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Lee, Henry Musculoskeletal system
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Matthew Elmes, 37, Drayman

Occupation or role: Drayman
Age: 37
Gender: Male
Date of admission: 2 Jun 1845
Date of death: 15 Jun 1845
Disease (transcribed): Injury of wrist joint, with suppuration and destruction of the joint etc. Secondary deposits in both lungs. Slight effusion in sub-arachnoid cellular tissue. Brain, especially the cortical structure, paler than natural. Mania
Disease (standardised): Injury (Wrist); Suppuration (Wrist); Deposit (Lungs); Effusion (Brain); Mania
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'The patient was reported to have been maniacal for several years. In his occupation, which was that of a drayman, an empty cart rolled over his hand. It did not appear of much consequence at the time, but was succeeded by an attack of diffuse cellular inflammation, which gradually extended up the whole arm’
Body parts examined in the post mortem: Cranium, thorax, abdomen, wrist joint

Type of incident: Trauma / accident

Henry Foghill, 8, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 8
Gender: Male
Date of admission: 7 Jul 1845
Date of death: 7 Jul 1845
Disease (transcribed): Extensive fracture of the skull, with extensive contusions and laceration of the cerebrum. Other parts healthy
Disease (standardised): Fracture (Skull); Laceration (Brain)

Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'About an hour and a half before admission this patient was running behind a carriage, when he suddenly lost his hold and fell with great violence upon the road. Another carriage which was passing immediately afterwards passed over his leg but it was said did not touch his head’
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

Joseph Sherley, 67, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 67
Gender: Male
Date of admission: 7 Jul 1845
Date of death: 16 Jul 1845
Disease (transcribed): Extensive compound fracture of the leg, extending into the ankle-joint, with suppuration in the joint
Disease (standardised): Fracture (Leg); Suppuration (Ankle)

Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient fell from the top of a hay rick, alighting upon his feet and was brought to the hospital, a distance of 14 miles in a cart’
Body parts examined in the post mortem: Thorax, abdomen, lower extremity

Type of incident: Trauma / accident

James Doyle, 38, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Male
Date of admission: 7 Jul 1845
Date of death: 28 Jul 1845
Disease (transcribed): Fracture of the spine with softening of the spinal chord. Extensive ruptures, perfectly united, about the liver and right kidney
Disease (standardised): Fracture (Spine); Softening (Spinal cord); Rupture (Liver, kidney)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was reported to have been subject to fits of giddiness for several years and it was supposed to be during one of these that he walked forwards off a hay rick about 30 feet high. He was reported to have fallen upon his back across a large piece of wood’
Body parts examined in the post mortem: Spine, thorax, abdomen

Type of incident: Trauma / accident

James Connor, 28, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Male
Date of admission: 18 Jul 1845
Date of death: 19 Jul 1845
Disease (transcribed): Fracture of the skull with extensive laceration of the cerebrum & cerebellum, produced by a chisel
Disease (standardised): Fracture (Skull); Laceration (Brain)

Admitted under the care of: Tatum, Thomas
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'Admitted at a quarter to three PM. It appeared that a chisel had fallen upon his head a distance of 70 or 80 feet, and that the point had penetrated almost perpendicularly into the brain. A portion of the brain protruded upon his admission, and there was some oozing of blood from the wound. He was in a state of complete collapse’
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

William Harding, 35, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 35
Gender: Male
Date of admission: 20 Jul 1845
Date of death: 25 Aug 1845
Disease (transcribed): Fracture of the 11th dorsal vertebra. Softening of spinal marrow. Inflammation of mucous membrane of left kidney. Extensive ulceration of bladder; large foul abscess between bladder and rectum with a false passage in the urethra. Red hepatisation of lower lobe of left lung
Disease (standardised): Fracture (Spine); Softening (Spine); Inflammation (Kidney); Ulcer (Bladder); Abscess (Bladder, rectum); Hepatisation (Lungs)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient fell a distance of about 30 feet from a ladder, upon his back and was admitted 24 hours after the accident. Upon examination a depression was discovered at the lower part of the dorsal region in the spinous processes and the complained of much pain at this point’
Body parts examined in the post mortem: Spine, abdomen, thorax

Type of incident: Trauma / accident

John Salter, 14, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 14
Gender: Male
Date of admission: 25 Jul 1845
Date of death: 25 Jul 1845
Disease (transcribed): Extensive fracture of the skull, with laceration of the brain. Tubercular & setaceous deposits in mesenteric glands
Disease (standardised): Fracture (Skull); Laceration (Brain); Tuberculosis (Mesenteric glands)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This lad was thrown from a horse shortly before his admission and was reported immediately afterwards to have been sick’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: Trauma / accident

