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Barclay, Andrew Whyte Item Chemically-induced disorders
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Alexander Middlemiss, 45, Butler

Occupation or role: Butler
Age: 45
Gender: Male
Date of admission: 9 Dec 1874
Date of death: 21 Dec 1874
Disease (transcribed): Ascites. Delirium tremens
Disease (standardised): Ascites (Abdomen); Alcohol withdrawal delirium (Brain )
Admitted under the care of: Barclay, Andrew Whyte
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 Jackson, 50, Butler

Occupation or role: Butler
Age: 50
Gender: Male
Date of admission: 1 Dec 1880
Date of death: 2 Dec 1880
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The patient had been drinking to excess for some time before admission.
Body parts examined in the post mortem: Brain, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Charles Macnamara, 37, Gentleman's Servant

Occupation or role: Gentleman's Servant
Age: 37
Gender: Male
Date of admission: 26 Jul 1850
Date of death: 30 Jul 1850
Disease (transcribed): Delirium tremens. Jaundice. Brain rather wet. Liver soft-bile stained
Disease (standardised): Alcohol withdrawal delirium (Brain); Jaundice (Skin); Wet (Brain ); Disease (Liver)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This patient was brought to the Hospital in a state of Delirium, and unable to give any account of himself. It was at first reported that he had had several attacks of Delirium Tremens, but this was afterwards denied.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Charles Protheroe, 37, Servant

Occupation or role: Servant
Age: 37
Gender: Male
Date of admission: 26 Jul 1848
Date of death: 31 Jul 1848
Disease (transcribed): Petechial fever (previous delirium tremens)
Disease (standardised): Purpura (Skin); Alcohol withdrawal delirium (Brain ); Fever (Systemic)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Handfield Jones, Charles
Medical notes: In the early part of the same month this man became a patient under the care of Dr Page with symptoms resembling delirium tremens. He was readmitted with very much the same aspect as before.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Charles Warby, 43, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 43
Gender: Male
Date of admission: 1 Feb 1849
Date of death: 4 Feb 1849
Disease (transcribed): Delirium tremens. Congestion of membranes & substance of the brain. Pulmonary apoplexy
Disease (standardised): Alcohol withdrawal delirium (Brain); Congestion (Brain); Stroke (Lungs)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: 'Presenting the quick, agitated manner of delirium a potu, although not very incoherent. Answering questions readily, but when left to himself beginning to mutter, and soon becoming very talkative. His nights were sleepless’
Body parts examined in the post mortem: Thorax, cranium, abdomen

Type of incident: n/a

Charles Young, 28, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 28
Gender: Male
Date of admission: 30 May 1849
Date of death: 31 May 1849
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: 'As the body was not examined, the history of this case is not given’
Body parts examined in the post mortem: 'This body was not examined at the request of the friends’

Type of incident: n/a

Elizabeth Groom, 44, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 44
Gender: Female
Date of admission: 2 May 1853
Date of death: 8 Jul 1853
Disease (transcribed): Chronic poisoning by potash. Stricture of the cardiac and pyloric orifices of the stomach

Disease (standardised): Poisoning (Systemic); Constriction (Stomach)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: This woman was admitted about an hour and a half after swallowing a quantity of american potash.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: Suicide

Francis Melcombe, 36, Butler

Occupation or role: Butler
Age: 36
Gender: Male
Date of admission: 24 Aug 1862
Date of death: 29 Aug 1862
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Harvey, Edward Robinson
Post mortem examination performed by: Dickinson, William Howship
Medical notes: He had been out of place two months having left his situation of his own accord. On the day before admission he rose with a slight
Body parts examined in the post mortem: Cranium, chest and abdomen
Type of incident: n/a

