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Page, William Emanuel Nervous system diseases
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Benjamin George, 51, Pot boy

Occupation or role: Pot boy
Age: 51
Gender: Male
Date of admission: 20 Dec 1845
Date of death: 1 Jan 1846
Disease (transcribed): Delirium Tremens. Brain wet. Slight extravasation of blood in arachnoid. Heart dilated and atrophied with flaccid muscular structure. Patches of atheroma about valves and aorta. Blood fluid. Lungs congested. Liver fatty.
Disease (standardised): Alcohol withdrawal delirium (Brain ); Disease (Brain); Disease (Heart); Plaque, Atherosclerotic (Arteries); Disease (Lung); Disease (Liver)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient had lost his appetite, unable to sleep well and had become extensively nervous.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

William Hill, 29, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 29
Gender: Male
Date of admission: 20 Oct 1852
Date of death: 4 Jan 1853
Disease (transcribed): Imperfect paraplegia. Scrofulous deposits in the lungs, bronchial glands, peritoneal cavity and spleen. Ulcerated intestines
Disease (standardised): Paraplegia (Brain); Tuberculosis (Lung); Tuberculosis (Bronchial glands); Tuberculosis (Abdomen); Tuberculosis (Spleen); Ulcer (Intestines)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: He was admitted in a condition of imperfect paraplegia which commenced after severe exposure.
Body parts examined in the post mortem: Thorax, abdomen, cranium and spinal cord
Type of incident: n/a

St George's Hospital Reports, Vol. I

The volume includes a brief history of the hospital and the medical school.

Contents:
I. Some Account of St. George’s Hospital and School. By W. E. PAGE, M.D., Senior Physician to the Hospital
II. Contributions to the Surgery of the Head. No. I. On the Deviations of the Base of the Skull in Chronic Hydrocephalus. By PRESCOTT HEWETT, Surgeon to the Hospital
III. A Case of Meningocele, in the Occipital Region, which was injected with Iodine, without ill consequences, the Patient dying of Broncho-pneumonia. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Anatomy
IV. On the Typhus Epidemic of 1864-5, as observed at St. George’s Hospital. By R. E. THOMPSON, M.D., Medical Registrar of the Hospital
V. Notes on an Epidemic of Typhus at Leeds, in the Year 1865-6. By T. CLIFFORD ALLBUTT, M.B., Physician to the Fever Infimmary, Fever Hospital, &0. at Leeds
VI. On the Diagnosis, Pathology, and Treatment of Progressive Locomotor Ataxy. By J. LOCKHART CLARKE, F.R.S.
VII. On Rheumatic Iritis. By J. ROUSE, Lecturer on Anatomy at the Hospital School
VIII. On Cerebral Symptoms occurring in certain Affections of the Ear. By J. TOYNBEE, F.R.S., late Consulting Aural Surgeon to St. Mary’s Hospital, Asylum for the Deaf and Dumb, and to St. George’s and St. James’s Dispensary
IX. On some Points connected with the Treatment of Hernia. By J. WARRINGTON HAWARD, Resident Medical Oflicer to the Hospital for Sick Children
X. On Amputation at the Hip-joint, and on the Applicability of this Operation in some of the worst Cases of Morbus Coxarius. Part I. For recurrent Fibro-plastic Tumour. Part II. In Morbus Coxarius. By T. HOLMES, Assistant Surgeon to the Hospital
XI. On Disease of the Brain as a result of Diabetes Mellitus, illustrated by the Narrative of a Case (with Clinical Observations) in which Paralysis, due to Softening of the Brain, came on in a Diabetic Patient, and proved fatal. Followed by a Notice of Fifteen Fatal Cases of Diabetes, cited from the Records of the Hospital. By Dr. JOHN W. OGLE, Physician to the Hospital
XII. On Jaundice and Biliousness. By Dr. H. BENCE JONES, formerly Physician to the Hospital
XIII. On Paralysis occurring in Childbed. By Dr. F. F. FUSSELL, Physician to the Brighton Dispensary
XIV. Remarks upon the Modus Operandi of Hypodermic Injections. By C. HUNTER, Surgeon to the Royal Pimlico Dispensary
XV. On Congenital Dislocations of the Femur. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XVI. On the Diurnal Variations in the Temperature of the Human Body in Health. By Dr. WILLIAM OGLE, Lecturer on Physiology at the Medical School of the Hospital
XVII. On Rupture of Arteries dependent on external Injury. By GEORGE POLLOCK, Surgeon to the Hospital
XVIII. On the Formation of Coagula in the Cerebral Arteries. By Dr. DICKINSON, Assistant Physician to the Hospital
XIX. On Talipes Varus. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XX. On Talipes Equinus. By G. NAYLER, Assistant Surgeon to the Royal Orthopaedic Hospital, and the Hospital for Diseases of the Skin
XXI. On the Amputation-Book of St. George’s Hospital, and on some Points connected with the Statistics of Three Hundred Amputations there recorded. Part I. On the Influence of Age upon the Results of Amputation. Part II. 'On the Causes of Death, after Amputation; with special reference to the proportion of Deaths due to causes preceding the Amputation. By T. HOLMES, Assistant Surgeon to the Hospital
XXII. Statistical Tables from the Dental Case-Books of St. George’s Hospital. By C. VASEY, Surgeon-Dentist to the Hospital
Annual Report of Cases admitted into the Medical Wards of St. George’s Hospital during the Year 1865. By Dr. STURGES
Annual Report of Surgical Cases treated in the Hospital during the Year 1865. By Mr. PICK