James Williams, 41, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 41
Gender: Male
Date of admission: 13 Aug 1845
Date of death: 16 Sep 1845
Disease (transcribed): Extensive diffuse cellular inflammation of the arm and axilla. Fracture of the radius. Viscera healthy
Disease (standardised): Inflammation (Arm, armpit); Fracture (Arm)

Admitted under the care of: Tatum, Thomas
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was received as an out-patient on the 2nd of July with a fracture of the lower extremity of the radius from which he suffered considerable pain. After the operation of a few days a slough formed upon the palm of the hand’
Body parts examined in the post mortem: Thorax, abdomen, left superior extremity

Type of incident: Trauma / accident

Thomas Meeds, 18, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 18
Gender: Male
Date of admission: 26 Aug 1845
Date of death: 8 Oct 1845
Disease (transcribed): Diffuse inflammation of the arachnoid at the base of the brain. Injury of leg. Erysipelas. Loose cartilages in knee joint
Disease (standardised): Inflammation (Brain); Injury (Leg); Erysipelas (Skin)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted under the care of the surgeon for a small wound on the outside of the knee, for which he had attended for as an out-patient. He was in an extremely listless state with a very low pulse’
Body parts examined in the post mortem: Cranium, thorax, abdomen, right inferior extremity

Type of incident: Trauma / accident

Henry Lacey, 26, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 26
Gender: Male
Date of admission: 8 Sep 1845
Date of death: 2 Oct 1845
Disease (transcribed): Scalp wound. Fracture of the skull. Inflammation of membranes. Pus in superior longitudinal sinus. Extravasations of blood under both pleurae. Lungs congested and soft in structure. 2Ndary deposits in liver (trephine applied)
Disease (standardised): Wound (Scalp); Fracture (Skull); Inflammation (Brain); Suppuration (Brain); Disease (Lungs); Deposit (Liver)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'A piece of an iron pipe fell from a height of 40 feet and after striking against a projection bounded upon the patient’s head. He was stunned for about two minutes but was quite sensible half an hour afterwards when admitted into the hospital’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: Trauma / accident

Samuel Medhurst, 38, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Male
Date of admission: 10 Sep 1845
Date of death: 24 Nov 1845
Disease (transcribed): Caries of the head of the humerus and of the glenoid cavity with extensive abscesses in the neighbourhood of the joint and ulceration of the posterior circumflex artery, giving rise to fatal haemorrhage. Viscera healthy, but exsanguine
Disease (standardised): Caries (Arm, shoulder); Abscess (Shoulder); Ulcer (Shoulder); Haemorrhage

Admitted under the care of: Tatum, Thomas
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted with disease of the shoulder joint, which appeared ankylosed. There was pain and great fullness around the joint, but not such pain as would indicate that the disease was at that time confined to the joint’
Body parts examined in the post mortem: Thorax, abdomen, left shoulder joint

Type of incident: n/a

Esther Polley, 50, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Female
Date of admission: 18 Sep 1845
Date of death: 30 Sep 1845
Disease (transcribed): Lacerated wound of foot. Sloughing of integuments. Inflammation of lung with deposit of matter
Disease (standardised): Wound (Foot); Sloughing (Foot); Inflammation (Lungs)
Admitted under the care of: Keate, Robert
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted with an extensive lacerated wound over the dorsum of the foot caused by a cart wheel passing over it. There was considerable haemorrhage from some of the small arteries at the time and it was subsequently ascertained that one of the metatarsal bones was fractured and a portion of the base separated from the remainder of the bone’
Body parts examined in the post mortem: Lower extremity, thorax, abdomen

Type of incident: Trauma / accident

John Harris, 32, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 32
Gender: Male
Date of admission: 19 Sep 1845
Date of death: 24 Sep 1845
Disease (transcribed): Compound fracture of leg. Mortification. Adhesion of pleura. Inflammation of lung
Disease (standardised): Fracture (Leg); Mortification (Leg); Adhesions (Lungs); Inflammation (Lungs)

Admitted under the care of: Keate, Robert
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'Shortly before the admission of this patient a cart had passed over his leg making a wound over the upper part of the tibia, from which a considerable quantity of blood escaped. It was subsequently ascertained that the tibia and fibula had also been fractured by the accident. He was in a state of much debility in consequence of having lived very badly for some time previous to his admission in to the hospital’
Body parts examined in the post mortem: Right lower extremity, thorax, abdomen

