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Holmes, Timothy Stuk Mental disorders
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St George's Hospital Reports, Vol. III

CONTENTS
I. On the Treatment of Rheumatic Fever. By HENRY WILLIAM FULLER, M.D., Senior Physician to the Hospital
II. Cases of Delirium probably dependent on Impoverishment of the Blood. By A. W. BARCLAY, M.D., Physician to the Hospital, and Lecturer on Physic
III. Abstract of Clinical Lectures. By HENRY LEE, Surgeon to the Hospital
IV. Case of Cerebral Disease in a Syphilitic Patient. By T. CLIFFORD ALLBUTT, M.D., Physician to the Leeds General Infirmary
V. On the Reduction of old Dislocations. By BERNARD E. BRODHURST, Assistant Surgeon to the Hospital
VI. On Traumatic Fever. By THOMAS P. PICK, Curator of the Pathological Museum
VII. On Paralysis of the Extensors. By REGINALD THOMPSON, M.D., F.R.S., Medical Registrar to the Hospital
VIII. Are there special Trophic Nerves? By HANDFIELD JONES, M.D., F.R.S., Physician to St. Mary’s Hospital
IX. On improved Methods of inducing and accelerating Labour, with the view of obtaining increased safety to Mother and Child. By ROBERT BARNES, M.D., Lecturer on Midwifery, &c. St. Thomas’s Hospital
X. On Counter-Irritation, considered in reference to the remote and indirect effects of local morbid changes. By W. H. DICKINSON, M.D., Assistant Physician to the Hospital
XI. A Hypothesis as to the ultimate destination of Glycogen. By WILLIAM OGLE, M.D., Assistant Physician to, and Lecturer on Physiology at the Hospital
XII. Case of Poisoning by Stramonium. By C. PAGET BLAKE, M.D. Edin., M.R.C.P. Lond., Consulting Physician to the Torbay Infirmary and Dispensary
XIII. Loss of Speech from the Bite of Venomous Snakes. By WILLIAM OGLE, M.D., Assistant Physician to the Hospital
XIV. Upon certain Morbid Conditions of the Appendages of the Liver. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XV. A Case of Aneurysm. By R. J. LEE, M.B.
XVI. A Series of Fatal Cases of Poisoning. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XVII. On the Treatment of Wounds by the application, of Carbolic Acid, on Lister’s method; showing the results of a Series of Cases so treated in this Hospital during the last few months. By T. HOLMES, Surgeon to the Hospital, and Lecturer on Surgery; and W. B. HOLDERNESSE, House-Surgeon to the Hospital
XVIII. Ophthalmic Department Report. By HENRY POWER, Ophthalmic Surgeon to the Hospital
XIX. Pathological Observations. By THOMAS P. PICK, Curator of the Pathological Museum
XX. Report of the Medical Cases admitted during the year 1867-8. By REGINALD E. THOMPSON, M.D., Medical Registrar
XXI. Report of the Surgical Cases treated during the year 1867. By WILLIAM LEIGH, Surgical Registrar
XXII. Address to the Students of the Hospital on the Opening of the New School, October 1,1868. By HENRY W. ACLAND, Regius Professor of Medicine in the University of Oxford, and Honorary Physician to H.R.H. the Prince of Wales

LIST OF ILLUSTRATIONS
Diagram of Medio-lateral Operation for Lithotomy
Obstruction of Bile-duct by enlarged Glands
Cyst of Pancreas, the result of Obstruction of its Duct
TWO Views of Aneurysm of the Aorta
Diagrams explanatory of this Case
Coloured Lithographs illustrating Cases in the Ophthalmic Report