Frederick Groom, 39, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 39
Gender: Male
Date of admission: 14 Aug 1852
Date of death: 17 Aug 1852
Disease (transcribed): Delirium tremens. Death after a kind of fit. Much effusion of clear fluid in the ventricles and sub arachnoid tissue found. Dilated heart and old left pleural adhesions. Fluid blood
Disease (standardised): Alcohol withdrawal delirium (Brain); Seizures (Brain); Effusion (Brain); Disease (Heart); Adhesions (Pleura); Fluid (Blood)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: A man of very dissipated habits who had been drinking hard during the previous week, was seized with symptoms of nervous derangement, sleeplessness, restlessness, excitement and tremulous movements.
Body parts examined in the post mortem: Cranium, abdomen and thorax
Type of incident: n/a

Frederick Pendray, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 30
Date of admission: 13 Sep 1854
Date of death: 15 Sep 1854
Disease (transcribed): Delirium tremens. Serous effusion on the surface & in the ventricles of the brain. Cholera?
Disease (standardised): Alcohol withdrawal delirium (Brain); Effusion (Brain); Cholera (Intestines)
Admitting doctor: Nairne, Robert
Surgeon: Gray, Henry
Physician: Barclay, Andrew Whyte
Medical notes: 'This patient was believed to have had an attack of cholera before admission. He was a man of intemperate habits, and was in a tremulous, agitated state when admitted with a red & dry tongue, and having had no sleep for one or two nights’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of injury: n/a

George Anbery, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 34
Date of admission: 11 Jul 1854
Date of death: 13 Jul 1854
Disease (transcribed): Delirium tremens. Serous effusion on brain. Vascularity of the calvaria
Disease (standardised): Alcohol withdrawal delirium (Brain); Effusion (Brain); Vascularity (Skull)
Admitting doctor: Bence Jones, Henry
Surgeon: Gray, Henry
Physician: Barclay, Andrew Whyte
Medical notes: 'The present was the second occasion on which this patient had been admitted into the hospital with delirium tremens. He said he had been attacked a fortnight ago with pain in the head. Herpes had come out on the lips last week […] He was reported to have been rambling a good deal the whole time & to have had very little sleep’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of injury: n/a

Henry Arnold, 44, Cabman

Occupation or role: Cabman
Age: 44
Gender: Male
Date of admission: 31 Jul 1872
Date of death: 2 Aug 1872
Disease (transcribed): Delirium tremens. Erysipelas faciei
Disease (standardised): Alcohol withdrawal delirium (Brain); Erysipelas (Skin)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man had been drinking very hard for the last four weeks. About a week before admission he fell from his cab in a fit.
Body parts examined in the post mortem: Cranium, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

James Turner, 29, Gentleman's Servant

Occupation or role: Gentleman's Servant
Age: 29
Gender: Male
Date of admission: 15 Sep 1850
Date of death: 16 Sep 1850
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain )
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This man was said to have been first seized with a fit of an epileptic character, in which he had bitten his tongue severely, and that he had subsequently become violently delirious.
Body parts examined in the post mortem: Cranium, chest and abdomen
Type of incident: n/a

John Hough, 57, Hair dresser

Occupation or role: Hair dresser
Age: 57
Gender: Male
Date of admission: 3 Jan 1866
Date of death: 3 Jan 1866
Disease (transcribed): Poisoning of oil of bitter almonds
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man took (it was supposed purposely) oil of almonds one hour after breakfast.
Body parts examined in the post mortem: Head, chest, abdomen, fauces and blood
Type of incident: Suicide

John Spere, 37, Coachman

Occupation or role: Coachman
Age: 37
Gender: Male
Date of admission: 7 Jul 1868
Date of death: 8 Jul 1869
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: He said that he had been ill two or three times before and from the appearance of the tongue it was supposed that he had had an epileptic fit before admission.
Body parts examined in the post mortem: Thorax, abdomen and brain
Type of incident: n/a