Type of incident: Trauma / accident

John Mason, 80, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 80
Gender: Male
Date of admission: 20 Sep 1845
Date of death: 1 Oct 1845
Disease (transcribed): Fracture of the neck of the femur and of the anatomical neck of the humerus, with effusion of blood in the sub-dorsal cellular tissue of the left loin and iliac fossa. Calcerous deposit in aortic valves. Kidneys slightly granular
Disease (standardised): Fracture (Thigh); Effusion (Loins, hip); Deposit (Aorta); Disease (Kidneys)

Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This old gentleman was admitted with the usual symptoms of fracture of the neck of the femur’
Body parts examined in the post mortem: Thorax, abdomen, left superior extremity, left inferior extremity

Type of incident: Trauma / accident

John Gill, 67, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 67
Gender: Male
Date of admission: 24 Sep 1845
Date of death: 24 Sep 1845
Disease (transcribed): Fractured ribs. Effused blood into both cavities of pleura. Ruptured kidney. Effused blood behind peritoneum. Rupture of brain with effused blood into its substance. Effusion of blood into arachnoid cavity. Dislocation of hip-joint
Disease (standardised): Fracture (Ribs); Effusion (Lungs, abdomen); Rupture (Kidneys, brain); Dislocation (Hip)

Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'A roll of lead had fallen upon this patient shortly before his admission, and knocked him through a trap door into a cellar. When admitted he was partially sensible but in a state of great collapse’
Body parts examined in the post mortem: Cranium, thorax, abdomen, left lower extremity

Type of incident: Trauma / accident

William Greenwood, 25, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 25
Gender: Male
Date of admission: 16 Oct 1845
Date of death: 20 Oct 1845
Disease (transcribed): Fissure of the skull with extensive laceration of the brain and haemorrhage into the cavity of the arachnoid
Disease (standardised): Fissure (Skull); Laceration (Brain); Haemorrhage (Brain)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient had been knocked down whilst in a state of intoxication on the evening of the 14th and had been left in the station house during the night. When conveyed home on the morning of the 15th, he was reported to have been drowsy and his wife had made frequent attempts to keep him awake by ‘shaking him’. When admitted there was a graze about the size of a shilling on the back part of the right side of the head’
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

George Nicholls, 29, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 29
Gender: Male
Date of admission: 20 Oct 1845
Date of death: 20 Oct 1845
Disease (transcribed): Extensive comminuted fracture of the skull with laceration of the brain & haemorrhage into the cavity of the arachnoid, into the ventricles and into the orbits
Disease (standardised): Fracture (Skull); Laceration (Brain); Haemorrhage (Brain)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient shortly before his admission fell from one of the trees in the park, a distance of 14 feet upon his head. When admitted there was ecchymosis of both eyelids, and of the cellular membrane beneath the conjunctiva. He was in a state of complete coma with apparent paralysis and complete loss of sensation’
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

Charles Kentfield, 8, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 8
Gender: Male
Date of admission: 28 Oct 1845
Date of death: 28 Oct 1845
Disease (transcribed): Scalp wound and fracture of the base of the skull with extensive bruising of the brain, and extravasation of blood in the pia mater. Fracture of the lower jaw and of the left leg
Disease (standardised): Wound (Scalp); Fracture (Skull); Bruise (Brain); Extravasation (Brain); Fracture (Jaw, leg)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This lad was reported to have been knocked down by the shaft of a cart striking him upon the back of the head, whilst the cart was proceeding at a rapid rate. He was admitted with a large scalp wound at the back of the head, which had not however exposed the bone’
Body parts examined in the post mortem: Cranium, lower jaw, left lower extremity

Type of incident: Trauma / accident

John Trusty, 37, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 37
Gender: Male
Date of admission: 30 Oct 1845
Date of death: 1 Nov 1845
Disease (transcribed): Extensive fracture of the skull with extravasation of blood between the bone and the dura mater. Fracture of ribs. Heart dilated with softening of muscular structure
Disease (standardised): Fracture (Skull); Extravasation (Brain); Fracture (Ribs); Disease (Heart)

Admitted under the care of: Cutler, Edward
Medical examination performed by: Spitta, Robert John
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was brought to the hospital without any history of the way in which he had met with his accident. It was however supposed that he had been struck or run over by a cart’
Body parts examined in the post mortem: Head, thorax, abdomen