St George's Hospital Reports, Vol. II

CONTENTS
I. Contributions to the Surgery of the Head. No II. On Exostoses of the Skull. By PRESCOTT G. HEWETT, Surgeon to the Hospital
II. Clinical Cases of Insanity. By GEORGE FIELDING BLANDFORD, M.D., Lecturer on Psychological Medicine at the Medical School
III. Diseases of Artisans. No. I. The Sheffield File-Cutters’ Disease. By JOHN CHARLES HALL, M.D.
IV. On certain Epileptic Phaenomena. By EDWARD FOX, M.D.
V. Encephaloid Disease of a retained Testicle, with Remarks, including a Summary of Twelve other similar cases. By G. F. HODGSON
VI. Thermometrical Observations in Typhoid Fever. By REGINALD E. THOMPSON, M.D., Medical Registrar of the Hospital
VII. Aphasia and Agraphia. By WILLIAM OGLE, M.D., Lecturer on Physiology at the Medical School
VIII. Reports of Cases of Nervous Disease. Delirium. By C. HANDFIELD JONES, M.B. Cantab. F.R.S.
IX. On Loose Cartilages in the Knee-joint. By BERNARD BRODHURST, Assistant Surgeon to the Hospital, and Lecturer on Orthopaedic Surgery
X. Infecting and Non-infecting Chancres. Remarks on some cases, with especial reference to the Means of Diagnosis between the two forms of the Disease. By EDGCOMBE VENNING
XI. On Naso-Pharyngeal Polypi. By THOMAS P. PICK, Curator of the Pathological Museum
XII. On Croup and Diphtheria. By J. WARRINGTON HAWARD
XIII. On the Significance of Skin-Affections in the Classification of Disease. By T. CLIFFORD ALI\BUTT, M.D.
XIV. Cases of Fever, with Remarks on their Origin. By W. E. C. NOURSE
XV. The Forms of Pneumonia. By Octavius Sturges, M.D.
XVI. On a Case of Death from Haemorrhage into the Pericardium, as a result of Rupture of one of three true and circumscribed Aneurysms of the Coronary Artery of the Heart; with Observations on Aneurysm or Aneurysmal Dilatation as a result of Embolism or Thrombosis. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XVII. Statistics of Strangulated Hernia. Some Facts in reference to Strangulated Hernia, founded on a Record of 200 Cases in the Book kept at St. George‘s Hospital. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Surgery
XVIII. Two Cases of Strangulated Inguinal Hernia, with Remarks. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Surgery
XIX. A Case of Convulsions occurring after Delivery; with Remarks suggested thereby. By A. D. MACKAY, M.B.
XX. Instances of some of the rarer varieties of Morbid Growths, Swellings, &c., connected with the Organs contained within the Abdominal Cavity. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XXI. Report of the Medical Cases admitted during the year 1866. By R. E. THOMPSON, M.D., Medical Registrar
XXII. Report of the Surgical Cases admitted during the year 1866. By E. C. RING, Surgical Registrar

LIST OF ILLUSTRATIONS

Encephaloid disease of the right testicle, of about ten months’ growth (Mr. G. F. Hodgson)
Ditto ditto, of three years’ duration
Thermograph showing variation of temperature in typhoid fever (Dr. R. E. Thompson)
Ditto ditto
Ditto ditto, in enteric fever
Ditto, Table of observations in typhoid fever
View of the anterior surface of a heart showing three aneurysms of the coronary artery (Dr. John W. Ogle)
Intestine displaying a fibrous tumour attached to its inner surface (Dr. John W. Ogle)

James Allen, 43, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 43
Gender: Male
Date of admission: 19 May 1884
Date of death: 30 May 1884
Disease (transcribed): Cellulitis. Delirium tremens
Disease (standardised): Cellulitis (Tissues); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: When admitted he could give no account of himself. The right leg was half covered with an ulcer. After twenty four hours in the hospital the man passed into a condition of noisy, restless, tremulous delirium.
Body parts examined in the post mortem: Pleurae, heart, liver, spleen and kidneys
Type of incident: n/a

James Manning, 36, Butler

Occupation or role: Butler
Age: 36
Gender: Male
Date of admission: 6 May 1879
Date of death: 17 May 1879
Disease (transcribed): Cutaneous burn. Delirium tremens. Pulmonary tubercle
Disease (standardised): Burn (Skin); Alcohol withdrawal delirium (Brain); Tuberculosis (Lung)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient was burnt in a gas explosion.
Body parts examined in the post mortem: Lung, heart, liver, kidneys, spleen, duodenum and brain
Type of incident: Trauma/accident

Frederick Rathnell, 54, Cabman

Occupation or role: Cabman
Age: 54
Gender: Male
Date of admission: 17 Mar 1875
Date of death: 21 Mar 1875
Disease (transcribed): Compound comminuted fracture of the left leg. Congestion and oedema of the lungs. Delirium tremens
Disease (standardised): Fracture (Leg); Oedema (Lung); Congestion (Lung); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Thrupp, James Godfrey
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This patient fell from a loft about six feet from the ground while in a state of slight intoxication.
Body parts examined in the post mortem: Bones, cerebrum, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: Trauma/accident

William Priest, 37, Cabman

Occupation or role: Cabman
Age: 37
Gender: Male
Date of admission: 12 Sep 1873
Date of death: 27 Sep 1873
Disease (transcribed): Amputation of thigh (for compound fracture). Granular kidneys. Delirium tremens
Disease (standardised): Amputation (Leg); Fracture (Leg); Disease (Kidney); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: This man stated that he was knocked down while housing a carriage.
Body parts examined in the post mortem: Brain, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Henry Baker, 75, Messenger

