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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

John Lock, 70, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 70
Gender: Male
Date of admission: 16 Dec 1840
Date of death: 5 Jan 1841
Disease (transcribed): [Disease] of the liver and kidneys
Disease (standardised): Disease (Liver); Disease (Kidneys)
Admitted under the care of: Hope, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Thomas Phillips, 28, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Male
Date of admission: 21 Apr 1841
Date of death: 30 May 1841
Disease (transcribed): Mottled appearance of the kidneys. Anaemia
Disease (standardised): Disease (Kidneys); Anaemia
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Anne Fletcher, 48, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 48
Gender: Female
Date of admission: 1 Dec 1850
Date of death: 3 Dec 1850
Disease (transcribed): Strangulated femoral hernia. Operation. Mortification and rupture of the anus. Low peritonitis.
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Rupture (Anal canal); Peritonitis (Abdomen) ;
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Howse, Alfred
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient, the mother of nine children, was admitted with a strangulated femoral hernia of the left side of which she gave a rather confused account.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Mark Whincup, 61, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 61
Gender: Male
Date of admission: 11 Dec 1850
Date of death: 13 Dec 1850
Disease (transcribed): Disease of liver? Haematemesis. Blood from Bs
Disease (standardised): Disease (Liver); Haematemesis (Upper gastrointestinal tract)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: As the body was not examined this case is not given.
Body parts examined in the post mortem: This body was not examined at the request of the friends
Type of incident: n/a

Harriet Church, 46, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Female
Date of admission: 6 Dec 1850
Date of death: 24 Dec 1850
Disease (transcribed): Dropsy. Enlarged heart. Granular kidneys. Recent pleurisy, pericarditis and peritonitis
Disease (standardised): Oedema (Leg); Enlarged (Heart); Disease (Kidney); Pleurisy (Pleura); Pericarditis (Heart); Peritonitis (Abdomen)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient who had some time previously been in the Hospital with a similar illness to her present one, stated that she had been now for some weeks suffering from swelling of the legs followed by distention of the abdomen.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

James Melstead, 53, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 53
Gender: Male
Date of admission: 9 Aug 1851
Date of death: 17 Aug 1851
Disease (transcribed): Extensive ulceration of the large intestine. Dysentery
Disease (standardised): Ulcer (Intestines); Dysentery (Intestines)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: 'It did not appear from this patient’s statement that he had been ill more than 3 days. when he had been suddenly seized with diarrhoea & vomiting. He was not aware of any cause for its suppuration, but the looseness had continued with some haemorrhage, he has passed 5 or 6 stools on the morning of his admission, & had been again sick. He was a man of rather full habit’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

John Sulivan, n/a, [No occupation stated]

Occupation or role: [No occupation stated]
Age: n/a
Gender: Male
Date of admission: 3 Sep 1851
Date of death: 11 Oct 1851
Disease (transcribed): Ascites. Disease of liver?
Disease (standardised): Ascites (Peritoneum); Disease (Liver)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: n/a
Medical notes: 'As the body was not examined this case is not given’
Body parts examined in the post mortem: 'This body was removed unexamined’

Type of incident: n/a

W J Donelly, 13, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 13
Gender: Male
Date of admission: 26 Nov 1851
Date of death: 2 Jan 1852
Disease (transcribed): Peritonitis. Extensive ulceration of great and small intestines. Vomicae in both lungs. Double pleural adhesions. Scrofulous deposits in the spleen
Disease (standardised): Peritonitis (Abdomen); Ulcer (Intestines); Vomicae (Lung); Adhesions (Pleura); Tuberculosis (Spleen)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This boy had been ill for three months with pain in the abdomen and the bowels had been relaxed three or four times a day.
Body parts examined in the post mortem: Abdomen and thorax
Type of incident: n/a

Richard Perry, 30, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Male
Date of admission: 21 Jan 1852
Date of death: 28 Jan 1852
Disease (transcribed): Extensive tubercular infiltration throughout both lungs and formation of vomicae. Ulceration of the intestines, and peritonitis
Disease (standardised): Tuberculosis (Lung); Ulcer (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This patient was admitted in a very peculiar condition, without any condition of active delirium. He seemed to have great difficulty in directing his attention to any subject.
Body parts examined in the post mortem: Thorax, abdomen and cranium
Type of incident: n/a