Type of incident: Trauma / accident

Michael Golding, 36, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 36
Gender: Male
Date of admission: 4 Nov 1845
Date of death: 5 Nov 1845
Disease (transcribed): Fracture of the skull with extravasation of blood in the cavity of the arachnoid and in the sub-arachnoid tissue. Extensive injury of brain. Fracture of sternum and of 8th and 9th ribs. Injury of lungs. Rupture of spleen. Fracture of pubis
Disease (standardised): Fracture (Skull); Extravasation (Brain); Injury (Brain, lungs); Fracture (Sternum, ribs, pubus); Rupture (Spleen)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was said to have fallen from a second story and to have struck his head against a log of wood. When brought to the hospital he was in a state of collapse, perfectly insensible’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: Trauma / accident

Esther Williams, 45, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Female
Date of admission: 12 Nov 1845
Date of death: 25 Nov 1845
Disease (transcribed): Scirrhus of breast. Removal. Reappearance of disease in glands and in bones. Epileptic fits. Brain congested. Branches of superior & inferior mesenteric arteries clogged up with large and very firm black coagula
Disease (standardised): Scirrhus (Breast); Removal (Breast); Scirrhus (Glands, bones); Epilepsy (Brain); Congestion (Brain, blood vessels)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'About six months before her death this patient came into the hospital for a malignant disease of the left breast, which was then amputated. The tumor of the breast had been growing 9 months and was reported of an encephaloid character. She left the hospital three weeks after the operation with the wound nearly cicatrized’
Body parts examined in the post mortem: Cranium, spine, thorax, abdomen, left humerus, left femur

Type of incident: n/a

William North, 21, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 21
Gender: Male
Date of admission: 13 Dec 1845
Date of death: 16 Dec 1845
Disease (transcribed): Extensive fracture of the skull. Extravasation of blood between bones & dura mater. Bruising of brain. Fracture of 7th cervical and 1st dorsal vertebrae. Extensive injury of spinal chord. Lungs congested. Other viscera healthy
Disease (standardised): Fracture (Skull); Extravasation (Brain); Bruise (Brain); Fracture (Spine); Injury (Spinal cord); Congestion (Lungs)
Admitted under the care of: Keate, Robert
Medical examination performed by: Spitta, Robert John
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient fell from a height of 40 feet (his fall being partially broken) an hour before his admission, and as he was being brought to the hospital he vomited a quantity of brown fluids. When admitted there was a large effusion of blood beneath the skin covering the left parietal bone’
Body parts examined in the post mortem: Head, spinal canal, thorax, abdomen

Type of incident: Trauma / accident

David Griffiths, 34, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 34
Gender: Male
Date of admission: 19 Dec 1845
Date of death: 19 Dec 1845
Disease (transcribed): Fracture of the spine and of 3 ribs. Compound fracture of the arm. Extensive separation of both sacro-iliac synchondroses. Extensive haemorrhage into the pleura, posterior mediastinum and peritoneum. Laceration of the right lung and of the liver
Disease (standardised): Fracture (Spine, ribs, arm); Haemorrhage (Lungs, chest, abdomen); Laceration (Lungs, liver)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient fell from a great height upon his back into the street. When brought to the hospital he was in a state of great collapse’
Body parts examined in the post mortem: Spine, thorax, abdomen, right superior extremity

Type of incident: Trauma / accident

John Sims, 37, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 37
Gender: Male
Date of admission: 06 Sep 1847
Date of death: 06 Sep 1847
Disease (transcribed): Fracture of the cervical vertebrae. Compression of chord. Sudden death after a few hours.
Disease (standardised): Fracture (Spine); Compression (Spinal cord); Death, sudden (Systemic)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Lee, Henry
Medical notes: On examination it was found that the whole body and extremities up to the clavicles were completely paralysed. These symptoms had followed a fall from a cab.
Body parts examined in the post mortem: Neck, spinal chord, blood and kidneys
Type of incident: Trauma/accident

Edward Randell, 5, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 5
Gender: Male
Date of admission: 07 Sep 1847
Date of death: 14 Sep 1847
Disease (transcribed): Scalp wound with extensive suppuration and fracture of the base of the skull.
Disease (standardised): Wound (Head); Suppuration (Head); Fracture (Skull)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Lee, Henry
Medical notes: This patients injuries were caused by a wheel of a heavily laden cart passing over the side of the head.
Body parts examined in the post mortem: Head
Type of incident: Trauma/accident

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