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Pick, Thomas Pickering Musculoskeletal diseases
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Frank Cambridge, 20, Apprentice

Occupation or role: Apprentice
Age: 20
Gender: Male
Date of admission: 11 Jul 1864
Date of death: 19 Jan 1865
Disease (transcribed): Psoas abscess. Caries of spine. Diseased hip
Disease (standardised): Abscess (Psoas muscle); Caries (Spine); Disease (Hip)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: n/a
Medical notes: It appeared that for some time he had complained of pain in his back.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, right hip, intestine and kidneys
Type of incident: n/a

Alice A. Weston, 13, Schoolgirl

Occupation or role: Schoolgirl
Age: 13
Gender: Female
Date of admission: 31 Aug 1864
Date of death: 9 Nov 1864
Disease (transcribed): Disease of hip. Excision. Pyaemia
Disease (standardised): Disease (Hip); Operation (Hip); Sepsis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: 'Case not given’
Body parts examined in the post mortem: 'Not examined’

Type of incident: n/a

Thomas Wade, 24, Stone mason

Occupation or role: Stone mason
Age: 24
Gender: Male
Date of admission: 9 Nov 1864
Date of death: 7 Mar 1865
Disease (transcribed): Disease of knee. Phthisis
Disease (standardised): Disease (Knee); Tuberculosis (Lung)
Admitted under the care of: Lee, Henry
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 knee. Prior to admission he had struck his knee and since then it had become stiff and swollen.
Body parts examined in the post mortem: Joint, chest and abdomen
Type of incident: Trauma/accident

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

Eliza Swoffer, 30, Married

Occupation or role: Married
Age: 30
Gender: Female
Date of admission: 5 Apr 1865
Date of death: 21 Apr 1865
Disease (transcribed): Disease of hip. ‘Amyloid’ disease
Disease (standardised): Disease (Hip); Amyloidosis (Liver); Amyloidosis (Kidney); Amyloidosis (Intestines)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: Disease of the hip first appeared when she was six years old. After the birth of her youngest child three years ago, an abscess appeared.
Body parts examined in the post mortem: Hip, chest and abdomen
Type of incident: n/a

Benjamin Thomas, 32, Labourer

Occupation or role: Labourer
Age: 32
Gender: Male
Date of admission: 12 Apr 1865
Date of death: 4 Feb 1866
Disease (transcribed): Amyloid disease in consequence of disease of pelvis
Disease (standardised): Amyloidosis (Liver); Amyloidosis (Kidney); Amyloidosis (Spleen); Disease (Pelvis)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted ten months previously with a large fluctuating swelling in the left inguinal region.
Body parts examined in the post mortem: Pelvis, chest and abdomen
Type of incident: n/a

Aurelius Braine, 22, Porter

Occupation or role: Porter
Age: 22
Gender: Male
Date of admission: 10 May 1865
Date of death: 5 Oct 1865
Disease (transcribed): Disease of vertebra. Amyloid infiltration
Disease (standardised): Disease (Spine); Amyloidosis (Liver); Amyloidosis (Kidney); Amyloidosis (Spleen)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was admitted with most extensive angular curvature which gave him a most distorted appearance.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

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

William Blabey, 19, Clerk

Occupation or role: Clerk
Age: 19
Gender: Male
Date of admission: 29 May 1865
Date of death: 27 Nov 1865
Disease (transcribed): Disease of axis. Thickening of dura mater
Disease (standardised): Disease (Spine); Thickening (Brain)
Admitted under the care of: Lee, Henry
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: n/a
Medical notes: This man was admitted with considerable thickening about the upper cervical vertebrae and loss of power and intense hyperaesthesia of the lower extremities.
Body parts examined in the post mortem: Spine
Type of incident: n/a

George Gosling, 29, Groom

Occupation or role: Groom
Age: 29
Gender: Male
Date of admission: 19 Jul 1865
Date of death: 5 Aug 1866
Disease (transcribed): Strumous disease of right hip joint and sacro-iliac synchondrosis. Tubercle in lungs. Amyloid liver, spleen and kidneys
Disease (standardised): Tuberculosis (Hip); Synchondrosis (Joints); Tuberculosis (Lung); Amyloidosis (Liver); Amyloidosis (Spleen); Amyloidosis (Kidney)
Admitted under the care of: Lee, Henry
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering. Whipham, Thomas Tillyer
Medical notes: This patient was admitted with a history of pain in the back for five weeks.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Maria Chalk, 24, General servant

Occupation or role: General servant
Age: 24
Gender: Female
Date of admission: 16 Aug 1865
Date of death: 16 Feb 1866
Disease (transcribed): Disease of pubes
Disease (standardised): Disease (Pubic bone)
Admitted under the care of: Lee, Henry
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was admitted with the history that for the last six months she had suffered from pain and difficulty in making water.
Body parts examined in the post mortem: Bone and chest
Type of incident: n/a

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

Joseph Carmichael, 12, Schoolboy

Occupation or role: Schoolboy
Age: 12
Gender: Male
Date of admission: 25 Sep 1865
Date of death: 9 Jan 1866
Disease (transcribed): Disease of knee joint
Disease (standardised): Disease (Knee)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This boy was admitted with acute periostitis of the tibia which had commenced six days before with great pain and swelling.
Body parts examined in the post mortem: Knee, hip, chest and abdomen
Type of incident: n/a

