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Whipham, Thomas Tillyer Item Nervous system diseases
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St George's Hospital Reports, Vol. VIII

PREFACE. In Memoriam R. Lee, M.D., and F. Sibson, MD.
LIST OF PRIZEMEN
I. The physical Development and the Proportions of the Human Body. By CHARLES ROBERTS, F.B.C.S.
II. Notes on the Development and Growth of Boys between Thirteen and Fourteen Years of Age. By G. CARBIGK STEET, F.R.C.S., Medical Oficer Postal Telegraph Staff, General Post Office
III. A Clinical Study of Retro-uterine Tumours. By ROBERT BARNES, M.D.
IV. The Causes and Outcome of Nerve-Degeneration. By G. F. BLANDFORD, M.D.
V. Cases of Meniere's Disease. By T. CLIFFORD ALLBUTT, M.D.
VI. On Ozaena. By WARRINGTON HAWARD, F.R.C.S.
VII. Remarks on the Discussion on Syphilis at the Pathological Society in Feb. 1876. By EDGCOMBE VENNING, F.R.C.S..
VIII. Group and Diphtheria. By E. L. Fox, M.D.
IX. Report of the Analysis of the Urine in Three Cases of Acute Rheumatism treated with Alkalies and Quinine, and Two Cases treated with Salicylate of Ammonia. By A. W. BARCLAY, M.D.
X. On the Efiect of Salicin, Salicylic Acid, and its Salts in the early Manifestations of Rheumatism ; with an Appendix showing the Results of their Administration in a Case of (1) Disease of the Hip-joint, (2) Erysipelas, (3) Diphtheria, (4) Tuberculosis. By T. WHIPHAM, MB, and B. T. POOLE COLLYNS
XI. Cases of rheumatism treated by Salicylate of Soda. By J OHN CAVAFY, M.D.
XII. On a Form of Non-malignant Induration of the Cervix Uteri. By Heywood SMITH, M.A., M.D.
XIII. Notes from the Skin Clinique of St. George’s Hospital. By T. WHIPHAM, M.B.
XIV. Clinical Contributions. By M. MACDONALD MCHARDY, Esq.
XV. On the Amputation-Book of St. George’s Hospital, No. II. ; with some Observations on the Antiseptic Treatment of Cases of Amputation. By T. HOLMES, F.R.C.S.
XVI. Intertubular Changes in Renal Disease. By H. HOWARD MURPHY, B.A., M.R.C.S., L.R.C.P.
XVII. Research on Fat Absorption. By HERBERT WATNEY, M.A., M.D.
XVIII. Tabulation of Cases of Scarlatina during Twenty Years at St. George’s Hospital. By C. J. FENWICK, M.D.
XIX. Report of Medical Cases for 1874. By C. J. FENWIOK, M.D.
XX. Report of Medical Cases for 1875. By C. J. FENWICK, M.D.
XXI. Report of Medical Cases for 1876. By ISAMBARD OWEN, M.A., M.B.
XXII. Report of Surgical Cases for 1874. By E. R. ROWLAND, Esq.
XXIII. Report of Surgical Cases for 1875. By J. G. THRUPP, Esq.
XXIV. Report of Surgical Cases for 1876. By J. H. MORGAN, F.R.O.S.
XXV. Report of the Maternity Department from 1872 to 1876, inclusive. By G. S. HARPER, Esq.

Janet Overy, 22, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 22
Gender: Female
Date of admission: 23 Jan 1900
Date of death: 25 Jan 1900
Disease (transcribed): Miliary Tuberculosis. Meningitis
Disease (standardised): Tuberculosis (Lung); Meningitis (Brain)
Admitted under the care of: Owen, Herbert Isambard
Medical examination performed by: Whipham, Thomas Tillyer
Post mortem examination performed by: Ogle, Cyril
Medical notes: The patient was brought to the Hospital by friends who said that she had been ill for nearly a month and had vomited two or three times on the day of admission. When admitted the patient was conscious, but soon became unconscious.
Body parts examined in the post mortem: Head, heart, lungs, liver, peritoneum, spleen, kidneys and adrenal glands
Type of incident: n/a

