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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

John McCulloch, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 21 Jan 1841
Date of death: 22 Jan 1841
Disease (transcribed): Burn. Inflammation of mucous membranes of mouth & hands
Disease (standardised): Burn (Skin); Inflammation (Mouth, hands)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Face, neck

Type of incident: n/a

Charlotte Brookes, 52, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 52
Gender: Female
Date of admission: 11 Mar 1841
Date of death: 20 Apr 1841
Disease (transcribed): Scirrhous tubercles, skin, liver, sub-peritoneal cellular tissue
Disease (standardised): Tuberculosis (Skin, liver, abdomen)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Sarah Twigg, 19, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Female
Date of admission: 9 Apr 1841
Date of death: 19 Apr 1841
Disease (transcribed): Burn. Ulcer in first part of duodenum. Haemorrhage
Disease (standardised): Burn (Skin); Ulcer (Duodenum); Haemorrhage
Admitted under the care of: n/a
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'For several days after her admission she appeared to suffer great pain from the burn which did not appear to have destroyed the whole thickness of the skin in any part’
Body parts examined in the post mortem: Abdomen

Type of incident: n/a

John Dawson, 28, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Male
Date of admission: 7 Apr 1841
Date of death: 6 May 1841
Disease (transcribed): Compound fracture of leg. Secondary abscesses
Disease (standardised): Fracture (Leg); Abscess (Leg)
Admitted under the care of: Walker, Robert Benjamin
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Leg, thorax, abdomen, cranium

Type of incident: Trauma / accident

Charles Simmons, 42, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Male
Date of admission: May 1841
Date of death: 27 May 1841
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Hope, James
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Thorax, larynx, abdomen

Type of incident: n/a

Richard Price Hooker, 37, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 37
Gender: Male
Date of admission: 5 Apr 1841
Date of death: 28 May 1841
Disease (transcribed): Tetanus (idiopathic)
Disease (standardised): Tetanus (Systemic)
Admitted under the care of: Walker, Robert Benjamin
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'Had not met with any accident. Illness came on three days before his admission. Has led a very irregular life; has been of late exposed to cold and damp and at night has been sleeping in the fields’
Body parts examined in the post mortem: Cranium, spinal canal, thorax, abdomen

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: Aug 1841
Date of death: Aug 1841
Disease (transcribed): Compound fracture of the skull and laceration of the brain
Disease (standardised): Fracture (Skull); Laceration (Brain)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'This patient shortly after his admission, with a compound fracture of the skull and depression of bone, became very violent and was obliged to be confined in a straight jacket. 2 days after the accident the right upper and lower extremities were paralyzed. He lived 5 days but never recovered his senses’
Body parts examined in the post mortem: Cranium, abdomen

Type of incident: Trauma / accident

Michael Cushion, 42, Labourer

Occupation or role: Labourer
Age: 42
Gender: Male
Date of admission: 10 Oct 1850
Date of death: 15 Oct 1850
Disease (transcribed): Lacerated wound of the scrotum, perineum and thigh. Diffuse cellular inflammation
Disease (standardised): Wound (Scrotum); Wound (Perineum); Wound (Leg)
Admitted under the care of: Keate, Robert
Medical examination performed by: Howse, Alfred
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient was standing at the bottom of a foundation and was struck down and buried by a mass of loose earth and bricks falling on him.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: Trauma/accident

Thomas Tool, 31, Bricklayer’s labourer

Occupation or role: Bricklayer’s labourer
Age: 31
Gender: Male
Date of admission: 18 Jan 1851
Date of death: 20 Jan 1851
Disease (transcribed): Rupture of the liver, left kidney & spleen. Also extravasation of much blood into peritoneal cavity & subperitoneal tissues. Fracture of ribs on both side. Pneumonia on right side. Fracture of sacrum & separation of sacro-iliac articulation on either side
Disease (standardised): Rupture (Liver, kidney, spleen); Extravasation (Abdomen); Fracture (Ribs, pelvis); Pneumonia (Lungs)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient, who was a bricklayer’s labourer, was brought to the hospital in a state of collapse, having just been precipitated from the scaffold near the Chinese Exhibition, a height of between 20 and 30 feet. The ribs on the left side were found to be extensively fractured though the exact seat of the injury could not be determined, as there was much emphysema all over the sides & front of the chest, & when he somewhat recovered from the collapse, he was in too great a state of depression to bear much manual examination’
Body parts examined in the post mortem: Abdomen, thorax, cranium

Type of incident: Trauma / accident

William Walker, 40, Butler

Occupation or role: Butler
Age: 40
Gender: Male
Date of admission: 29 Jan 1851
Date of death: 31 Jan 1851
Disease (transcribed): Pistol wound of lung. Tubercular deposit
Disease (standardised): Wound (Lung); Tuberculosis (Lungs)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: n/a
Medical notes: 'This patient, who was a butler, was brought to the hospital at half past 10am, having 2 hours before shot himself with a pistol. The weapon had been placed close to the chest, on the left side & a little above the nipple & the whole of the charge entered the cavity of the chest’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Suicide

