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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

International Centre for Drug Policy (ICDP)

Papers from the International Centre for Drug Policy (ICDP), formerly known as the Centre for Addiction Studies. The ICDP was established in late 2003 by St George’s Hospital Medical School to act as a broker to promote excellence in the field of substance misuse prevention in particular drug policy within the international arena. It had a national and international reputation for its activities and was based at St George’s, University of London. Its Director was Professor Hamid Ghodse, who was a world leader in international drug policy and addictions, and held the post many times of President of the United Nations International Narcotics Control Board (INCB). The ICDP participated in a number of activities relating to treatment and prevention of tobacco, alcohol and drugs, including:-

• education and training
• research and development
• policy development
• consultancy and advice

The papers include reports from various projects the Centre was running. These include RETAD; Tobacco Free Initiative; Herbal Medicine; Croydon Alcohol Interventions, Substance Misuse in the Undergraduate Medical Curriculum Project.

ICDP was set up in 2003, and continued its work as a separate unit under the medical school's Mental Health Division before being moved to the Population Health Research Institute (PHRI) in 2013, following the death of Professor Hamid Ghodse.

The New Sydenham Society: An Atlas of Illustrations of Clinical Medicine Surgery and Pathology: Vols. XIII-XXV

Vol. XIII: Sarcoma Melanodes or Hebra; Ringworm, Pityriasis
Vol. XIV: Frambcesial Syphilis (Yaws and Paragi)
Vol. XIV: Leucoderma; Myxcedema; Miscelleaneous; Eruptions caused by drugs
Vol. XV: Drug Eruptions
Vol. XVI: Bromide Eruptions; Lichens Urticatus; Pemphigus Vegetans
Vol. XVI: Coxa Vara
Vol. XVII: Fractures & Dislocations of the Upper Extremity
Vol. XVIII & XIX: Elephantiasis in English Practice, Symmetrical Lupus Vulgaris' the potato-like tumour of neck, Schistosoma Cattoi
Vol. XVIII: Eruptions, Urticaria Pigmentose, Leprosy
Vol. XXV: Diseases of Fallopian Tube Ovary, Uterus

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)

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)

[Name redacted], 30, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Male
Date of admission: 9 Feb 1946
Date of death: 9 Feb 1946
Disease (transcribed): Asphyxia due to inhalation of blood from a cut throat (aspirin poisoning)
Disease (standardised): Asphyxia (Respiratory system); Cut (Throat); Poisoning (Systemic)
Admitted under the care of: Riddell, Victor Horsley Hume
Medical examination performed by: n/a
Post mortem examination performed by: Taylor, John
Medical notes: n/a
Body parts examined in the post mortem: Heart, liver, spleen, kidneys and brain
Type of incident: Suicide

[Name redacted], 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Female
Date of admission: 12 Sep 1946
Date of death: 12 Sep 1946
Disease (transcribed): Asphyxia due to carbon monoxide poisoning
Disease (standardised): Asphyxia (Respiratory system); Poisoning (Systemic)
Admitted under the care of: Levick, Claude Blaxland
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Brain, heart, lungs, stomach, liver, kidneys and uterus
Type of incident: Trauma/accident

[Name redacted], 25, Clerk

Occupation or role: Clerk
Age: 25
Gender: Female
Date of admission: 6 Nov 1944
Date of death: 7 Nov 1944
Disease (transcribed): Aspirin poisoning
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Feiling, Anthony
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: She was sent into the hospital as a case of narcotic poisoning. The patient had been depressed lately and had complained of headaches, transient blindness and pains in the legs.
Body parts examined in the post mortem: Brain, spine, lungs, abdomen, liver, kidneys, bladder, uterus and spleen
Type of incident: Suicide

[Name redacted], 65, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Male
Date of admission: 24 Jul 1944
Date of death: 25 Jul 1944
Disease (transcribed): Corrosive poisoning. Perforation of stomach
Disease (standardised): Poisoning (Systemic); Perforation (Stomach)
Admitted under the care of: Bellingham-Smith, Eric
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Inquest
Body parts examined in the post mortem: n/a
Type of incident: n/a

[Name redacted], 68, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 68
Gender: Male
Date of admission: n/a
Date of death: n/a
Disease (transcribed): Lysol poisoning
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: n/a
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Brought in dead
Body parts examined in the post mortem: Heart, lungs, oesophagus, stomach and liver
Type of incident: Suicide?

[Name redacted], 39, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 39
Gender: Female
Date of admission: 9 May 1942
Date of death: 9 May 1942
Disease (transcribed): Aspirin poisoning
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Bellingham-Smith, Eric
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Brought in dead
Body parts examined in the post mortem: Brain, heart, lungs, stomach, liver, kidneys, uterus and bladder
Type of incident: Suicide?