Ernest Beckwith, 35, Policeman

Occupation or role: Policeman
Age: 35
Gender: Male
Date of admission: 19 Jan 1900
Date of death: 21 Jan 1900
Disease (transcribed): Meningitis
Disease (standardised): Meningitis (Brain)
Admitted under the care of: Owen, Herbert Isambard
Medical examination performed by: Whipham, Thomas Tillyer
Post mortem examination performed by: Grunbaum, Otto Fritz Frankau
Medical notes: The patient had been an in patient under Mr Turner in Mar 1899 with a history of concussion and bleeding from the nostrils. Since recovery he stated that he had been deaf since the injury to his left ear. He later became restless, partially unconscious and his mind began to wander.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, peritoneum, liver, spleen, pancreas, kidneys, alimentary canal and cranium
Type of incident: n/a

Elizabeth Lindsay, 5 months, [Child of] Stableman

Occupation or role: [Child of] Stableman
Age: 5 months
Gender: Male
Date of admission: 15 Nov 1900
Date of death: 9 Dec 1900
Disease (transcribed): Posterior basic meningitis. Hydrocephalus. Spinal meningitis
Disease (standardised): Meningitis (Brain); Hydrocephalus (Brain); Meningitis (Spinal cord)
Admitted under the care of: Rolleston, Humphry Davy
Medical examination performed by: Whipham, Thomas Tillyer
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: The patient was first taken ill on November 14th with a ‘stiff neck’ which the mother attributed to ‘catching a cold’.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, bladder and cranium
Type of incident: n/a

Daniel Neave, 68, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 68
Gender: Male
Date of admission: 25 Jul 1900
Date of death: 25 Jul 1900
Disease (transcribed): Heart apoplexy
Disease (standardised): Stroke (Heart)
Admitted under the care of: Ewart, William
Medical examination performed by: Whipham, Thomas Tillyer
Post mortem examination performed by: Fenton, William James
Medical notes: The patient was in a hot room and suddenly fell down unconscious.
Body parts examined in the post mortem: Pleurae, lungs, heart, abdomen, liver, spleen, pancreas, kidneys, urinary tract and alimentary canal, and brain
Type of incident: n/a

William Harlock, 28, Footman

Occupation or role: Footman
Age: 28
Gender: Male
Date of admission: 23 Jun 1900
Date of death: 26 Jun 1900
Disease (transcribed): Meningitis
Disease (standardised): Meningitis (Brain)
Admitted under the care of: Rolleston, Humphry Davy
Medical examination performed by: Whipham, Thomas Tillyer
Post mortem examination performed by: Fenton, William James
Medical notes: He was an inpatient in 1895 with uncontrollable diarrhoea. Whilst in hospital he had an attack of herpes in the abdomen. Last August he had pleurisy and pneumonia. Before admission he had influenza followed by a sharp pain in the right side and more cough than usual.
Body parts examined in the post mortem: Thorax, lungs, heart, liver, spleen, pancreas, kidneys, urinary tract, alimentary canal and cranial cavity
Type of incident: n/a

Olive Weston, 42, Charwoman

Occupation or role: Charwoman
Age: 42
Gender: Female
Date of admission: 16 Jan 1897
Date of death: 19 Jan 1897
Disease (transcribed): Single abscess in liver. Purulent meningitis
Disease (standardised): Abscess (Liver); Meningitis (Brain); Suppuration (Brain) ()
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Wells, Sydney Russell
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'On account of mental stupor of patient it was impossible to obtain a satisfactory history, no history of dysentery could be obtained. In Sept [September] 1896 was laid up with 'stoppage of gall bladder' and jaundice said she had inflammation of left lung'
Body parts examined in the post mortem: Thorax, abdomen, joints, cranium

Type of incident: n/a

Frederick Cooper, 4, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 4
Gender: Male
Date of admission: 15 Feb 1896
Date of death: 15 Feb 1896
Disease (transcribed): Diphtheritic paralysis
Disease (standardised): Diphtheria (Pharynx); Paralysis (Brain)

Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Ogle, Cyril
Medical notes: Not seen by Medical Registrar
Body parts examined in the post mortem: Lungs, larynx, heart, liver, spleen, kidneys, adrenals, stomach and brain
Type of incident: n/a