Eliza Palmer, n/a, [No occupation stated]

Occupation or role: [No occupation stated]
Age: n/a
Gender: Female
Date of admission: 6 Mar 1851
Date of death: 7 Mar 1851
Disease (transcribed): Burn of face & extremities
Disease (standardised): Burn (Skin)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This child was burnt very extensively all over the surface of the body with the exception of the left leg. Her face & lips were most severely injured. Respiration was laboured form the very commencement & there was great restlessness’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

Caroline Hannington, 11, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 11
Gender: Female
Date of admission: 15 Feb 1851
Date of death: 11 Mar 1851
Disease (transcribed): Wound of trachea. Inflammation of trachea & bronchi
Disease (standardised): Wound (Throat); Inflammation (Throat, lungs)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This child, while under the influence of fear from a threat of punishment by her father, ran up stairs & cut her throat with a razor. The wound was situated just below the thyroid cartilage & was between two & three inches in length. Considerable haemorrhage took place from it, which was arrested under the influence of cold. Her voice was scarcely above a whisper. She was propped up in bed, & a wet linen rag was kept constantly applied’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Suicide / trauma / accident

Joseph Williams, 60, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 60
Gender: Male
Date of admission: 12 Mar 1851
Date of death: 12 Apr 1851
Disease (transcribed): Scrofulous deposit in both testicles subsequent to inflammation caused by a blow. Bronchitis. Tubercular deposit in both lungs. Old pleurisy on both sides. Fatty heart & liver & pericarditis. Enlarged mesenteric & lumbar glands
Disease (standardised): Tuberculosis (Testicles, lungs); Bronchitis (Lungs); Disease (Heart, liver, glands); Pericarditis (Heart)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient was admitted into the hospital in a state of great debility, having suffered from cough & general ill health for many years, for the last 2 years he had been an inmate of a workhouse’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

William Pearce, n/a, [No occupation stated]

Occupation or role: [No occupation stated]
Age: n/a
Gender: Male
Date of admission: 21 Apr 1851
Date of death: 21 Apr 1851
Disease (transcribed): Scalp wounds & fracture of the cranium, owing to a fall from a height. Also fracture of the sacrum & ossa innominata. Laceration of the cranial dura mater & extensive effusion of blood under both spinal & cranial arachnoid. Old pleurisy on right side & congestion of the lung
Disease (standardised): Wound (Scalp); Fracture (Skull, pelvis, hip); Laceration (Brain); Effusion (Brain, spinal cord); Pleurisy (Lungs); Congestion (Lungs)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: n/a
Post mortem examination performed by: Ogle, John William
Medical notes: 'This man was brought to the hospital in a state of collapse & died in the course of half an hour. He had fallen from a great height & struck the back of his head & spine’
Body parts examined in the post mortem: Cranium, spinal cord, bones of the pelvis & vertebral column, thorax, abdomen, pelvis

Type of incident: Trauma / accident

William Cook, 82, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 82
Gender: Male
Date of admission: 5 May 1851
Date of death: 20 Jun 1851
Disease (transcribed): Fracture of the femur, high up. Ankylosis, entire, between the head of the femur & the ilium, evidently the result of ‘diseases’ of the joint. Vomicae in lungs
Disease (standardised): Fracture (Thigh); Ankylosis (Thigh); Disease (Joints); Suppuration (Lungs)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient, who was very old & feeble, was knocked down by a butcher’s boy while walking. He fell on his back & on being raised found he was unable to walk. He was found to have a simple fracture of the upper part of the left thigh’
Body parts examined in the post mortem: Hip joint, thorax, abdomen

Type of incident: Trauma / accident

Honoria Corbett, n/a, [No occupation stated]

Occupation or role: [No occupation stated]
Age: n/a
Gender: Female
Date of admission: 18 Jun 1851
Date of death: 26 Jun 1851
Disease (transcribed): Severe burn of the face & arms. Scarlet fever
Disease (standardised): Burn (Face, arms); Scarlet fever (Systemic)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'The case is not entered as no examination of the body was made’
Body parts examined in the post mortem: 'The friends would not permit the body to be examined’

Type of incident: Trauma / accident

Henry Cross, 16, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 16
Gender: Male
Date of admission: 30 May 1851
Date of death: 27 Jun 1851
Disease (transcribed): Compound oblique fracture of the right thigh, followed by diffuse areolar inflammation & also an abscess of the integuments in the sacral region. Secondary pleurisy & lobular pneumonia on left side. Disease of the kidneys & extremely enlarged spleen
Disease (standardised): Fracture (Thigh); Inflammation (Tissue); Abscess (Sacrum); Pleurisy (Lungs); Pneumonia (Lungs); Disease (Kidneys, spleen)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient was admitted with a compound fracture of the right thigh, caused by his slipping off a scaffold 30 feet from the ground. The femur was broken at the lower part of the middle third, & the wound, which communicated directly with the fracture, & was on the outer side of the thigh, was large enough to admit the end of the finger’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

