthisis.
Disease (standardised): Fracture (Arm); Fracture (Leg); Tuberculosis (Lung)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: An iron girder fell of this man. He had been previously in bad health and for a week had been coughing up blood.
Body parts examined in the post mortem: Bones, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: Trauma/accident

James Haman, 48, Labourer

Occupation or role: Labourer
Age: 48
Gender: Male
Date of admission: 28 Aug 1870
Date of death: 2 Sep 1870
Disease (transcribed): Amputation of finger. Pyaemia.
Disease (standardised): Amputation (Hand); Sepsis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case if not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Mary Ann Small, 43, Married

Occupation or role: Married
Age: 43
Gender: Female
Date of admission: 29 Aug 1870
Date of death: 6 Sep 1870
Disease (transcribed): Femoral hernia (right). Operation. Adhesions in the pelvis of the strangulated bowel. Rupture of the adhesions and gut. Peritonitis.
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Adhesions (Intestines); Rupture (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had had a right femoral rupture for fourteen years, following (in the first instance) a confinement.
Body parts examined in the post mortem: Plurae, lungs, heart, liver, spleen, kidneys, peritoneum and intestines
Type of incident: n/a

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