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Bacterial infections and mycoses
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Richard Neale, 43, Carman

Occupation or role: Carman
Age: 43
Gender: Male
Date of admission: 9 Apr 1861
Date of death: 20 Apr 1861
Disease (transcribed): Tetanus
Disease (standardised): Tetanus (Systemic)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: Two months before he was admitted he grazed his right elbow and the back of his thumb, but both places were quite healed in less than a week, and presented no symptoms afterwards. About a month afterwards he thought he caught cold, followed by shivering, sore throat and difficulty swallowing
Body parts examined in the post mortem: Cranium and spine, thorax and abdomen
Illustrations: yes
Type of incident: Trauma/accident

Holmes, T.: A System of Surgery, Theoretical and Practical, in Treatises by Various Authors, Vols. I-IV

Inscription on title page (Vol I): ‘London Hospital Medical Library 1904’

Four volumes: I (General Pathology); II (Local Injuries. Diseases of the Eye); III (Operative Surgery; Diseases of the Organs of Special Sense, Respiration, Circulation, Locomotion, and Innervation); IV (Diseases of the Organs of Digestion, of the Genito-Urinary System, of the Breast, Thyroid Gland, and Skin; Appendix of Miscellaneous Subjects)

Major John Ridley, 23, Footman

Occupation or role: Footman
Age: 23
Gender: Male
Date of admission: 5 Mar 1866
Date of death: 24 Mar 1866
Disease (transcribed): Albuminuria. Typhoid fever. Scarlatina. Acute nephritis
Disease (standardised): Albuminuria (Kidney); Typhoid fever (Systemic); Scarlet fever (Systemic); Nephritis (Kidney)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: n/a
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: This man was admitted first into the hospital in December with albuminuria and dropsy. Ten days before this admission he was seized with symptoms of typhoid fever.
Body parts examined in the post mortem: Chest and abdomen
Illustrations: Yes
Type of incident: n/a

John Hughes, 45, Painter

Occupation or role: Painter
Age: 45
Gender: Male
Date of admission: 31 Mar 1866
Date of death: 2 Apr 1866
Disease (transcribed): Erysipelas
Disease (standardised): Erysipelas (Skin)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: The present illness was of two weeks duration. It began with the usual symptoms of erysipelas.
Body parts examined in the post mortem: Chest and abdomen
Illustrations: Yes
Type of incident: n/a

George Hall, 39, Attendant

Occupation or role: Attendant
Age: 39
Gender: Male
Date of admission: 31 May 1869
Date of death: 3 Jun 1869
Disease (transcribed): Old dysentery. Amyloid degeneration. Phthisis. Ulceration
Disease (standardised): Dysentery (Intestines); Amyloidosis (Spleen); Amyloidosis (Kidney); Tuberculosis (Lung); Ulcer (Intestines)
Admitted under the care of: Wadham, William
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man had been in the army from 1852 to 1860 and had served in the Crimea.
Body parts examined in the post mortem: Abdomen
Illustrations of photographs: Yes
Type of incident: n/a

Holmes, T.: A System of Surgery (Second edition), Vols. I-II, IV-V

Ex libris of the Library of the Faculty of Physicians and Surgeons Glasgow pasted inside the front cover, inscribed ‘7th Oct 1869’ (Vol I); ‘8th Jan 1870’ (Vol II); ‘9th Jan 1871’ (Vol IV); ‘27/5/71’ (Vol V)

Second edition. Five volumes (Vol III missing): I (General Pathology); II (Local Injuries. Diseases of the Eye); III (Operative Surgery; Diseases of the Organs of Special Sense, Respiration, Circulation, Locomotion, and Innervation); IV (Diseases of the Organs of Digestion, of the Genito-Urinary System, of the Breast, Thyroid Gland, and Skin; Appendix of Miscellaneous Subjects); V (Diseases of the Genital Organs, of the Breast, Thyroid Glad, and Skin; Operative Surgery)