Amelia Robinson, 5 years 6 months , Child

Occupation or role: Child
Age: 5 years 6 months
Gender: Female
Date of admission: 13 Dec 1865
Date of death: 27 Dec 1865
Disease (transcribed): Disease of the hip joint
Disease (standardised): Disease (Hip)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This child was admitted with disease of the hip which commenced with limping in her gait and pain at night.
Body parts examined in the post mortem: Head, chest, abdomen and hip joint
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)

Louisa West, 43, Housemaid

Occupation or role: Housemaid
Age: 43
Gender: Female
Date of admission: 7 Feb 1866
Date of death: 8 May 1866
Disease (transcribed): Disease of left ilium
Disease (standardised): Disease (Pelvis)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: This woman was admitted with a hard, tense swelling in the right side of the abdomen, which had come on without assignable cause three weeks previously.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

John Thomas, 50, Footman

Occupation or role: Footman
Age: 50
Gender: Male
Date of admission: 7 May 1866
Date of death: 24 May 1866
Disease (transcribed): Gout. Clot in pulmonary artery. Valvular disease of heart. Granular kidneys
Disease (standardised): Gout (Joints); Thrombosis (Arteries); Disease (Heart); Disease (Kidney)
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: He was first attacked with gout when twenty five years of age and had suffered repeatedly from subsequent attacks.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

John Williams, 21, Clerk

Occupation or role: Clerk
Age: 21
Gender: Male
Date of admission: 6 Jun 1866
Date of death: 22 Jun 1866
Disease (transcribed): Disease of hip. Tuberculosis
Disease (standardised): Disease (Hip); Tuberculosis (Lung)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man had been admitted some time before with symptoms of strumous ulceration of the bladder.
Body parts examined in the post mortem: Thorax and hip
Type of incident: n/a

William Saunders, 11, School boy

Occupation or role: School boy
Age: 11
Gender: Male
Date of admission: 11 Jun 1866
Date of death: 30 Mar 1867
Disease (transcribed): Disease of hip. Pyaemia
Disease (standardised): Disease (Hip); Sepsis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: Two and a half years before his admission this boy had fallen off the back of a large dog, on which he was riding and hurt his right hip.
Body parts examined in the post mortem: Thorax, abdomen and thigh
Type of incident: Trauma/accident

Eliza A Crowe, 53, Married

Occupation or role: Married
Age: 53
Gender: Female
Date of admission: 12 Sep 1866
Date of death: 23 Oct 1866
Disease (transcribed): Amputation. Osteo-myelitis. Pyaemia
Disease (standardised): Amputation (Leg); Osteomyelitis (Bone); Sepsis (Systemic)
Admitted under the care of: Lee, Henry
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This woman was admitted with an abscess of the knee joint which had been forming for six months.
Body parts examined in the post mortem: Thorax, abdomen and stump
Type of incident: n/a

Elizabeth Climber, 29, Married

Occupation or role: Married
Age: 29
Gender: Female
Date of admission: 10 Oct 1866
Date of death: 7 Nov 1866
Disease (transcribed): Amyloid degeneration. Phthisis (old). Disease of spine and left kidney
Disease (standardised): Amyloidosis (Intestines); Tuberculosis (Lung); Disease (Spine); Disease (Kidney)
Admitted under the care of: Lee, Henry
Medical examination performed by: n/a
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This patient was transferred from the physician with incontinence of urine and old angular curvature of the spine.
Body parts examined in the post mortem: Thorax, abdomen and spine
Type of incident: n/a

Alfred Roberts, 29, Clerk

Occupation or role: Clerk
Age: 29
Gender: Male
Date of admission: 14 Nov 1866
Date of death: 31 Apr 1867
Disease (transcribed): Tuberculosis. Disease of hip
Disease (standardised): Tuberculosis (Lung); Disease (Hip)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This patient was admitted with the history that twenty three years previously he was thrown down by a boy, and his hip was hurt in consequence of which he was laid up for three years.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

William Prew, 29, Metal turner

Occupation or role: Metal turner
Age: 29
Gender: Male
Date of admission: 21 Nov 1866
Date of death: 10 Dec 1866
Disease (transcribed): Disease of spine. Psoas and lumbar abscess. Phthsis. Amyloid degeneration
Disease (standardised): Disease (Spine); Abscess (Psoas muscle); Abscess (Lumbar); Tuberculosis (Lung); Amyloidosis (Kidney)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: Two and a half years ago he was quite well, but shortly after an abscess formed in the back, since which his health had been deteriorating.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Frank Cox, 12, Schoolboy

Occupation or role: Schoolboy
Age: 12
Gender: Male
Date of admission: 26 Nov 1866
Date of death: 28 Nov 1866
Disease (transcribed): Empyema. Disease of petrous bone. Abscess of dura mater
Disease (standardised): Empyema (Pleura); Disease (Skull); Abscess (Brain)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This boy had suffered from otorrhoea for three years, accompanied with pain and deafness.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Percy Baldwin, 15, School boy

Occupation or role: School boy
Age: 15
Gender: Male
Date of admission: 15 Dec 1866
Date of death: 1 Jan 1867
Disease (transcribed): Disease of spine. Psoas abscess. Amyloid degeneration. Pyaemia
Disease (standardised): Disease (Spine); Abscess (Psoas muscle); Amyloidosis (Liver); Amyloidosis (Kidney); Sepsis (Systemic)
Admitted under the care of: Lee, Henry
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man was admitted with a history of ulcers of the legs of five years standing.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

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