Ellen Keene, 21, Servant

Occupation or role: Servant
Age: 21
Gender: Female
Date of admission: 25 Sep 1896
Date of death: 2 Oct 1896
Disease (transcribed): Chorea
Disease (standardised): Chorea (Central nervous system)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: See medical notes
Body parts examined in the post mortem: No post mortem examination
Type of incident: n/a

Thomas Corner, 42, Potman

Occupation or role: Potman
Age: 42
Gender: Male
Date of admission: 25 Sep 1895
Date of death: 18 Nov 1895
Disease (transcribed): Phthisis. Peripheral neuritis
Disease (standardised): Tuberculosis (Lung); Neuritis (Nervous system)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Fyffe, William Kington
Post mortem examination performed by: Ogle, Cyril
Medical notes: A fortnight ago the patient was attacked with pain and weakness in the legs and he was unable to walk.
Body parts examined in the post mortem: Lungs, larynx, heart, liver, spleen, stomach, kidneys, adrenals, intestines, testes, toe joint, brain and spinal cord
Type of incident: n/a

William Attwood, 32, Stableman

Occupation or role: Stableman
Age: 32
Gender: Male
Date of admission: 26 Jan 1894
Date of death: 12 Feb 1894
Disease (transcribed): Phthisis. Tubercular meningitis
Disease (standardised): Tuberculosis (Lung); Meningitis (Brain)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'The diagnosis in this case on admission was a little uncertain - the man was evidently gravely ill - sallow - with slight jaundice of the sclerotica not emaciated but very weak, with the aspect somewhat of an acute rather than chronic disease […] The history pointed to chronic lung disease: the man had had winter cough for 6 years'
Body parts examined in the post mortem: Heart, chest
Type of incident: n/a

Frederick Kirby, 42, Gardener

Occupation or role: Gardener
Age: 42
Gender: Male
Date of admission: 24 Nov 1894
Date of death: 7 Dec 1894
Disease (transcribed): Granular kidneys. Apoplexy of lungs
Disease (standardised): Nephritis (Kidney); Stroke (Lung)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: Fyffe, William Kington
Medical notes: 'This patient a gardener had never been ill before - five weeks ago he began to get short of breath on exertion - He also began to pass more water getting up in the night to pass water frequently. He had also suffered from vertigo - with much drowsiness in the day time. He denied intemperance of every kind. When admitted he was found to be thin with extremely urinous breath, his tongue was dry and his appetite bad'
Body parts examined in the post mortem: Thorax, abdomen
Type of incident: n/a

James Greentree, 49, Soldier

Occupation or role: Soldier
Age: 49
Gender: Male
Date of admission: 7 Jul 1894
Date of death: 12 Jul 1894
Disease (transcribed): Status epilepticus - Dementia?
Disease (standardised): Status epilepticus (Brain); Dementia (Brain)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: Fyffe, William Kington
Medical notes: 'This man was admitted on the 5th [7th?] in an epileptic fit - This was followed by complete aphasia - The only history obtainable from his friends was that he had been in the army twenty one years and was for a long time in India - As far as they knew he had never had a serious illness - His sister thought that he had an epileptic fit on April 21st but was not sure - On July 5th he was suddenly seized with epilepsy'
Body parts examined in the post mortem: Thorax, abdomen, cranium
Type of incident: n/a

George Jackson, 54, Labourer

Occupation or role: Labourer
Age: 54
Gender: Male
Date of admission: 9 Aug 1893
Date of death: 29 Aug 1893
Disease (transcribed): Transverse myelitis
Disease (standardised): Myelitis (Spinal cord)

Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: n/a
Medical notes: On Jun 20th 1893 he could not pass his water and a few hours afterwards his left leg became weak and numb.
Body parts examined in the post mortem: Brain, spine, thorax, pleurae, lungs, larynx, pericardium, heart, abdomen, kidneys, suprarenals, pancreas, liver and spleen
Type of incident: n/a

