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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)

St George's Hospital Reports, Vol. IV

CONTENTS:
I. On the Variations of the Acidity of the Urine that occur when Vegetable and Mineral Acids are used. By H. BENCE JONES, Esq.
II. A Case of Angina Pectoris. With Remarks. By J. LOCKHART CLARKE, M.D.
III. Notes on the Subcutaneous Injection of Morphia. By EDWARD T. WILSON, M.D.
IV. On Rheumatic Pericarditis. By REGINALD E. THOMPSON, M.D.
V. Cases of Syphilitic Disease of the Nervous System. By T. CLIFFORD ALLBUTT, M.D.
VI. Clinical Observations on Acute Tubercle. By EDWARD LONG Fox, M.D.
VII. Contributions to the Surgery of the Head : Sebaceous Tumours of the Cranial Region. By PRESCOTT HEWÉTT, Esq., Senior Surgeon to the Hospital .
VIII. On Inflammation of the Retina. By GEORGE COWELL, Esq., Assistant Surgeon to the Westminster Hospital ; Ophthalmic Surgeon to the Victoria Hospital for Children .
IX. On Chronic Bone- and Joint-Disease. By J. WARRINGTON HAWARD, Esq.
X. The Causes of Pulmonary Consumption. By CHARLES THEODORE WILLIAMS, M.D.
XI. Exophthalmic Goître. By W. B. CHEADLE, M.D.
XII. Clinical Notes on unusual Surgical Cases. By H. LEE, Esq., Surgeon to the Hospital
XIII. Reminiscences of Cases from Private Practice. By J. NICHOLLS, M.D., Chelmsford
XIV. Two Cases of Excision of the Scapula. With Remarks. By GEORGE POLLOCK, Esq., Surgeon to the Hospital .
XV. Note on Excision of the Ankle-joint. By T. HOLMES, Esq., Surgeon to the Hospital
XVI. On Aphasia. By W. WADHAM, M.D., Physician to the Hospital.
XVII. On the Treatment of Acute Orchitis. By J. ROUSE, Esq., Assistant Surgeon to the Hospital
XVIII, Remarks on a Case of Locomotor Ataxy with Hydrarthrosis. By T. C. ALLBUTT, M.D.
XIX. Report of the Curator of the Pathological Museum. By T. P. PICK, Esq., Assistant Surgeon to the Hospital .
XX. Annual Report of Medical Cases during the year 1868. By REGINALD THOMPSON, M.D., Medical Registrar
XXI. Annual Report of Surgical Cases during the year 1868. By W. LEIGH, Esq., Surgical Registrar
Supplement to Dr. Clifford Allbutt's Article on Syphilitic Disease of the Nervous System
Prospectus of the Medical School for 1869-70, showing the arrangements for Lectures and Hospital Practice, the Prizes and Exhibitions, with List of Prizemen for 1869.

LIST OF ILLUSTRATIONS
Tables showing Variations in the Acidity of the Urine (Dr. Bence Jones)
Tables showing Variations in the Pulse and Temperature in Acute Tubercle and other Diseases (Dr. Cheadle)
Pulse-traces in Exophthalmic Goître
Exfoliated Portion of the Humerus in & Case of Compound Fracture, with Recovery of the Use of the Arm (Dr. Nicholls)
Portrait of a Patient after Recovery from Excision of the Scapula (Mr. Pollock)
Anterior View of a Tumour of the Scapula, removed by Excision (Mr. Pollock)
Posterior View of the same (Mr. Pollock)
Bones removed in a Case of Excision of the Ankle-joint (Mr. Holmes)
The lower surface of the Astragalus in the same Case (Mr. Holmes)

Thomas McLachlan, 14, Errand boy

Thomas McLachlan, 14, Errand boy

Occupation or role: Errand boy
Age: 14
Gender: Male
Date of admission: 6 Sep 1865
Date of death: 12 Oct 1865
Disease (transcribed): Disease of hip. Pyaemia
Disease (standardised): Disease (Hip); Sepsis (Systemic)
Admitted under the care of: Pollock, George. Fuller, Henry William

Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This boy was admitted under the Physicians for rheumatism.
Body parts examined in the post mortem: Hip joint, chest and abdomen
Type of incident: n/a

Thomas Allen, 36, Labourer

Thomas Allen, 36, Labourer

Occupation or role: Labourer
Age: 36
Gender: Male
Date of admission: 22 May 1865
Date of death: 12 Jul 1865
Disease (transcribed): Excision of elbow joint. Death from haemorrhage
Disease (standardised): Excision (Elbow); Disease (Elbow); Haemorrhage (Arm)
Admitted under the care of: Pollock, George
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted with disease of the elbow joint of twelve years standing, the result from a sprain.
Body parts examined in the post mortem: Elbow, chest and abdomen
Type of incident: n/a

Thomas Hart, 19, Butcher

Thomas Hart, 19, Butcher

Occupation or role: Butcher
Age: 19
Gender: Male
Date of admission: 25 Feb 1865
Date of death: 6 May 1865
Disease (transcribed): Disease of spine. Pyaemia
Disease (standardised): Disease (Spine); Sepsis (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This boy was admitted with a large fluctuating swelling over the right trochanter extending up into the iliac fossa on the right side.
Body parts examined in the post mortem: Spine, chest and abdomen
Type of incident: n/a

Alfred Gwymer, 38, Policeman

Alfred Gwymer, 38, Policeman

Occupation or role: Policeman
Age: 38
Gender: Male
Date of admission: 14 Aug 1879
Date of death: 25 Aug 1879
Disease (transcribed): Disease of the petrous portion of the temporal bone. Cerebellar abscess. Meningitis
Disease (standardised): Disease (Skull); Abscess (Brain); Meningitis (Brain)
Admitted under the care of: Pollock, George
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: For eight years the patient had had purulent discharge from the left ear which originally came on after a slight attack of earache.
Body parts examined in the post mortem: The head only was examined in this case
Type of incident: n/a

William Standing, 59, Carpenter

William Standing, 59, Carpenter

Occupation or role: Carpenter
Age: 59
Gender: Male
Date of admission: 3 Mar 1879
Date of death: 17 Apr 1879
Disease (transcribed): Chronic rheumatism and ?
Disease (standardised): Rheumatic disease (Tissues)
Admitted under the care of: Pollock, George
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: n/a
Medical notes: This patient was transferred to Mr Pollock from Dr Barclay and died five days afterwards.
Body parts examined in the post mortem: Not examined
Type of incident: n/a

William Judge, 19, Clerk

William Judge, 19, Clerk

Occupation or role: Clerk
Age: 19
Gender: Male
Date of admission: 10 Jul 1878
Date of death: 29 Mar 1879
Disease (transcribed): Disease of lumbar vertebrae. Lardaceous disease of viscera
Disease (standardised): Disease (Spine); Amyloidosis (Viscera)
Admitted under the care of: Pollock, George
Medical examination performed by: Walker, George
Post mortem examination performed by: Ewart, William
Medical notes: This patient was originally admitted into the hospital in 1877 on account of abscesses and bedsores after small pox.
Body parts examined in the post mortem: , heart, liver, spleen and kidneys
Type of incident: n/a

Frederic Forth, 20, Carman

Frederic Forth, 20, Carman

Occupation or role: Carman
Age: 20
Gender: Male
Date of admission: 25 Oct 1876
Date of death: 17 Nov 1876
Disease (transcribed): General amyloid disease. Pelvic disease
Disease (standardised): Amyloidosis (Systemic); Disease (Pelvis)
Admitted under the care of: Pollock, George
Medical examination performed by: Morgan, John Hammond
Post mortem examination performed by: Lee, Robert James
Medical notes: This man’s horse ran away and in stopping him he fell and the wheel passed over his body. There was a bruise in the lumbar region and of the left knee.
Body parts examined in the post mortem: Sacrum, pelvis, lungs, heart, liver, kidneys and spleen
Type of incident: Trauma/accident