Occupation or role: Messenger
Age: 75
Gender: Male
Date of admission: 22 Jan 1885
Date of death: 7 Feb 1885
Disease (transcribed): Bronchitis. Burn. Senile delirium
Disease (standardised): Bronchitis (Lung); Burn (Skin ); Delirium (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Sheild, Arthur Marmaduke
Medical notes: By some accident he fell into the fire and burnt his right arm.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, joints and alimentary canal
Type of incident: Trauma/accident

Joseph Thursfield, 60, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 60
Gender: Male
Date of admission: 20 Mar 1858
Date of death: 16 Apr 1858
Disease (transcribed): Enlarged prostate. Abscesses between the muscular fasciculi of the bladder. Scattered abscesses of the kidneys. Insanity
Disease (standardised): Enlargement (Prostate); Abscess (Bladder, kidneys); Insanity
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Cooper, George Frederick and Hart, Ernest Abraham
Medical notes: 'Was admitted under Dr Page [William Emanuel Page] for fever & slight delirium, having at the same time retraction & incontinence of urine. He says he had never had either of the 2 latter before, nor can any history of diseased prostate be obtained’
Body parts examined in the post mortem: Cranium, thorax, abdomen, pelvis

Type of incident: n/a

Richard Corpes, 30, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Male
Date of admission: 9 Jun 1852
Date of death: 11 Jul 1852
Disease (transcribed): Delirium and coma preceding death. Pneumonia. Red hepatization. Hypertrophied heart with extreme contraction of the mitral valve orifice although not attended by murmur
Disease (standardised): Delirium (Brain); Coma (Brain); Pneumonia (Lung); Disease (Lung); Disease (Heart)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holmes, Timothy
Medical notes: This man was admitted in a very peculiar state. His brother reported that he had been ill some three or four months with cough, shortness of breathing, and he had spit some blood.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Thomas Tucker, 54, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 54
Gender: Male
Date of admission: 6 Jun 1852
Date of death: 19 Jun 1852
Disease (transcribed): Superficial wound across the elbow, followed by much constitutional disturbance, tremor and low delirium. Violent delirium. Coma preceded death. Pus in the veins. Fluid blood. Softening of a portion of the left cerebral hemisphere and congestion of the membranes. Wet brain
Disease (standardised): Wound (Arm); Tremor (Systemic); Delirium (Brain); Coma (Brain); Suppuration (Veins); Fluid (Blood);Softening (Brain) ; Congestion (Brain)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Holmes, Timothy
Medical notes: She seemed to have been of very dissipated habits for a long time and had been drinking more than usual for some weeks before admission.
Body parts examined in the post mortem: Veins of arm, blood, cranium, thorax and abdomen
Type of incident: n/a

Jane Pearce, 20, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 20
Gender: Female
Date of admission: 15 Oct 1851
Date of death: 19 Apr 1852
Disease (transcribed): Idiotcy. An increased number with diminished size of the cerebral convolutions. New bone added to the inner plate of the calvaria with obliterated sutures. Disease of the vertebrae, sacrum and pelvis
Disease (standardised): Intellectual disability (Brain); Disease (Brain); Disease (Spine); Disease (Pelvis)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: She was admitted on account of a large fluctuating tumour situated over the region of the left sacro iliac joint.
Body parts examined in the post mortem: Cranium and abdomen
Type of incident: n/a

Edward Siggins, 79, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 79
Gender: Male
Date of admission: 8 Jan 1870
Date of death: 29 Mar 1870
Disease (transcribed): Fractured leg. Senile delirium.
Disease (standardised): Fracture (Leg); Delirium (Brain)
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

Richard Wolver, 65, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Male
Date of admission: 6 Feb 1856
Date of death: 17 Feb 1856
Disease (transcribed): Dementia. Sores on the legs. Viscid fluid under arachnoid.
Disease (standardised): Dementia (Brain); Ulcer (Leg); Fluid (Meninges)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This man had been a sailor. He was admitted on account of ulcers of the legs of about five weeks standing. He was also in a state of senile dementia.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

William Tussens, 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Male
Date of admission: 11 Jan 1855
Date of death: 22 Feb 1855
Disease (transcribed): Convulsions. Delirium. Purulent deposits in lungs, pleural sac, pectoral muscle and other parts.
Disease (standardised): Seizures (Brain); Delirium (Brain); Purulent deposits (Lung, Pleura); Purulent deposits (Pectoralis Muscles)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: He was said to have been seized with convulsions on the sixth day before admission, which subsequently passed into delirium and then total insensibility.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a