Elizabeth Ware, 8 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 8 months
Gender: Female
Date of admission: 27 Feb 1892
Date of death: 9 Mar 1892
Disease (transcribed): Empyema. Purulent meningitis
Disease (standardised): Empyema (Pleura); Suppuration (Brain); Meningitis (Brain)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: The patient contracted a cough about a month before admission, and was thought to have bronchitis. About the same time it received an accidental blow upon the head of some severity.
Body parts examined in the post mortem: Head, pleurae, lungs, bronchial glands, larynx, oesophagus, pericardium, heart, intestines, spleen, pancreas, suprarenals, liver, mesenteric glands, bladder, genitals and kidneys
Type of incident: Trauma/accident

Thomas Trounce, 64, Carpenter

Occupation or role: Carpenter
Age: 64
Gender: Male
Date of admission: 8 Dec 1891
Date of death: 8 Jan 1892
Disease (transcribed): Hemiplegia
Disease (standardised): Hemiplegia (Brain)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: See medical notes
Body parts examined in the post mortem: No post mortem examination
Type of incident: n/a

Mildred / Mary Tong / Young, 19, General servant

Occupation or role: General servant
Age: 19
Gender: Female
Date of admission: 10 Oct 1891
Date of death: 11 Oct 1891
Disease (transcribed): Cerebritis
Disease (standardised): Cerebritis (Brain)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Dickinson, William Lee
Medical notes: 'Not seen by the medical registrar. The upper of the two written by the curator [of the pathological museum] was the real name of this girl. She had no voluntary alias, but her name was misquoted upon admission. It was stated that her previous health had been good, and she had never suffered from serious illness. On October 7th she went to a situation in service to Brighton from her home in Faversham. In the evening she wrote a post-card home to signify her safe arrival, and was probably well at this time. However at Brighton she did no work and took to bed very soon. She was seen by a medical man who gave an opinion that there was nothing the matter; and on October 10th it was determined to send her home, since she was useless as a servant. She came to London in charge of a fellow-servant who reported that on the journey she became quite silent, and that at Victoria station she was obviously unfit to travel farther. Hence she was brought to St George's
Body parts examined in the post mortem: Head, thorax, abdomen
Illustrations: Yes
Type of incident: n/a n/a

William Pierce, 24, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Male
Date of admission: 22 May 1891
Date of death: 26 May 1891
Disease (transcribed): Tubercular meningitis. Tuberculosis
Disease (standardised): Meningitis (Brain); Tuberculosis (Lungs)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Rolleston, Humphry Davy
Post mortem examination performed by: Dickinson, William Lee
Medical notes: 'This man was a native of Machynlleth in North Wales. There was no family history of phthisis or other disease. He had lived in London for two years and worked as a plasterer. In January 1891 he had an attack of influenza, and did not recover his health afterwards but always suffered from cough. On May 16th he was at work and fairly well. On May 17th he went to church, but was rather sleepy and had some pain at the back of the head. He was perfectly intelligent, and so far as was known, his eyesight was good. The sleepiness deepened into unconsciousness by May 19th'
Body parts examined in the post mortem: Head, thorax, abdomen

Type of incident: n/a

Edith Plumb, 30, Children's nurse

Occupation or role: Children's nurse
Age: 30
Gender: Female
Date of admission: 22 Apr 1891
Date of death: 22 Apr 1891
Disease (transcribed): Chronic arteritis (syphilitic). Thrombosis of cerebral arteries. Cerebral softening. Spinal meningitis
Disease (standardised): Arteritis (Blood vessels); Syphilis (Systemic); Thrombosis (Brain); Softening (Brain); Meningitis (Spinal cord, brain); ()
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Dickinson, William Lee
Medical notes: 'This woman was a children's nurse. She was unmarried but had borne three children, two of whom died in infancy. The man with whom she had consorted for 9 years was able to give no history with a bearing upon syphilis. She had enjoyed excellent health, and complained of nothing but headache of late years'
Body parts examined in the post mortem: Head, thorax, abdomen
Illustrations: Yes
Type of incident: n/a n/a