Margaret Keefe, 45, Charwoman

Occupation or role: Charwoman
Age: 45
Gender: Female
Date of admission: 12 Feb 1873
Date of death: 13 Feb 1873
Disease (transcribed): Poisoning of carbolic acid
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Haward, John Warrington
Medical notes: This woman was admitted with a slight attack of bronchitis and was given a dose of carbolic acid.
Body parts examined in the post mortem: Pleurae, lungs, heart, larynx, alimentary canal, abdomen, intestines, liver, spleen, kidneys, bladder, uterus and brain
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: 14 Mar 1852
Date of death: Brought in dead
Disease (transcribed): Poisoning from oil of bitter almonds. Fluid state of the blood. Congestion of lungs, kidneys. Old double pleural adhesions. Slight hypertrophy of heart
Disease (standardised): Poisoning (Systemic); Fluid (Blood); Congestion (Lung); Congestion (Kidney); Adhesions (Pleura); Disease (Heart)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This man was brought in from the park having been observed to drop down suddenly.
Body parts examined in the post mortem: Abdomen, thorax and cranium
Type of incident: Suicide?

Richard Madden, 17, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 17
Gender: Male
Date of admission: 22 Nov 1850
Date of death: 22 Nov 1850
Disease (transcribed): Poisoning by aconite
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: As the body was not examined, this case is not given.
Body parts examined in the post mortem: This body was not permitted to be examined
Type of incident: n/a

Richard Nicholson, 60, Hackney coach driver

Occupation or role: Hackney coach driver
Age: 60
Gender: Male
Date of admission: 7 Aug 1868
Date of death: 8 Aug 1868
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man was of very drunken habits and he was brought in having been ill with delirium tremens for one week.
Body parts examined in the post mortem: Thorax, abdomen and brain
Type of incident: n/a

Richard Till, Stableman

Occupation or role: Stableman
Gender: Male
Age: 72
Date of admission: 23 Jul 1854
Date of death: 23 Jul 1854
Disease (transcribed): Delirium tremens. Apoplexy. Disease of the arteries of the brain
Disease (standardised): Alcohol withdrawal delirium (Brain); Stroke (Brain); Disease (Brain)
Admitting doctor: Nairne, Robert
Surgeon: Gray, Henry
Physician: Barclay, Andrew Whyte
Medical notes: 'This man who was a stable helper, had been found in the stable on the morning of his admission in a state of complete unconsciousness, but nothing was known of how this had occurred’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of injury: n/a

Richard Ward, 41, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 41
Gender: Male
Date of admission: 24 Apr 1849
Date of death: 26 Apr 1849
Disease (transcribed): Delirium tremens. Wet brain & extravasation of blood in pia mater covering cerebellum. Fatty liver. Oblique inguinal hernia
Disease (standardised): Alcohol withdrawal delirium (Brain); Extravasation (Brain); Disease (Liver); Hernia (Abdomen)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: 'This man, who was an old offender, was stated to have been drinking hard for a fortnight previous to the appearance of his present symptoms, which had only begun to shew themselves 3 or 4 days before admission. He had been in the hospital 3 or 4 times with similar attacks. On the last occasion just after Xmas he had been ill 7 days before his admission, and continued delirious 6 days in the house. His former attack had only been 6 weeks before that one’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Robert Carter, 21, Clerk

Occupation or role: Clerk
Age: 21
Gender: Male
Date of admission: 13 Aug 1880
Date of death: 13 Aug 1880
Disease (transcribed): Carbolic acid poisoning
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: n/a
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The patient was brought in dead.
Body parts examined in the post mortem: Lungs, heart, alimentary tract, liver, spleen, kidneys, bladder and urethra
Type of incident: Suicide?

Robert Squires, 35, Cabman

Occupation or role: Cabman
Age: 35
Gender: Male
Date of admission: 25 Aug 1862
Date of death: 5 Sep 1862
Disease (transcribed): Rheumatism. Delirium tremens
Disease (standardised): Rheumatic diseases (Tissues); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Tepper, John
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