Emma Davis, 46, Servant

Emma Davis, 46, Servant

Occupation or role: Servant
Age: 46
Gender: Female
Date of admission: 23 Dec 1873
Date of death: 27 Jan 1874
Disease (transcribed): Angular curvature. Abscess. Pyaemia
Disease (standardised): Curvature (Spine); Abscess (Spine); Sepsis (Systemic)
Admitted under the care of: Pollock, George
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

Charles Waight, 54, Schoolmaster

Charles Waight, 54, Schoolmaster

Occupation or role: Schoolmaster
Age: 54
Gender: Male
Date of admission: 30 Jul 1873
Date of death: 8 Aug 1873
Disease (transcribed): Syphilis? Chronic periostitis. Caries of left femur and hip joint. Purpura
Disease (standardised): Syphilis (Systemic); Periostitis (Bones); Caries (Leg); Caries (Hip); Purpura (Skin)
Admitted under the care of: Pollock, George
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: About ten years ago an abscess formed on the outer side of the left thigh which broke and continued to discharge pus.
Body parts examined in the post mortem: Bones, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Gustavus Fowle, 14, School boy

Gustavus Fowle, 14, School boy

Occupation or role: School boy
Age: 14
Gender: Male
Date of admission: 12 Apr 1863
Date of death: 26 May 1873
Disease (transcribed): Periostitis of femur. Erysipelas. Softening clots in the heart. Pulmonary embolism
Disease (standardised): Periostitis (Leg); Erysipelas (Skin); Disease (Heart); Embolism (Lung)
Admitted under the care of: Pollock, George
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: This boy stated that he received a blow on the left thigh from a stick but it did not lay him up. This happened about two weeks before admission.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, bones and joints
Type of incident: Trauma/accident

James Bragg, 18, Engineer

James Bragg, 18, Engineer

Occupation or role: Engineer
Age: 18
Gender: Male
Date of admission: 28 Oct 1869
Date of death: 19 Dec 1869
Disease (transcribed): Acute osteitis implicating knee joint. Pyaemia
Disease (standardised): Osteitis (Knee); Sepsis (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Emily Hare, 23, School girl

Emily Hare, 23, School girl

Occupation or role: School girl
Age: 23
Gender: Female
Date of admission: 28 Oct 1869
Date of death: 17 Nov 1869
Disease (transcribed): Disease of femur. Pyaemia
Disease (standardised): Disease (Leg); Sepsis (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Leigh, William
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: According to history this child was well until 24th October when she was seized with rigors, pain and swelling in the right leg.
Body parts examined in the post mortem: Thorax, abdomen, bones and muscles
Type of incident: n/a

Agnes Marshall, 9, [No occupation stated]

Agnes Marshall, 9, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 9
Gender: Female
Date of admission: 25 Nov 1868
Date of death: 3 Jan 1869
Disease (transcribed): Disease of spine. Amyloid degeneration of viscera.
Disease (standardised): Disease (Spine); Amyloidosis (Viscera)
Admitted under the care of: Pollock, George
Medical examination performed by: Leigh, William
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This child had suffered from disease of the spine for five years. Two years ago an abscess formed and had been discharging up to the present time.
Body parts examined in the post mortem: Thorax, abdomen and spine
Type of incident: n/a

Benjamin Heard, 32, Labourer

Benjamin Heard, 32, Labourer

Occupation or role: Labourer
Age: 32
Gender: Male
Date of admission: 20 Feb 1867
Date of death: 3 Apr 1867
Disease (transcribed): Necrosing tibia. Osteo-myelitis. Pyaemia
Disease (standardised): Necrosis (Leg); Osteomyelitis (Bone); Sepsis (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This patient stated that after a fever which he had five moths ago, the right leg became painful and swollen, and an abscess formed in it and burst.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

William Hawker, 26, Carpenter

William Hawker, 26, Carpenter

Occupation or role: Carpenter
Age: 26
Gender: Male
Date of admission: 7 Jan 1863
Date of death: 15 Mar 1863
Disease (transcribed): Disease of spine
Disease (standardised): Disease (Spine)
Admitted under the care of: Pollock, George
Medical examination performed by: Braine, Francis Woodhouse
Post mortem examination performed by: n/a
Medical notes: This patient was admitted with a small sinus situated opposite the gluteus maximus muscle of the left buttock.
Body parts examined in the post mortem: Chest, abdomen and spine
Type of incident: n/a