Eliza Melrose, 42, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Female
Date of admission: 19 Mar 1852
Date of death: 20 Mar 1852
Disease (transcribed): Emphysema pulmonum with old cretaceous deposits and bronchitis. White patch on heart. Thick and opaque capsule of liver. Cysts in fallopian tubes and local peritonitis. Fibrous uterine tumours
Disease (standardised): Emphysema (Lung); Cretaceous deposits (Lung); Bronchitis (Lung); Disease (Heart); Disease (Liver); Cysts (Fallopian tubes);Peritonitis (Abdomen) ; Cancer (Uterus)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This woman was admitted with cough and shortness of breathing.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Elizabeth Uff, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Female
Date of admission: 7 Jan 1852
Date of death: 28 Mar 1852
Disease (transcribed): Peritonitis. Calcaerous deposits in the lung and emphysema. White patch on heart. Deposits of yellow substance in kidneys and cysts. Fibrous tumours of the uterus
Disease (standardised): Peritonitis (Abdomen); Calcareous deposits (Lung); Emphysema (Lung); Disease (Heart); Deposits (Kidney); Cysts (Kidney);Cancer (Uterus)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This woman stated that she had long been subject to cough, but that it had become much worse during the last three or four months, and during three weeks her legs had swollen.
Body parts examined in the post mortem: Thorax, abdomen, pharynx and oesophagus
Type of incident: n/a

James Sparrow, 22, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 22
Gender: Male
Date of admission: 17 Mar 1852
Date of death: 21 Apr 1852
Disease (transcribed): Tubercular peritonitis. Tubercles of lungs?
Disease (standardised): Tuberculosis (Abdomen); Peritonitis (Abdomen); Tuberculosis (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: n/a
Medical notes: As the body was not examined this case is not given
Body parts examined in the post mortem: The body was removed unexamined
Type of incident: n/a

Ellen Walland, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Female
Date of admission: 12 May 1852
Date of death: 28 Jun 1852
Disease (transcribed): Old double pleurisy. Recent also on the right side. Bronchitis. The entire liver of a bright gamboge hue
Disease (standardised): Pleurisy (Pleura); Bronchitis (Lung); Disease (Liver)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This woman stated that her illness had been of four months duration. It had commenced like a fever, with shivering, pains in the loins and severe cold.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Jane Barlow, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Female
Date of admission: 18 Feb 1852
Date of death: 5 Jul 1852
Disease (transcribed): Large ovarian cysts containing other subsidiary ones along with thick gelatinous matter. Purulent fluid. Peritonitis. Bronchitis. Old pleural adhesions. Recent lymph in pleural sac
Disease (standardised): Cysts (Ovaries); Peritonitis (Abdomen); Bronchitis (Lung); Adhesions (Pleura); Lymph (Pleura)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This woman was first admitted in July 1851 when she stated that she had been more or less swollen ever since her last confinement which had occurred four years previously.
Body parts examined in the post mortem: Abdomen, thorax and cranium
Type of incident: n/a

Susan Johnson, 42, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Female
Date of admission: 14 Jul 1852
Date of death: 25 Jul 1852
Disease (transcribed): Carcinoma uteri. Diseased kidneys. Peritonitis. Carcinoma of the mesenteric glands
Disease (standardised): Cancer (Uterus); Disease (Kidney); Peritonitis (Abdomen); Carcinoma (Lymph nodes)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: She was admitted on account of ulcers on the leg, and after her admission mentioned that she had a profuse bloody discharge from the vagina.
Body parts examined in the post mortem: Abdomen, pelvic contents and thorax
Type of incident: n/a

Maria Chambers, 42, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Female
Date of admission: 27 Dec 1843
Date of death: 30 Dec 1843
Disease (transcribed): Strangulated Femoral Hernia: Operation. Peritonitis.
Disease (standardised): Hernia (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted about a fortnight after her 11th confinement with an old reducible femoral hernia of 6 years standing, in a strangulated condition.
Body parts examined in the post mortem: Abdomen
Type of incident: n/a

Mary Watkins, 44, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 44
Gender: Female
Date of admission: 3 Jan 1844
Date of death: 28 Jan 1844
Disease (transcribed): Hypertrophy of right ventricle. Slight cirrhosis of liver. Kidneys congested. Dropsy.
Disease (standardised): Disease (Heart); Liver cirrhosis (Liver); Disease (Kidney); Oedema (Extremities)
Admitted under the care of: Macleod, Roderick
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: At her admission she was suffering from extreme dyspnoea with ascites, and anasarcous swelling of the lower extremities.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