Walter Robinson, 22, Cab fetcher

Occupation or role: Cab fetcher
Age: 22
Gender: Male
Date of admission: 10 Nov 1890
Date of death: 10 Nov 1890
Disease (transcribed): Pneumonia. Right apex. Meningitis
Disease (standardised): Pneumonia (Lung); Meningitis (Brain)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: On November 5th he complained of feeling cold and of pain in one side but there was no rigor. He took to bed the next day, and was a little light headed on November 8th. On November 9th he came up to the hospital with signs at the right apex resembling those of phthisis.
Body parts examined in the post mortem: Pleurae, lungs, larynx, thyroid, tonsils, pericardium, heart, peritoneum, intestines, liver, spleen, suprarenals, kidneys, testes, bladder, prostate, penis, brain and ears
Illustrations: Yes
Type of incident: n/a

Mary Lafferty, 3, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 3
Gender: Female
Date of admission: 21 May 1890
Date of death: 1 Jul 1890
Disease (transcribed): General tuberculosis. Meningitis
Disease (standardised): Tuberculosis (Systemic); Meningitis (Brain)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: There was no evidence of inherited tubercle. As a baby she had snuffles. The illness dated from two months back. The chief symptoms being cough, sweating and dyspnoea.
Body parts examined in the post mortem: Pleurae, lungs, bronchial glands, larynx, thyroid gland, pericardium, heart, liver, spleen, pancreas, suprarenals, small intestine, vermiform appendix, stomach, duodenum, oesophagus, bladder, uterus, ovaries, kidneys, mesenteric glands, head, brain and eyes
Type of incident: n/a

William Paulling, 38, Porter

Occupation or role: Porter
Age: 38
Gender: Male
Date of admission: 7 Jan 1890
Date of death: 8 Jan 1890
Disease (transcribed): Delirium tremens. (Intensive congestion and haemorrhagic infiltration of lungs. Renal congestion. Complete steatosis of liver)
Disease (standardised): Alcohol withdrawal delirium (Brain); Congestion (Lung); Haemorrhage (Lung); Congestion (Kidney); Steatosis (Liver)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Delepine, Sheridan
Medical notes: Not seen by Registrar
Body parts examined in the post mortem: Pleurae, lungs, thyroid, pericardium, heart, aorta, peritoneum, liver, spleen, kidneys, suprarenal bodies and alimentary canal
Type of incident: n/a

George Juby, 45, Policeman

Occupation or role: Policeman
Age: 45
Gender: Male
Date of admission: 20 Sep 1889
Date of death: 22 Sep 1889
Disease (transcribed): Cerebral meningitis (recent otitis media). (Recent atheromatous endarteritis)
Disease (standardised): Meningitis (Brain); Otitis media (Ear); Plaque, atherosclerotic (Arteries); Endarteritis (Arteries)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Sortain, Bertram V. Delepine, Sheridan
Medical notes: Five weeks before his admission he had a second attack of gout and he was in bed for a fortnight. At that time he had pain in his ear which persisted and was accompanied by deafness.
Body parts examined in the post mortem: Pleurae, lungs, larynx, thyroid, pericardium, heart, peritoneum, liver, spleen, kidneys, tonsils, brain, skull and eyes
Type of incident: n/a

Henry Horton, 27, Potman and barman

Occupation or role: Potman and barman
Age: 27
Gender: Male
Date of admission: 19 Aug 1889
Date of death: 22 Aug 1889
Disease (transcribed): Delirium tremens. Early cirrhosis of the liver
Disease (standardised): Alcohol withdrawal delirium (Brain); Cirrhosis (Liver)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Lancaster, Ernest Le Cronier
Post mortem examination performed by: Sortain, Bertram V.
Medical notes: He admitted taking about four pints of beer daily, and occasionally some spirits. He felt quite well until the evening of August 17th when he felt pain in the lower part of his back.
Body parts examined in the post mortem: Heart, lungs, larynx, liver, kidneys, bladder, urethra, brain and spleen
Type of incident: n/a

George Webber, 7, [Child of] Labourer

Occupation or role: [Child of] Labourer
Age: 7
Gender: Male
Date of admission: 2 Mar 1889
Date of death: 14 May 1889
Disease (transcribed): Tuberculosis. Meningitis
Disease (standardised): Tuberculosis (Lung); Meningitis (Brain)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: See medical notes
Body parts examined in the post mortem: No post mortem examination
Type of incident: n/a

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