LIST OF ILLUSTRATIONS
View of St. George’s Hospital in its present condition
View of the Hospital as it appeared in 1746. From a picture by R. Wilson, R.A., in the Foundling Hospital
Foetal Skull, showing the arrangement of the bones in a case of chronic hydrocephalus, affecting the middle fossae (Mr. Prescott Hewett)
The representation, from life, of a case similar to the foregoing (Mr. Prescott Hewett)
Meningocele in the occipital region (Mr. Holmes)
The same as above, showing the parts within the skull (Mr. Holmes)
Thermograph, in a case of fever (Dr. Thompson)
Diseased Femur (Mr. H. Lee) .
Stump of amputation (Mr. H. Lee)
Lithographic representation of -a Femur, showing the effects of chronic Osteo-myelitis (Mr. Holmes)
Consolidated Lung, having its arteries full of laminated coagulum (Dr. John W. Ogle)
Thermographs showing variations of temperature in health (Dr. William Ogle)
Front view of a case of Talipes equinus (Mr. Nayler)
Back view of the same preparation (Mr. Nayler)
An extreme case of Talipes equinus (Mr. Nayler)
The same foot after successful treatment (Mr. Nayler)
Contraction of the ext. prop. pollicis, with rectangular contraction of the tendo Achillis (Mr. Nayler) .
Talipes equinus paralytieus (Mr. Nayler)
Extreme degree of Talipes equinus paralyticus (Mr. Nayler)

Jane Ball , 49, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 49
Gender: Female
Date of admission: 19 Dec 1849
Date of death: 8 Jan 1850
Disease (transcribed): Paraplegia. Disease of brain. Encephaloid deposits in connection with the dura mater.
Disease (standardised): Paraplegia (Brain); Disease (Brain); Cancer (Brain )
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 woman was admitted complaining of loss of power in both arms and legs. She stated that she had in the first instance had a fit of some sort accompanied with unconsciousness for some hours, and she had then been paralysed on the left side.
Body parts examined in the post mortem: Cranium, spinal cord, thorax, abdomen and pelvis
Type of incident: n/a

Thomas King, 50, Bricklayer’s labourer

Occupation or role: Bricklayer’s labourer
Age: 50
Gender: Male
Date of admission: 15 Apr 1859
Date of death: 4 May 1859
Disease (transcribed): Apoplexy
Disease (standardised): Stroke (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Thomas
Medical notes: This man had a fall three months ago by which he injured the back of his head, and broke two ribs. Since the accident he often complained of shooting pains in the head.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: Trauma/accident

Sarah Hammond, 47, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 47
Gender: Female
Date of admission: 6 May 1856
Date of death: 9 May 1856
Disease (transcribed): Diseased Brain, Heart and Kidneys
Disease (standardised): Disease (Brain); Disease (Heart); Disease (Kidney)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Gray, Henry
Medical notes: A poor widow who had been for some time attending the Hospital as an out patient for palpitation. On the 5th she had a fit (probably epileptic) and three fits on the 6th before admission.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Sophia Gray, 41, Laundry worker

Occupation or role: Laundry worker
Age: 41
Gender: Female
Date of admission: 6 May 1856
Date of death: 9 May 1856
Disease (transcribed): Arachinitis acute and chronic
Disease (standardised): Arachnoiditis (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Gray, Henry
Medical notes: This woman was admitted with every symptom of laryngitis. The origin was presumed to be syphilitic but on examination no venereal sores were discovered. She had complained of choking in the throat and vertigo.
Body parts examined in the post mortem: Cranium, pharynx and larynx, thorax and abdomen
Type of incident: n/a