Elizabeth Garrett, 55, Cook

Occupation or role: Cook
Age: 55
Gender: Female
Date of admission: 20 Oct 1875
Date of death: 20 Feb 1876
Disease (transcribed): Tuberculosis of the lung and mesenteric glands
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Lymph nodes)
Admitted under the care of: Cavafy, John
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: Lee, Robert James
Medical notes: This woman stated that for a year she had had some red spots on the legs, and for four months pains in the legs followed by pain across the abdomen.
Body parts examined in the post mortem: Lungs, liver, spleen, mesenteric glands and kidneys
Illustrations: Yes
Type of incident: n/a

William Field, 52, Bus driver

Occupation or role: Bus driver
Age: 52
Gender: Male
Date of admission: 28 Jun 1876
Date of death: 1 Jul 1876
Disease (transcribed): General tuberculosis of the lungs
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: Lee, Robert James
Medical notes: The only history that could be got for this man was that he had had cough and cold for nine months, getting gradually worse.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys and brain
Illustrations: Yes
Type of incident: n/a

Sarah Young, 67, Widow

Occupation or role: Widow
Age: 67
Gender: Female
Date of admission: 13 Jun 1877
Date of death: 19 July 1877
Disease (transcribed): Tubercular phthisis; granular kidneys
Disease (standardised): Tuberculosis (Lung); Disease (Kidney)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: This patient was not examined by the Registrar, as her extreme weakness precluded it.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, stomach, uterus and brain
Type of incident: n/a

Charles Snell, 40, Packer

Occupation or role: Packer
Gender: Male
Age: 40
Date of admission: 12 Dec 1877
Date of death: 30 Dec 1877
Disease (transcribed): Low pneumonia. Cystic disease of kidneys. Syphilitic disease of liver
Disease (standardised): Pneumonia (Lung); Kidney diseases, cystic (Kidney); Syphilis (Liver);
Admitting doctor: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No heritable disease in the family. Suffered from 'brain fever' in childhood: from 'rheumatics' in 1857, from occasional sore throats. Venereal sore in 1857 (after the rheumatism) […] A temperate man. Languor and want of appetite, with some loss of flesh for about a month. Attacked with shivering about noon 12 days before admn [admission]: had to leave work and go home. Pain in L [Left] hypochondrium, increased at night, after food, or on inspiration; cough, dyspnoea, and occasional palpitation commenced, and continued. Shivering lasted two days. Bowels costive: urine as usual'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, brain
Illustrations: Yes
Type of incident: n/a

William Howard, 21, Labourer

Occupation or role: Labourer
Gender: Male
Age: 21
Date of admission: 2 Jan 1878
Date of death: 2 Jan 1878
Disease (transcribed): Fibrinous pneumonia etc. Tubercle
Disease (standardised): Pneumonia (Lung); Tuberculosis (Lung);
Admitting doctor: Barclay, Andrew Whyte
Medical examination performed by: n/a
PM performed by: Ewart, William
Medical notes: 'Not examined by Registrar'
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, brain
Illustrations: Yes
Type of incident: n/a

Sarah Reid, 29, Married

Occupation or role: Married
Gender: Female
Age: 29
Date of admission: 31 Mar 1878
Date of death: 21 Mar 1878
Disease (transcribed): Pulmonary tubercular phthisis
Disease (standardised): Tuberculosis (Lung);
Admitting doctor: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'Admission. Admitted complaining of sore throat, with loss of voice and dyspnoea at times: slight cough. General weakness, small appetite. P. [Pulse] 120 very weak. R. [Respiration rate?] about 20: irregular. Ill nourished and pale: tremor of hands: delicate skin: long eyelashes. […] History. She was deaf and very weak: the following history only was obtained: - No heritable disease: no illness, ailment or constitutional peculiarity, except leucorrhoea for 4 yrs [years]: from birth of last child. Present symptoms of 6 mo [months] date: onset gradual: severe for 3 mo [months]. Much weakness for 1 mo [months]'
Body parts examined in the post mortem: Heart, kidneys, spleen, liver, uterus
Illustrations: Yes
Type of incident: n/a