Samuel Witchlow, 32, Potman

Occupation or role: Potman
Age: 32
Gender: Male
Date of admission: 8 Sep 1849
Date of death: 8 Sep 1849
Disease (transcribed): Delirium tremens. Vessels of the meninges loaded with blood. Brain wet & soft. Kidneys congested & softened
Disease (standardised): Alcohol withdrawal delirium (Brain); Disease (Brain, kidneys)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Gray, Henry
Medical notes: 'It was difficult to obtain any history of the commencement of this man’s illness. It was only ascertained that he was a potman belonging to a public house in the neighbourhood, & had been taken ill on the 4th inst when he was carried to the work house, that they had found him rather unmanageable there, and were sending him to a lunatic asylum, when he was seized with some sort of fit on the way, and was brought to the hospital’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

St George's Hospital Reports, Vol. III

CONTENTS
I. On the Treatment of Rheumatic Fever. By HENRY WILLIAM FULLER, M.D., Senior Physician to the Hospital
II. Cases of Delirium probably dependent on Impoverishment of the Blood. By A. W. BARCLAY, M.D., Physician to the Hospital, and Lecturer on Physic
III. Abstract of Clinical Lectures. By HENRY LEE, Surgeon to the Hospital
IV. Case of Cerebral Disease in a Syphilitic Patient. By T. CLIFFORD ALLBUTT, M.D., Physician to the Leeds General Infirmary
V. On the Reduction of old Dislocations. By BERNARD E. BRODHURST, Assistant Surgeon to the Hospital
VI. On Traumatic Fever. By THOMAS P. PICK, Curator of the Pathological Museum
VII. On Paralysis of the Extensors. By REGINALD THOMPSON, M.D., F.R.S., Medical Registrar to the Hospital
VIII. Are there special Trophic Nerves? By HANDFIELD JONES, M.D., F.R.S., Physician to St. Mary’s Hospital
IX. On improved Methods of inducing and accelerating Labour, with the view of obtaining increased safety to Mother and Child. By ROBERT BARNES, M.D., Lecturer on Midwifery, &c. St. Thomas’s Hospital
X. On Counter-Irritation, considered in reference to the remote and indirect effects of local morbid changes. By W. H. DICKINSON, M.D., Assistant Physician to the Hospital
XI. A Hypothesis as to the ultimate destination of Glycogen. By WILLIAM OGLE, M.D., Assistant Physician to, and Lecturer on Physiology at the Hospital
XII. Case of Poisoning by Stramonium. By C. PAGET BLAKE, M.D. Edin., M.R.C.P. Lond., Consulting Physician to the Torbay Infirmary and Dispensary
XIII. Loss of Speech from the Bite of Venomous Snakes. By WILLIAM OGLE, M.D., Assistant Physician to the Hospital
XIV. Upon certain Morbid Conditions of the Appendages of the Liver. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XV. A Case of Aneurysm. By R. J. LEE, M.B.
XVI. A Series of Fatal Cases of Poisoning. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XVII. On the Treatment of Wounds by the application, of Carbolic Acid, on Lister’s method; showing the results of a Series of Cases so treated in this Hospital during the last few months. By T. HOLMES, Surgeon to the Hospital, and Lecturer on Surgery; and W. B. HOLDERNESSE, House-Surgeon to the Hospital
XVIII. Ophthalmic Department Report. By HENRY POWER, Ophthalmic Surgeon to the Hospital
XIX. Pathological Observations. By THOMAS P. PICK, Curator of the Pathological Museum
XX. Report of the Medical Cases admitted during the year 1867-8. By REGINALD E. THOMPSON, M.D., Medical Registrar
XXI. Report of the Surgical Cases treated during the year 1867. By WILLIAM LEIGH, Surgical Registrar
XXII. Address to the Students of the Hospital on the Opening of the New School, October 1,1868. By HENRY W. ACLAND, Regius Professor of Medicine in the University of Oxford, and Honorary Physician to H.R.H. the Prince of Wales

LIST OF ILLUSTRATIONS
Diagram of Medio-lateral Operation for Lithotomy
Obstruction of Bile-duct by enlarged Glands
Cyst of Pancreas, the result of Obstruction of its Duct
TWO Views of Aneurysm of the Aorta
Diagrams explanatory of this Case
Coloured Lithographs illustrating Cases in the Ophthalmic Report

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