Elizabeth Barns, 54, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 54
Gender: Female
Date of admission: 5 Mar 1851
Date of death: 28 Jun 1851
Disease (transcribed): Extensive burn of the back & shoulders. Erysipelas of the upper part of the body when the wound was on the point of healing
Disease (standardised): Burn (Back, shoulders); Erysipelas (Skin)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'The case is not entered as the body was not examined’
Body parts examined in the post mortem: 'The body was removed without any examination’

Type of incident: Trauma / accident

Margaret Neile, 1 ¼, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 1 ¼
Gender: Female
Date of admission: 26 Jul 1851
Date of death: 12 Aug 1851
Disease (transcribed): Extensive scald
Disease (standardised): Burn (Skin)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Ogle, John William and Pollock, George
Medical notes: 'As the body was not examined this case is not given’
Body parts examined in the post mortem: 'The body was not examined at the request of friends’

Type of incident: Trauma / accident

Henry Clarke, 31, Driver

Occupation or role: Driver
Age: 31
Gender: Male
Date of admission: 23 Aug 1851
Date of death: 24 Aug 1851
Disease (transcribed): Fracture of the bones of the skull on the right side & laceration of the right internal sinus. Extravasation of a large quantity of blood into the arachnoid cavity with slight bruising & compression of the right cerebral hemisphere
Disease (standardised): Fracture (Skull); Laceration (Brain); Extravasation (Brain); Bruising (Brain)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Pollock, George
Medical notes: 'This man was driving a cart about, to deliver goods, on the day of admission, and fell out of the cart striking his head against the pavement. This occurred about 2 o’clock pm. He did not seem to suffer any particular inconvenience at the time, as he continued his work, & made no complaint. About 6 o’clock he suddenly fell down insensible, and was brought to the hospital about 8, when he presented the symptoms of compression of the brain distinctly marked’
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

George Wood, 46, Carter

Occupation or role: Carter
Age: 46
Gender: Male
Date of admission: 22 Sep 1851
Date of death: 24 Sep 1851
Disease (transcribed): Fracture of several ribs on the right side of the thorax with laceration of the pleura & wound of the lung. Pleurisy & pneumonia followed. ‘White patches’ on the heart’s surface
Disease (standardised): Fracture (Ribs); Laceration (Pleura, lung); Pleurisy (Lungs); Disease (Heart)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This man was a carter and was riding on the shaft of his cart on the morning of admission, when he was knocked off and another cart passed over the upper part of his back & his right shoulder, grazing also the back of his head’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

Ellen Denney, 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Female
Date of admission: 25 Sep 1851
Date of death: 12 Nov 1851
Disease (transcribed): Compound comminuted fracture of the bones of the left leg. Amputation. Secondary lobular pneumonia on the right side, also pleurisy. Bronchitis. Coagula, proceeding to softening &c in the left external iliac vein. Ulceration of the os uteri
Disease (standardised): Fracture (Leg); Amputation (Leg); Pneumonia (Lungs); Pleurisy (Lungs); Bronchitis (Lungs); Coagula (Blood vessels / Abdomen)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: 'She was knocked down, on the day of her admission, by a cab, which passed over her left leg. On examination a compound fracture of both bones of the leg was recognised; the bones were extensively comminuted, and one piece of the tibia & 2 of the fibula were removed before the leg was put up’
Body parts examined in the post mortem: Stump of left leg, abdomen, thorax

Type of incident: Trauma / accident

Daniel Buller, 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 14 Nov 1851
Date of death: 21 Dec 1851
Disease (transcribed): Simple fracture into the ankle joint. Secondary deposits
Disease (standardised): Fracture (Ankle); Deposit
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William and Holmes, Timothy
Medical notes: 'He was running away from a bullock which pursued him down a lane leading down to the river, and fell down the river’s bank (a height of about 5 feet) into some mud. On his admission, the same morning into the hospital, a fracture was found extending through the inner malleolus on the right side, and through the fibula rather farther up’
Body parts examined in the post mortem: Thorax, abdomen, cranium, joints

Type of incident: Trauma / accident

Henry Turner, 4 , [No occupation stated]

Occupation or role: [No occupation stated]
Age: 4
Gender: Male
Date of admission: 24 Dec 1851
Date of death: 25 Dec 1851
Disease (transcribed): Burn
Disease (standardised): Burn (Skin)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'As the body was not examined the case is not reported’
Body parts examined in the post mortem: 'The body was not examined’

Type of incident: Trauma / accident

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