Bridget Shea, 60, Housekeeper

  • Occupation or role: Housekeeper
    Gender: Female
    Age: 60
    Date of admission: 17 Apr 1878
    Date of death: 8 Jun 1878
    Disease (transcribed): Calcifying tumour in the right iliac fossa, psoas abscess, perforation into caecum and into peritoneum
    Disease (standardised): Tumour (Hip); Psoas abscess (Psoas muscles); Perforation (Intestines); Perforation (Abdomen);
    Admitting doctor: Whipham, Thomas Tillyer
    Medical examination performed by: Owen, Herbert Isambard
    PM performed by: Ewart, William
  • Wilson, E.
    Medical notes: 'History. No hereditary history. Previous history of good health: meat three times a day, disgust to fat: dislike to butter: bowels open about once in three days. Loss of appetite about 21 months. Tumour found in R. [Right] inguinal region for about 18 mo [months]. Pain about the tumour, and loss of flesh from May 1877. Much costiveness of bowels: hardly any action without purgations: vomiting seldom: (Woman unintelligent: account by no means clear)'
    Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, tumour
    Illustrations: Yes
    Type of incident: n/a

Mary Clarke, 61, Nurse

Occupation or role: Nurse
Gender: Female
Age: 61
Date of admission: 8 May 1878
Date of death: 14 Jul 1878
Disease (transcribed): Perforating ulcer of the stomach. Limited superficial abscess in the peritoneal cavity and left lobe of liver
Disease (standardised): Ulcer (Stomach); Abscess (Abdomen); Abscess (Liver);
Admitting doctor: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No heritable disease in the family. Scarlatina at 16: 'gastric fever' at 40: diphtheria at 43: smallpox at 57. Always intolerant of fat; - subject to pain after food in the epigastrium and to sick headaches as long as she remembered: bowels habitually costive and diaphoresis profuse: subject also to palpitation and to glandular swellings in the neck. For two years she had noticed a fulness in the epigastrium. From Dec [December] 1st to 31st she suffered from a dry 'spasmodic' cough, which began suddenly without rigor or nasal catarrh. On Dec [December] 31st it left her suddenly, and she was as suddenly attack with severe vomiting and epigastric pain, which lasted an hour. From that time there was a constant dull pain in the epigastrium, increased after food'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, uterus
Illustrations: Yes
Type of incident: n/a

Annie Smith, 33, Married

Occupation or role: Married
Gender: Female
Age: 33
Date of admission: 11 Jul 1878
Date of death: 26 Jul 1878
Disease (transcribed): Limited peritonitis with ulceration of the bowel into a limited peritoneal cavity
Disease (standardised): Peritonitis (Abdomen); Ulcer (Intestines);
Admitting doctor: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. Erysipelas of L. [Left] leg at 15: frequent ulceration from that time: scarlatina in childhood: rheumatic fever at 17. Never robust: bad living till marriage: appetite always small: winter coughs for 8 or 9 years: catamenia scanty. Severe confinement on Dec. [December] 2nd 1876: very weak from that time: lactation scanty. In Novr [November] 1877 severe pain commenced gradually in the R. [Right] side of the abdomen; and increased steadily, being unaffected by period of day, by food or respiration. About the middle of Jan. [January] 1878 on severe paroxysms attacked him suddenly and lasted several hours until relieved by turpentine fomentations. The pain from the first was accompanied by constipation, and by vomiting, which was hardly ever absent for a whole day, and sometimes severe and constant for several. From Xmas she laid up'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, intestine
Illustrations: Yes
Type of incident: n/a