Thomas Buck, 20, Shoemaker

Thomas Buck, 20, Shoemaker

Occupation or role: Shoemaker
Age: 20
Gender: Male
Date of admission: 1 Nov 1871
Date of death: 6 Feb 1872
Disease (transcribed): Diseased knee joint. Amputation. Lardaceous disease
Disease (standardised): Disease (Leg); Amputation (Leg); Amyloidosis (Spleen); Amyloidosis (Kidney)
Admitted under the care of: Pollock, George
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man was admitted for chronic inflammation of the knee joint, believing its origin to be a kick nine years previously.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

William Lipscomb, 51, Labourer

William Lipscomb, 51, Labourer

Occupation or role: Labourer
Age: 51
Gender: Male
Date of admission: 27 Jul 1861
Date of death: 7 Nov 1861
Disease (transcribed): Disease of pelvic bones
Disease (standardised): Disease (Pelvis)
Admitted under the care of: Pollock, George
Medical examination performed by: Venning, Edgcombe
Post mortem examination performed by: Dickinson, William Howship
Medical notes: The patient was admitted with a disease of the pelvis.
Body parts examined in the post mortem: Chest, abdomen and pelvis
Type of incident: n/a

Emma Harrow, 23, Married woman

Emma Harrow, 23, Married woman

Occupation or role: Married woman
Age: 23
Gender: Female
Date of admission: 18 Sep 1861
Date of death: 23 Oct 1861
Disease (transcribed): Diseased Hip joint
Disease (standardised): Disease (Hip)
Admitted under the care of: Pollock, George
Medical examination performed by: Venning, Edgcombe
Post mortem examination performed by: n/a
Medical notes: This case is not given
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Kate Curtis, 8, [No occupation]

Kate Curtis, 8, [No occupation]

Occupation or role: [No occupation]
Age: 8
Gender: Female
Date of admission: 1 Mar 1876
Date of death: 16 Jan 1877
Disease (transcribed): Diseased Hip
Disease (standardised): Disease (Hip)
Admitted under the care of: Pollock, George
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

George Payne, 26, Foreman

George Payne, 26, Foreman

Occupation or role: Foreman
Age: 26
Gender: Male
Date of admission: 29 Feb 1864
Date of death: 6 Jun 1864
Disease (transcribed): Phthisis. Disease of knee
Disease (standardised): Tuberculosis (Lung); Disease (Knee)
Admitted under the care of: Pollock, George
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Knee, chest, abdomen

Type of incident: n/a

Deborah Emlin, Nurse

Deborah Emlin, Nurse

Occupation or role: Nurse
Age: 80
Gender: Female
Date of admission: 23 Jan 1871
Date of death: 14 Feb 1871
Disease (transcribed): Caries of vertebrae. Pelvis abscess. Wound of eyelid. Granular kidneys. Pyaemia
Disease (standardised): Caries (Spine); Abscess (Pelvis); Wound (Eyelid); Disease (Kidneys); Sepsis (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: 'This woman was brought to the hospital with a history of having fallen down in the street. On admission there was bruising of the hips & a small wound of eyelid. She had evidently been much neglected. Talked incoherently so that no trustworthy information could be obtained from her’
Post mortem notes: Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Edward Warner, 20, Groom

Edward Warner, 20, Groom

Occupation or role: Groom
Age: 20
Gender: Male
Date of admission: 26 Oct 1870
Date of death: 3 Nov 1870
Disease (transcribed): Periostitis of femur. Pyaemia.
Disease (standardised): Periostitis (Leg); Sepsis (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case if not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Mary Watts, 12, Schoolgirl

Mary Watts, 12, Schoolgirl

Occupation or role: Schoolgirl
Age: 12
Gender: Female
Date of admission: 31 Aug 1870
Date of death: 19 Oct 1870
Disease (transcribed): Caries of hip and pelvis.
Disease (standardised): Caries (Hip); Caries (Pelvis)
Admitted under the care of: Pollock, George
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case if not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

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