William Ballard, 69, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 69
Gender: Male
Date of admission: 9 February 1844
Date of death: 11 February 1844
Disease (transcribed): Strangulated inguinal hernia. Operation followed by fatal peritonitis.
Disease (standardised): Hernia (Groin); Operation (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Johnson, James
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient had been subject to a ventral hernia for 30 years which he had been in the habit of returning for himself whenever it occurred. On the 9th February whilst engaged at the mangle, the intestine came down.
Body parts examined in the post mortem: Abdomen
Type of incident: n/a

Joseph Alexander, 23, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 23
Gender: Male
Date of admission: 31 Jan 1844
Date of death: 13 February 1844
Disease (transcribed): Large chronic ulcer of the stomach. Peritonitis.
Disease (standardised): Ulcer (Stomach); Peritonitis (Abdomen)
Admitted under the care of: Macleod, Roderick
Medical examination performed by: n/a
Post mortem examination performed by: Johnstone, Athol Archibald Wood
Medical notes: The patient was admitted with symptoms resembling the Painter’s Colic.
Body parts examined in the post mortem: Abdomen. The cranium and thorax were not examined at the request of the friends.
Type of incident: n/a

Sarah Holloway, 18, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 18
Gender: Female
Date of admission: 15 February 1844
Date of death: 23 February 1844
Disease (transcribed): Burn extending over legs, side and back. Pleurisy. Pneumonia. Congestion of duodenum.
Disease (standardised): Burn (Skin); Pleurisy (Pleura); Pneumonia (Lung); Disease (Intestines)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: n/a
Post mortem examination performed by: Lee, Henry
Medical notes: The injuries had been caused by her clothes taking fire.
Body parts examined in the post mortem: Head, pharynx and larynx, thorax and abdomen
Type of incident: Trauma/accident

Anne Pain , 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Female
Date of admission: 21 February 1844
Date of death: 15 Mar 1844
Disease (transcribed): Jaundice. Cirrhosis of the Liver. Slight hypertrophy of left ventricle of the heart. Spleen of enormous size, congested and quite hard. Ascites with flakes of lymph.
Disease (standardised): Jaundice (Skin); Liver cirrhosis (Liver); Disease (Heart); Disease (Spleen); Ascites (Abdomen)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with an accumulation of fluid in the abdomen of two years duration and a solid tumour in the left hypochondrium. She was of intemperate habits and had indulged freely in spirits.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Mary A Harris, 9, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 9
Gender: Female
Date of admission: 13 Mar 1844
Date of death: 26 Mar 1844
Disease (transcribed): Pleurisy. Peritonitis. Necrosis of the rami of the Ischium and Pubis.
Disease (standardised): Pleurisy (Lung); Necrosis (Pelvis); Peritonitis (Abdomen)
Admitted under the care of: Keate, Robert. Seymour, Edward James
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with a small tumour situated in the labium and apparently connected with the ramus of the pubis.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

George Troutbeck, 12, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 12
Gender: Male
Date of admission: 17 Jan 1844
Date of death: 9 May 1844
Disease (transcribed): Pleurisy. Pericarditis. Bicuspid valve thickened. Ascites and dropsy of the extremities. Liver large and puckered, with a peculiar yellow deposit.
Disease (standardised): Pleurisy (Pleura); Pericarditis (Heart); Ascites (Abdomen); Oedema (Extremities); Disease (Liver)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted after suffering from palpitations and difficulty breathing.
Body parts examined in the post mortem: Abdomen and thorax
Type of incident: n/a

Mary Robinson, 34, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 34
Gender: Female
Date of admission: 10 Jul 1844
Date of death: 19 Jul 1844
Disease (transcribed): Abortion. Phlebitis. Diffuse inflammation about Pelvis. Peritonitis. Pleurisy. Secondary abscesses.
Disease (standardised): Abortion (Uterus); Phlebitis (Veins); Inflammation (Pelvis); Peritonitis (Abdomen); Pleurisy (Pleura); Abscess (Indeterminate)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with symptoms of acute abdominal inflammation which had commenced about three weeks before after a miscarriage of a child.
Body parts examined in the post mortem: Abdomen, thorax and axilla
Type of incident: n/a

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