Edward Davies, 33, Joiner

Occupation or role: Joiner
Gender: Male
Age: 33
Date of admission: 20 Nov 1878
Date of death: 11 Dec 1878
Disease (transcribed): Pulmonary tubercular disease (fibrosis)
Disease (standardised): Tuberculosis (Lung); Fibrosis (Lung);
Admitting doctor: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. Two brothers died of consumption. Disgust to fat: headache and 'rising' after eggs: sick headaches. Coughs in winter from early years: otherwise healthy. Had drunk great quantities of beer, often a gallon a day: spirits seldom. Anorexia and disgust at the sight of food, about 2 yrs [years] (dates all vague). Epigastric pain after food, nearly as long: severe from the summer of 1877. Wasting for about 12 mo [months] (6 stone weight lost). Pain and swelling of knee; frequent micturition, scanty dark urine, from about Feb [February] 1878. Severe pains in the chest, about 'ten weeks'. Cough for 'eight or nine weeks' '
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen
Illustrations: Yes
Type of incident: n/a

Bertie Lorcombe, 8, [Child of] footman

Occupation or role: [Child of] footman
Gender: Male
Age: 8
Date of admission: 20 Dec 1878
Date of death: 30 Dec 1878
Disease (transcribed): Psoas abscess; bronchopneumonia; cerebral congestion
Disease (standardised): Psoas abscess (Psoas muscles); Bronchopneumonia (Lung); Congestion (Brain);
Admitting doctor: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'Symptoms. This child was admitted complaining of frontal headache, which was the only definite symptom during the progress of the case. (No history was obtainable). The headache persisted without variation: the temperature was an shown on the chart: the bowels acted regularly. About the 27th he began to wander in mind, and gradually sank into a state of stupor with occasional intervals of consciousness: the pupils being dilated'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, psoas abscess, spine, spinal cord, brain
Illustrations: Yes
Type of incident: n/a

St George's Hospital Reports, Vol. IX

CONTENTS
I. Report of the Medical Registrar, Dr. OWEN, for 1877
II. Report of the Medical Registrar, Dr. OWEN, for 1878.
III. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1877
IV. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1878
V. Report of the Post-mortem Department for 1877, by Dr. EWART
VI. Report of the Obstetrical Department for 1877, by Mr. G. S. HARPER
VII. Report of the Obstetrical Department for 1878, by Dr. H. BLAKE
VIII. Report of the Ophthalmic Department for 1877, by. Mr. MCHARDY
IX. Report of the Ophthalmic Department for 1878, by Mr. MCHARDY
X. Report of the Out-patients' Ophthalmic Department for 1878, by Mr. MCHARDY
XI. Notes from the Department for the Treatment of Diseases of the Throat for 1877 and 1878, by Dr. WHIPHAM
XII. Report of the Orthopaedic Department, by Mr. HAWARD .
XIII. Report of the Aural Department for 1877 and 1878, by Mr. DALBY
XIV. Report of the Dental Department for 1877 by Mr. C. WINTERBOTTOM
XV. Report of the Dental Department for 1878, by Mr. A. WINTERBOTTOM
XVI. On the Treatment of Gout by Salicylic Acid, by Dr. BARCLAY
XVII. On the Results of the Treatment of Compound Fracture of the Leg in this Hospital, with special reference to Lister's Antiseptic Method, by Mr. HOLMES
XVIII. Clinical Lecture on a Case of Enchondromatous Tumour of the Brain, by Mr. Pick
XIX. Abstract of a Case of Diabetes, illustrating the Effects of Remedies, by Dr. CAVAFY and Mr. BERTOLACCI
XX. Report on the Cases of Tetanus, by Mr. E. C. STIRLING
XXI. Some Cases of Mitral Disease without Murmur, by Dr. WATNEY
XXII. Observations on Outbreaks of Diphtheria in Rural Districts, by Dr. WILLIAM OGLE
XXIII. On a Novel Method of reducing Dislocation of the Shoulder, by Mr. J. JONES
XXIV. Notes on some forms of Intestinal Obstructions, by Dr. E L. Fox .
XXV. On Ichthyosis, by Mr. G. GASKOIN
XXVI. On Chrysophanic Acid, by Mr. WYNDHAM COTTLE .
XXVII. On Warty Growths, by Mr. WYNDHAM COTTLE
XXVIII. On the Opening and Drainage of Joints, by Mr. J. H. MORGAN
XXIX. History of an Illness, by Mr. S. WILSON HOPE
XXX. Case of Tympanic Abscess, by Dr. E. C. BABER
XXXI. Exophthalmic Goître, by Dr. W. B. CHEADLE

