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Whipham, Thomas Tillyer Infections
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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

Henry Grinaway, 35, Labourer

Occupation or role: Labourer
Age: 35
Gender: Male
Date of admission: 18 Mar 1870
Date of death: 23 Mar 1870
Disease (transcribed): Pneumonia. Abscess of lung. Pericarditis.
Disease (standardised): Pneumonia (Lung); Abscess (Lung); Pericarditis (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The man was reported to have been ill a month before admission, suffering from pain in the chest and cough. On admission he was very drowsy and heavy and did not pass urine for 24 hours. There was slight anasarca of the whole body.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, spleen and kidneys
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

Charles Duncan, 33, Discharged Soldier

Occupation or role: Discharged Soldier
Age: 33
Gender: Male
Date of admission: 27 Apr 1870
Date of death: 3 May 1870
Disease (transcribed): Pulmonary phthisis.
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Wadham, William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The man was admitted in the last stages of phthisis, having had a cough for seven months.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Sophy Malster, 24, General Servant

Occupation or role: General Servant
Age: 24
Gender: Female
Date of admission: 3 May 1870
Date of death: 6 May 1870
Disease (transcribed): Tubercular ulceration of the caecum. Perforation. Peritonitis.
Disease (standardised): Tuberculosis (Intestines); Ulcer (Intestine ); Peritonitis (Abdomen)
Admitted under the care of: Wadham, William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had been ill for five days before admission. She had been suddenly seized with violent pain in the right iliac region, but had at first no diarrhoea, nor had the attack been preceded by rigors.
Body parts examined in the post mortem: Pleurae, lungs, heart, abdomen, intestines, liver, spleen, kidneys and organs of generation
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

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

William Jeffreys, 41, Potman

Occupation or role: Potman
Age: 41
Gender: Male
Date of admission: 18 Jun 1870
Date of death: 20 Jun 1870
Disease (transcribed): Acute pulmonary tuberculosis.
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Ogle, John William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had been ill for three weeks with pains and aching all over, dyspnoea, and a slight cough.
Body parts examined in the post mortem: Pleurae, lungs, heart, pericardium, liver, spleen and kidneys
Type of incident: n/a

Jane Buckingham, 36, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 36
Gender: Female
Date of admission: 29 Jul 1870
Date of death: 12 Jul 1870
Disease (transcribed): Acute pulmonary tuberculosis. Meningeal apoplexy with formation of a false membrane.
Disease (standardised): Tuberculosis (Lung); Stroke (Brain)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This woman was admitted delirious and unable to give any account of herself. Her friends reported that she was accustomed to drink to excess and had become delirious three days before her admission. She lay constantly talking to herself, occasionally screaming and often called out that she was going to be killed.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, organs of generation and cranium
Type of incident: n/a

Thomas Waters, 25, Porter

Occupation or role: Porter
Age: 25
Gender: Male
Date of admission: 21 May 1870
Date of death: 16 Jul 1870
Disease (transcribed): Phthisis.
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Ogle, John William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This patient had suffered from cough, loss of appetite, emaciation and night sweats for about three weeks before admission. On the day before admission, he spat up a small quantity of blood for the first time.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Eliza Benton, 11, Schoolgirl

Occupation or role: Schoolgirl
Age: 11
Gender: Female
Date of admission: 20 Jul 1870
Date of death: 21 Jul 1870
Disease (transcribed): Tubercular meningitis. Serous effusion into the cerebral ventricles.
Disease (standardised): Tuberculosis (Brain); Meningitis (Brain); Effusion (Brain)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: It was stated that the child had been ill for a month and had latterly got much worse. On admission the child was unconscious.
Body parts examined in the post mortem: Cranium, cerebrum, pleurae, lungs, heart and abdomen
Type of incident: n/a

William Farley, 48, Sculptor

Occupation or role: Sculptor
Age: 48
Gender: Male
Date of admission: 20 Jul 1870
Date of death: 4 Aug 1870
Disease (transcribed): Phthisis. Diabetes.
Disease (standardised): Tuberculosis (Lung); Diabetes Mellitus (Systemic)
Admitted under the care of: Wadham, William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man, twelve months before admission, had extreme thirst and dryness of mouth with constant craving for food and passed a very large quantity of water.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and cerebrum
Type of incident: n/a

Joseph Nichols, 62, Butler

Occupation or role: Butler
Age: 62
Gender: Male
Date of admission: 20 Jul 1870
Date of death: 6 Aug 1870
Disease (transcribed): Pulmonary phthisis. Granular kidneys.
Disease (standardised): Tuberculosis (Lung); Disease (Kidney)
Admitted under the care of: Wadham, William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man had been ill since Christmas 1869 with failing strength, cough and night sweats.
Body parts examined in the post mortem: Pleurae, lungs, heart, abdomen and liver, suprarenal capsule, spleen and kidneys
Type of incident: n/a