Elizabeth Denton, 13, Child

Occupation or role: Child
Age: 13
Gender: Female
Date of admission: 11 Apr 1864
Date of death: 17 Apr 1864
Disease (transcribed): Tubercular meningitis
Disease (standardised): Tuberculosis (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Sturges, Octavius
Medical notes: 'The patient was a well grown, healthy-looking girl. On her admission she had been ill a week, rigors, vomiting, vertigo and what she called sick headache being the main symptoms. She had not entirely kept her bed but used to get up for dinner’
Body parts examined in the post mortem: Head, chest, abdomen

Type of incident: n/a

George Bankes, 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 7 Apr 1852
Date of death: 4 May 1852
Disease (transcribed): Rheumatism. Severe epistaxis. Coma. Fluid in the ventricles and sub-arachnoidean tissues. Deposit of bone in the arachnoid membrane. Hypertrophied heart. Adherent pericardium. Diseased kidneys
Disease (standardised): Rheumatic diseases (Tissues); Epistaxis (Nose); Coma (Brain); Fluid (Brain); Deposits (Brain); Disease (Heart);Disease (Kidney)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: He was admitted with Rheumatism of rather an acute form which had been coming on for several days.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Edwin Small, 40, Shoemaker

Occupation or role: Shoemaker
Age: 40
Gender: Male
Date of admission: 9 Apr 1863
Date of death: 25 Apr 1863
Disease (transcribed): Encephalitis. Tubercular disease of brain, lungs and kidneys
Disease (standardised): Encephalitis (Brain); Tuberculosis (Brain); Tuberculosis (Lung); Tuberculosis (Kidney)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Harvey, Edward Robinson
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted for a stricture of the urethra from which he had suffered for years.
Body parts examined in the post mortem: Head, chest and abdomen
Type of incident: n/a

Henry Sleeper, 50, Laundry man

Occupation or role: Laundry man
Age: 50
Gender: Male
Date of admission: 12 Apr 1867
Date of death: 30 Apr 1867
Disease (transcribed): Serous apoplexy
Disease (standardised): Stroke (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: Six weeks before admission he was attacked with haemoptysis and cough.
Body parts examined in the post mortem: Brain, thorax and abdomen
Type of incident: n/a

William Yeomans, 56, Coachman

Occupation or role: Coachman
Age: 56
Gender: Male
Date of admission: 5 Jun 1851
Date of death: 5 Jun 1851
Disease (transcribed): Apoplexy. Clot found in centre of base, arteries atheromatous, fluid in ventricles. Large heart. Left kidney large, coarse. Right kidney dilated, sacculated
Disease (standardised): Stroke (Brain); Clot (Brain); Plaque, atherosclerotic (Blood vessels); Disease (Heart, kidneys)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Barclay, Andrew Whyte and Ogle, John William
Medical notes: 'This patient, who was coachman to the Turkish ambassador, was observed on the morning of the 5th to have fallen back on his box in a fit. He was lifted down & placed in a cab, and reached the hospital from ½ an hour to 1 hour after. He had been very sick, & continued to vomit after his admission, endangering his suffocation in his unconscious state’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Anne Edgler, 52, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 52
Gender: Female
Date of admission: 13 May 1846
Date of death: 25 May 1846
Disease (transcribed): Fungoid disease of brain with extravasation of blood, and softening of the surrounding structure. Other organs healthy in structure. Old adhesions about pleurae, pericardium and peritoneum.
Disease (standardised): Disease (Brain ); Adhesions (Pleura); Adhesions (Heart); Adhesions (Abdomen)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient was admitted about five months before this admission, suffering from intense pain in the head.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Daniel H Evans, 26, Clerk

Occupation or role: Clerk
Age: 26
Gender: Male
Date of admission: 11 Apr 1865
Date of death: 21 Apr 1865
Disease (transcribed): Disease of cord
Disease (standardised): Disease (Spinal cord)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Sturges, Octavius
Post mortem examination performed by: n/a
Medical notes: Five days ago he noticed a weakness in the legs which increased so rapidly as to leave him perfectly palsied at the end of two days.
Body parts examined in the post mortem: Chest, abdomen and cord
Type of incident: n/a

Peter Colston, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 52
Date of admission: 11 Jan 1854
Date of death: 13 Jan 1854
Disease (transcribed): Stricture of the urethra. Diseased kidneys. Serious effusion on the brain
Disease (standardised): Stricture (Urethra); Disease (Kidney); Effusion (Brain)
Admitting doctor: Page, William Emanuel
Surgeon: Gray, Henry
Physician: Barclay, Andrew Whyte
Medical notes: 'This man was admitted in a state of confusion of intellect in which it was impossible to obtain from him any account of his history or symptoms’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of injury: n/a