LIST OF ILLUSTRATIONS
Charts of Analyses of the Urine in a Case of Diabetes
Warty Growths
Membrana Tympani in Case of Tympanic Abscess
Microscopic Appearances of Medulla in Exophthalmic Goître

Alfred Goodwin, 35, Labourer

Occupation or role: Labourer
Age: 35
Gender: Male
Date of admission: 15 Nov 1878
Date of death: 19 Feb 1879
Disease (transcribed): Tubercular peritonitis and meningitis “of the convexity”
Disease (standardised): Tuberculosis (Abdomen); Peritonitis (Abdomen); Tuberculosis, meningeal (Brain)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: He was quite well until November 8th, when after working hard in the wet, he began towards evening to feel chilly and shiver. After going to bed he grew hot and sweated profusely.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, peritoneum, intestines and brain
Illustrations: Yes
Type of incident: n/a

Richard Leppard, 24, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Male
Date of admission: 27 Nov 1878
Date of death: 17 Mar 1879
Disease (transcribed): Pulmonary phthisis (tubercular. Numerous suppurating cavities)
Disease (standardised): Tuberculosis (Lung); Suppuration (Lung)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: In November 1878 he spat up while coughing about three tablespoonfuls of blood.
Body parts examined in the post mortem: Heart, liver, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

Thomas Lyne, 42, Plumber

Occupation or role: Plumber
Age: 42
Gender: Male
Date of admission: 26 Jul 1879
Date of death: 16 Sep 1879
Disease (transcribed): Tubercular pulmonary phthisis (tapping of a vomica)
Disease (standardised): Tuberculosis (Lung); Tapping (Lung)
Admitted under the care of: Wadham, William
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Ewart, William
Medical notes: This patient was transferred from University College Hospital on its closing for repairs. The patient was admitted there on June 23rd and he was then suffering from intermittent pyrexia. There was cough and free purulent expectoration.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

William Barrett, 49, Butcher

Occupation or role: Butcher
Age: 49
Gender: Male
Date of admission: 16 Aug 1879
Date of death: 20 Sep 1879
Disease (transcribed): Tubercle of lungs. Emphysema (pulmonary). Hydropericardium
Disease (standardised): Tuberculosis (Lung); Emphysema (Lung); Hydropericardium (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Tidswell, Herbert Henry
Medical notes: He was an in-patient in this hospital in 1877 for haemoptysis. He had suffered from dyspnoea more or less for ten years, and the cough had steadily increased since 1877.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

William Burtenshaw, 12, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 12
Gender: Male
Date of admission: 13 Nov 1879
Date of death: 30 Nov 1879
Disease (transcribed): Enteric fever
Disease (standardised): Typhoid fever (Systemic)
Admitted under the care of: Wadham, William
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not reported here, as no PM was made
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Elizabeth Utting, 55, No occupation

Occupation or role: No occupation
Age: 55
Gender: Female
Date of admission: 24 Nov 1879
Date of death: 16 Dec 1879
Disease (transcribed): Fibroid tubercle of the lung. Old aneurysm of the aorta filled with consolidated fibrin
Disease (standardised): Tuberculosis (Lung); Aneurysm (Aorta)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: About seven months before admission she had to give up work on account of weakness, emaciation and dyspnoea. This was referred to as bronchitis.
Body parts examined in the post mortem: Liver, kidneys, spleen, uterus and spinal column
Illustrations: Yes
Type of incident: n/a

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