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Barclay, Andrew Whyte Item Mental disorders
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Alexander Middlemiss, 45, Butler

Occupation or role: Butler
Age: 45
Gender: Male
Date of admission: 9 Dec 1874
Date of death: 21 Dec 1874
Disease (transcribed): Ascites. Delirium tremens
Disease (standardised): Ascites (Abdomen); Alcohol withdrawal delirium (Brain )
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not reported here
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Alfred Summers, 15, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 15
Gender: Male
Date of admission: 19 Aug 1852
Date of death: 27 Aug 1852
Disease (transcribed): Delirium and coma. Much fluid in the ventricles and under the arachnoid. Scrofulous deposits in the lungs, spleen and bronchial glands. Vomicae in the lung. Ulcerated intestines
Disease (standardised): Delirium (Brain); Coma (Brain); Fluid (Brain); Tuberculosis (Lung); Tuberculosis (Spleen); Ulcer (Intestines)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: n/a
Medical notes: This patient had been ill a week and was admitted with a hot and dry skin, foul tongue and in a state of stupor and drowsiness.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Ann Amess, 21, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 21
Gender: Female
Date of admission: 24 Jan 1850
Date of death: 3 Feb 1850
Disease (transcribed): Acute Rheumatism. Delirium
Disease (standardised): Rheumatic diseases (Tissues); Delirium (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient stated that she had first taken ill on the 17th and had been under medical care since the 19th suffering from Rheumatic Fever.
Body parts examined in the post mortem: Cranium, thorax, pelvis and lower extremities
Type of incident: n/a

Anne Rivers, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Female
Age: 25
Date of admission: 18 Feb 1854
Date of death: 25 Feb 1854
Disease (transcribed): Diseased heart. Fibrin in pleural sacs. Coagulated fibrin in pelvic veins
Disease (standardised): Disease (Heart); Thrombosis (Pleura); Thrombosis (Pelvis)
Admitting doctor: Bence Jones, Henry
Surgeon: Ogle, John William
Physician: Barclay, Andrew Whyte
Medical notes: 'This patient was originally admitted on the 28th Sept 1853 with anasarca of the lower extremities and considerable enlargement of the abdominal cavity. She stated that in the beginning of May when in the 3rd month of pregnancy, she had got a fright, & was seized with hysterical paroxysm, which was followed by a cough’
Body parts examined in the post mortem: Thorax, abdomen, cranium

Type of injury: n/a

Catharine Doyley, 17, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 17
Gender: Female
Date of admission: 20 Dec 1848
Date of death: 3 Jan 1849
Disease (transcribed): Pericarditis. Disease of aortic & mitral valves. Pleurisy
Disease (standardised): Pericarditis (Heart); Disease (Heart); Pleurisy (Lungs)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: 'This patient was admitted for the third time into the hospital labouring as on former occasions under an attack of acute rheumatism. She stated that she had had a fainting fit on the 11th inst, that she had been ailing ever since, and was hysterical & out of sorts, with fits of laughing, crying, fainting &c on the 13th till the joints became red & swollen & painful on 17th. This appearance had entirely subsided on her admission’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Charles Jackson, 50, Butler

Occupation or role: Butler
Age: 50
Gender: Male
Date of admission: 1 Dec 1880
Date of death: 2 Dec 1880
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The patient had been drinking to excess for some time before admission.
Body parts examined in the post mortem: Brain, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Elizabeth Purdy, 34, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 34
Gender: Female
Date of admission: 27 Feb 1849
Date of death: 6 Mar 1849
Disease (transcribed): Mania. Membranes & substance of brain congested. Granular kidneys
Disease (standardised): Mania (Brain); Congestion (Brain); Disease (Kidneys)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: 'This patient presented on admission the appearance of approaching mania or insanity rather than delirium. She could give very little account of herself, and yet seemed fully to understand the questions put to her, put out her tongue, sat up in bed &c just as she was ordered. She was reported by her friends to be a married woman, having had 3 children, with easy labours, & 4 miscarriages since, the last of which occurring about Xmas was attended with a good deal of flooding, and she had continued to have a red discharge more or less ever since. When at chapel on 25th inst. she created a disturbance by talking incoherently; she has been strange in her manner ever since, and occasionally very noisy & troublesome’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

George Matthews, 22, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 22
Gender: Male
Date of admission: 16 Oct 1848
Date of death: 21 Oct 1848
Disease (transcribed): Delirium
Disease (standardised): Delirium (Brain)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Handfield Jones, Charles
Medical notes: Stated to have been seized with pain in the head. The following day he began to act strange in his manner and was quite delirious.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Henry Arnold, 44, Cabman