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

John McIntosh, 57, Engineer

Occupation or role: Engineer
Age: 57
Gender: Male
Date of admission: 10 Aug 1870
Date of death: 13 Aug 1870
Disease (transcribed): Scrofulous pneumonia. Pleurisy. Peritonitis. Cirrhosis of liver. Ascites. Granular kidneys.
Disease (standardised): Pneumonia (Lung); Tuberculosis (Lung); Pleurisy (Pleura); Peritonitis (Abdomen); Ascites (Abdomen); Disease (Kidney);Cirrhosis (Liver)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient was unable to give any clear account of his illness, stating that he had only been ill with a cough and dyspnoea for ten days.
Body parts examined in the post mortem: Pleurae, lungs, heart, peritoneum, liver, spleen and kidneys
Type of incident: n/a

Harry Markwick, 16, Painter

Occupation or role: Painter
Age: 16
Gender: Male
Date of admission: 10 Aug 1870
Date of death: 17 Aug 1870
Disease (transcribed): Tubercular meningitis.
Disease (standardised): Tuberculosis, Meningeal (Brain)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: For ten days the patient had suffered from a violent headache and also pain in the back and muscles of the neck. The case history was taken partly from Dr Laking’s notes.
Body parts examined in the post mortem: Cranium, pleurae, lungs, 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

Mary Bandy, 6, Schoolgirl

Occupation or role: Schoolgirl
Age: 6
Gender: Female
Date of admission: 29 Aug 1870
Date of death: 31 Aug 1870
Disease (transcribed): Scarlatinal Nephritis.
Disease (standardised): Scarlet Fever (Kidney); Nephritis (Kidney)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: Three weeks before admission, the child had fallen ill with scarlatina, followed by dropsy. The case is from Dr Laking's notes.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen and kidneys
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

James Alvin, 20, Porter

Occupation or role: Porter
Age: 20
Gender: Male
Date of admission: 23 Sep 1870
Date of death: 30 Sep 1870
Disease (transcribed): Enteric Fever.
Disease (standardised): Typhoid Fever (Systemic)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer. Cavafy, John
Medical notes: For about a fortnight the patient had suffered from pain and aching in the back and loins, and for the last week there has been much thirst, headache and diarrhoea.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and intestines. The post mortem was taken from Dr Cavafy's notes
Type of incident: n/a

Henry Johnson, 48, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 48
Gender: Male
Date of admission: 20 Sep 1870
Date of death: 4 Oct 1870
Disease (transcribed): Sanguinary apoplexy. Abscess of prostate gland. Pyelitis.
Disease (standardised): Stroke (Brain); Abscess (Prostate); Pyelitis (Kidney)
Admitted under the care of: Wadham, William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer. Cavafy, John
Medical notes: This man was admitted into the surgical wards unable to give any account of himself, suffering from recent apoplexy.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, bladder and cranium. The post mortem was taken from Dr Cavafy's notes
Type of incident: n/a

Henry Mayes, 37, Coach Painter

Occupation or role: Coach Painter
Age: 37
Gender: Male
Date of admission: 5 Oct 1870
Date of death: 12 Oct 1870
Disease (transcribed): Tuberculosis. Peritonitis. Morbus genii.
Disease (standardised): Tuberculosis (Lung); 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. Cavafy, John
Medical notes: This man had had pain in the right knee for six years. It gradually enlarged with increasing pain.
Body parts examined in the post mortem: Pleurae, lungs, heart, peritoneum, liver, spleen, intestines, bones and joints, and glands. The post mortem was from Dr Cavafy's notes
Type of incident: n/a

Anna Fice, 39, Probationer Nurse

Occupation or role: Probationer Nurse
Age: 39
Gender: Female
Date of admission: 21 Sep 1870
Date of death: 14 Oct 1870
Disease (transcribed): Septicaemia.
Disease (standardised): Sepsis (Systemic)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer. Cavafy, John
Medical notes: This woman had been weak and out of health for some months, taking very little food. There was no distinct illness until ten days before her admission when she complained of a sore throat and some pain in the muscles of the neck.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, stomach, intestines, larynx and fauces. The post mortem was taken from Dr Cavafy's notes
Type of incident: n/a

Reuben Hudson, 21, Carpenter

Occupation or role: Carpenter
Age: 21
Gender: Male
Date of admission: 26 Sep 1870
Date of death: 15 Oct 1870
Disease (transcribed): Otorrhoea. Suppuration between the D.M. and petrous bone. Abscess in the cerebellum. Softening of corpus callosum and fornix.
Disease (standardised): Otorrhoea (Ear); Suppuration (Skull); Abscess (Brain); Softening (Brain)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer. Cavafy, John
Medical notes: This man had had Otorrhoea from the left ear for six months, no cause assigned. For a month before his admission he had suffered with gradually increasing pain in the head, principally in the forehead.
Body parts examined in the post mortem: Cerebrum, cerebellum, lungs, heart, liver, spleen and kidneys. The post mortem was from Dr Cavafy's notes
Type of incident: n/a

Jane Ayling, 28, Married

Occupation or role: Married
Age: 28
Gender: Female
Date of admission: 5 Oct 1870
Date of death: 11 Nov 1870
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Ogle, John William
Medical examination performed by: Cavafy, John
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: On her first admission into the Hospital on 13 July, this woman suffered from a cough and emaciation. There was also considerable dyspnoea. She improved sufficiently to be sent to Wimbledon, but her health worsened and she was readmitted to St George's Hospital.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, pancreas, kidneys and organs of generation
Type of incident: n/a

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