James Celland, 51, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 51
Gender: Male
Date of admission: 21 Jun 1851
Date of death: 29 Jun 1851
Disease (transcribed): Discharge from the left ear. Inflammation & caries of several parts of the temporal bone. Inflammation of the membranes of the brain, & softening of the entire brain, with abscess in the left cerebral hemisphere
Disease (standardised): Discharge (Ear); Inflammation (Skull, brain); Caries (Skull); Softening (Brain); Abscess (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient was originally admitted under the care of Dr Page [William Emanuel Page] on 7th May when he stated that he had caught cold a fortnight previously and was at that time suffering from cough, with pains in all his limbs but especially in the neck & throat with some difficulty of swallowing’
Body parts examined in the post mortem: Cranium, thorax, 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

Mary Griffiths, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Female
Date of admission: 9 Jul 1848
Date of death: 14 Jul 1848
Disease (transcribed): Apoplexy and hemiplegia
Disease (standardised): Stroke (Brain); Hemiplegia (Central nervous system)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Handfield Jones, Charles
Medical notes: This patient reported that he had fallen down the previous evening in the street, in consequence of sudden loss of power.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Robert Hawkins, 25, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 25
Gender: Male
Date of admission: 15 Jun 1846
Date of death: 24 Jun 1846
Disease (transcribed): Arachnitis at base of brain. Tubercle in posterior lobe of left hemisphere. Effusion into ventricles. Phthisis. Tubercles in the spleen, kidneys and intestines with extensive ulceration in the caecum and small intestine.
Disease (standardised): Arachnoiditis (Brain ); Tuberculosis (Brain); Effusion (Brain); Tuberculosis (Lung); Tuberculosis (Spleen); Tuberculosis (Kidney);Tuberculosis (Intestines) ; Ulcer (Intestines)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient stated that for the last two years he had been unusually subject to ‘colds and coughs’, and had suffered almost continually during the last eight or nine months from cough and occasional pain in the chest.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Mary Anne Wood, 10 years 7 months , [No occupation stated]

Occupation or role: [No occupation stated]
Age: 10 years 7 months
Gender: Female
Date of admission: 7 Jun 1852
Date of death: 19 Jul 1852
Disease (transcribed): Scarlet fever with albuminous urine. Diseased kidneys. Old double pleurisy. Wet brain
Disease (standardised): Scarlet fever (Systemic); Albuminuria (Kidney); Disease (Kidney); Pleurisy (Pleura); Disease (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: A sister was also admitted suffering from scarlet fever. The brother died a few hours after admission (number 131 in this volume).
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

William Mattison , 9, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 9
Gender: Male
Date of admission: 10 Jun 1861
Date of death: 13 Jun 1861
Disease (transcribed): Internal hydrocephalus
Disease (standardised): Hydrocephalus (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: The boy had had convulsions in infancy, and it was observed that his head was unusually large.
Body parts examined in the post mortem: Cranium, lungs, heart, kidneys and other abdominal viscera
Type of incident: n/a

Elizabeth Hulland, 24, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Female
Date of admission: 10 Jun 1857
Date of death: 21 Jun 1857
Disease (transcribed): Cephalitis. Epilepsy
Disease (standardised): Encephalitis (Brain); Epilepsy (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Rogers, George Goddard
Medical notes: She had been ill about a month with vertigo and pain in the back of the head and over the chest.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Ann Hudson, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Female
Date of admission: 13 Jun 1859
Date of death: 24 Jun 1859
Disease (transcribed): Apoplexy
Disease (standardised): Stroke (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: n/a
Medical notes: Therefore this case is not recorded
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

[No name], [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 09 Jul 1847
Date of death: 11 Jul 1847
Disease (transcribed): Large apoplectic effusion in brain with extensive disease of cerebral structure. Fracture of skull with extravasation of blood on surface of brain
Disease (standardised): Stroke (Brain); Disease (Brain); Fracture (Skull); Extravasation (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Pollock, George
Medical notes: This man was brought to the Hospital in a state of insensibility. He had been picked up in Sloane Street by the police and was supposed to be drunk. It was found that he had marks of a blow or injury on his head. It appeared that he fell of a seat and probably hit and injured his head.
Body parts examined in the post mortem: Brain
Type of incident: Trauma/accident

M L Spalding, 56, Omnibus conductor

Occupation or role: Omnibus conductor
Age: 56
Gender: Male
Date of admission: 4 Jun 1862
Date of death: 5 Jun 1862
Disease (transcribed): Atrophy of convolutions of brain. Cerebellar apoplexy
Disease (standardised): Atrophy (Brain); Stroke (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Harvey, Edward Robinson
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was brought to the hospital by friends who stated that he had for nine months suffered from rheumatism.
Body parts examined in the post mortem: Cranium, chest and abdomen
Type of incident: n/a

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