Occupation or role: Cabman
Age: 44
Gender: Male
Date of admission: 31 Jul 1872
Date of death: 2 Aug 1872
Disease (transcribed): Delirium tremens. Erysipelas faciei
Disease (standardised): Alcohol withdrawal delirium (Brain); Erysipelas (Skin)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man had been drinking very hard for the last four weeks. About a week before admission he fell from his cab in a fit.
Body parts examined in the post mortem: Cranium, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Henry Perry, 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Male
Date of admission: 10 Dec 1848
Date of death: 22 Dec 1848
Disease (transcribed): Pneumonia. Pain of head and deafness. Delirium.
Disease (standardised): Pneumonia (Lung); Pain (Head); Deafness (Ear); Delirium (Brain)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: This patient presented on admission all the appearance of an ordinary case of fever. He was exceedingly deaf, which he said dated only from the commencement of his present illness.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Joanna Walsh, 38, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Female
Date of admission: 15 Dec 1848
Date of death: 15 Dec 1848
Disease (transcribed): Syncope. Debility after delirium.
Disease (standardised): Syncope (Brain); Delirium (Brain)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Handfield Jones, Charles
Medical notes: This patient was reported never to have recovered strength since her last confinement about a month ago.
Body parts examined in the post mortem: Neck, larynx, thorax, abdomen and right lower limb
Type of incident: n/a

John Dalton, 46, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Male
Date of admission: 14 Nov 1850
Date of death: 18 Nov 1850
Disease (transcribed): Delirium. Phthisis pulmonalis. Brain wet. Ventricles full. Fornix soft. Lungs congested. Liver pale.
Disease (standardised): Delirium (Brain); Tuberculosis (Lung); Disease (Brain ); Congestion (Lung); Pale (Liver)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This man whose face bore the mark of hard drinking and was acknowledged to be a man of dissipated habits, was admitted complaining that he felt nervous, low and weak.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Mary Ann Dobbs, 17, Worker at an Army Furnishers

Occupation or role: Worker at an Army Furnishers
Age: 17
Gender: Female
Date of admission: 21 Jul 1848
Date of death: 16 Nov 1848
Disease (transcribed): Sloughing sores after fever?
Disease (standardised): Sloughing (Back); Sloughing (Buttocks); Fever (Systemic)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Handfield Jones, Charles
Medical notes: This patient was in an exceedingly debilitated condition, unable to move herself and with her back extensively ulcerated from bed sores. She had been subject to some sort of fits, probably of a 'hysterical nature'.
Body parts examined in the post mortem: Thorax, abdomen and knee joints
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

Richard Styles, 55, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 55
Gender: Male
Date of admission: 13 Dec 1848
Date of death: 19 Dec 1848
Disease (transcribed): Delirium. Pneumonia. Miliary tubercles.
Disease (standardised): Delirium (Brain); Pneumonia (Lung); Tuberculosis (Lung)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Handfield Jones, Charles
Medical notes: It was only known that his illness was of about five days duration and that he had complained of headache and vertigo.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Sarah Ashton, 38, Married

Occupation or role: Married
Age: 38
Gender: Female
Date of admission: 12 Aug 1881
Date of death: 23 Aug 1881
Disease (transcribed): Cerebral haemorrhage
Disease (standardised): Haemorrhage (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Zimmermann, Benjamin Frazier
Post mortem examination performed by: Myers, Arthur Thomas
Medical notes: 'No heritable disease. Had been subject to 'bilious headaches and vomiting'. Subject to hysterical fits & had had one epileptic fit a long time ago. Had two miscarriages previous to a living child being born. Had suffered from sore throat & skin rashes. Temperate. Had no sunstroke or head injury. Had been living on very little food lately & had had some headache & vomiting. Her daughter of 14 stated that she had had a fit 13 years ago. Three days before admission, while at work, she fell down'
Body parts examined in the post mortem: Brain, lungs, heart, liver, kidneys, spleen

Type of incident: n/a

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

William Cambridge, 40, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 40
Gender: Male
Date of admission: 19 Apr 1850
Date of death: 24 Apr 1850
Disease (transcribed): Mania. Thickening and opacity of arachnoid. Fluid at base of brain. Slight congestion
Disease (standardised): Bipolar disorder (Brain); Disease (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: It was difficult to obtain from the persons who accompanied this man any very distinct history of the circumstances under which his illness had begun. His speech and memory had been gradually failing and he had occasionally complained of being out of sorts.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

William Davies, 25, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 25
Gender: Male
Date of admission: 2 Aug 1850
Date of death: 8 Aug 1850
Disease (transcribed): Acute rheumatism. Suppuration in and round joints. Delirium (with tremor). Ventricles of brain full, congested. Liver loaded. Incipient pericarditis
Disease (standardised): Rheumatic diseases (Tissues); Suppuration (Joints); Delirium (Brain ); Disease (Brain); Disease (Liver); Pericarditis (Heart)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This case presented on admission very much the character of Acute Rheumatism.
Body parts examined in the post mortem: Cranium, thorax, abdomen and articulations
Type of incident: n/a

William Judd, 31, Waiter

Occupation or role: Waiter
Age: 31
Gender: Male
Date of admission: 9 Aug 1867
Date of death: 15 Aug 1867
Disease (transcribed): Delirium tremens. Typhus fever
Disease (standardised): Alcohol withdrawal delirium (Systemic); Typhus, epidemic louse-borne (Systemic)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: He had been drinking for some time before admission and seemed to have had a previous attack.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a