[Name redacted], 46, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Female
Date of admission: 25 Feb 1942
Date of death: 25 Feb 1942
Disease (transcribed): Barbiturate poisoning
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Bellingham-Smith, Eric
Medical examination performed by: n/a
Post mortem examination performed by: Teare, Robert Donald
Medical notes: She was found unconscious in her flat and died fifteen minutes after reaching hospital. The findings were consistent with overdosage with a cerebral depressant drug.
Body parts examined in the post mortem: Brain, heart, lungs, stomach, kidneys and bladder
Type of incident: Suicide

[Name redacted], 43, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 43
Gender: Male
Date of admission: 12 Oct 1943
Date of death: 12 Oct 1943
Disease (transcribed): Haematemesis. Cirrhosis of liver. Chronic alcoholism
Disease (standardised): Haematemesis (Upper gastrointestinal tract); Cirrhosis (Liver); Alcoholism (Systemic)
Admitted under the care of: Bellingham-Smith, Eric
Medical examination performed by: n/a
Post mortem examination performed by: Taylor, John
Medical notes: Brought in dead
Body parts examined in the post mortem: Heart, lungs, liver, spleen, kidneys, stomach and brain
Type of incident: n/a

[Name redacted], 17, Receptionist

Occupation or role: Receptionist
Age: 17
Gender: Female
Date of admission: 17 Sep 1943
Date of death: 17 Sep 1943
Disease (transcribed): Asphyxia. Carbon monoxide poisoning
Disease (standardised): Asphyxia (Lung); Poisoning (Systemic)
Admitted under the care of: Riddell, Victor Horsley
Medical examination performed by: n/a
Post mortem examination performed by: Taylor, John
Medical notes: Brought in dead
Body parts examined in the post mortem: Lungs and stomach
Type of incident: Suicide?

[Name redacted], 32, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 32
Gender: Male
Date of admission: 20 Jul 1940
Date of death: 20 Jul 1940
Disease (transcribed): Lysol poisoning
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Bellingham-Smith, Eric
Medical examination performed by: n/a
Post mortem examination performed by: Teare, Robert Donald
Medical notes: Brought in dead
Body parts examined in the post mortem: Pleurae, lungs, trachea, pericardium, heart, valves, vessels, abdomen, peritoneum, stomach, tongue, liver, spleen, kidneys, brain and meninges
Type of incident: Suicide?

[Name redacted], 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Female
Date of admission: 17 Nov 1941
Date of death: 17 Nov 1941
Disease (transcribed): Lobar pneumonia. Chronic alcoholism
Disease (standardised): Pneumonia (Lung); Alcoholism (Systemic)
Admitted under the care of: Bellingham-Smith, Eric
Medical examination performed by: n/a
Post mortem examination performed by: Teare, Robert Donald
Medical notes: Brought in dead
Body parts examined in the post mortem: Heart, liver, spleen, kidneys, alimentary canal and brain
Type of incident: n/a

[Name redacted], 53, Sailor

Occupation or role: Sailor
Age: 53
Gender: Male
Date of admission: 9 Jun 1941
Date of death: 17 Jun 1941
Disease (transcribed): Myocardial degeneration. Cirrhosis of liver. Chronic alcoholism
Disease (standardised): Disease (Heart); Cirrhosis (Liver); Alcoholism (Systemic)
Admitted under the care of: Bellingham-Smith, Eric
Medical examination performed by: n/a
Post mortem examination performed by: Teare, Robert Donald
Medical notes: He had dyspnoea on exertion, swelling of the penis and testicles and swelling of the legs. He had indigestion for several years, relieved by alkalies. His urine was dark for a month and he had been jaundiced for a few days a month ago. He had been a fairly heavy beer drinker for years.
Body parts examined in the post mortem: Pleurae, lungs, heart, aorta, abdomen, liver, spleen, kidneys and alimentary canal
Type of incident: n/a

[Name redacted], 36, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 36
Gender: Male
Date of admission: 19 Feb 1940
Date of death: 19 Feb 1940
Disease (transcribed): Carbon-mon-oxide poisoning
Disease (standardised): Carbon monoxide poisoning (Systemic)
Admitted under the care of: Bellingham-Smith, Eric
Medical examination performed by: n/a
Post mortem examination performed by: Teare, Robert Donald
Medical notes: Brought in dead
Body parts examined in the post mortem: Skull, brain and oesophagus
Type of incident: Suicide?

[Name redacted], 54, No occupation

Occupation or role: No occupation
Age: 54
Gender: Female
Date of admission: 6 Jan 1939
Date of death: 12 Jan 1939
Disease (transcribed): Fatty degeneration of the liver – probably alcoholic
Disease (standardised): Disease (Liver); Alcoholism (Systemic)
Admitted under the care of: Gainsborough, Hugh
Medical examination performed by: n/a
Post mortem examination performed by: Teare, Robert Donald
Medical notes: She had diarrhoea for the past four or five weeks. The patient was somewhat irrational, with a history of heavy drinking for a long time from the doctor. She drank about a bottle of brandy or whisky a day. She had lost some weight in the last month or so. She had diarrhoea eight or nine times daily, but no blood or mucus. She had pain in the upper abdomen for the last few weeks.
Body parts examined in the post mortem: Pleural cavity, lungs, heart, liver, spleen, kidneys, stomach and brain
Type of incident: n/a

[Name redacted], 23, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 23
Gender: Female
Date of admission: 14 Apr 1939
Date of death: 14 Apr 1939
Disease (transcribed): Carbon mon-oxide poisoning
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Gainsborough, Hugh
Medical examination performed by: n/a
Post mortem examination performed by: Teare, Robert Donald
Medical notes: Brought in dead
Body parts examined in the post mortem: Lungs, heart, coronary vessels, stomach, liver, uterus, ovaries and blood
Type of incident: n/a

[Name redacted], [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Female
Date of admission: 24 Nov 1939
Date of death: 24 Nov 1939
Disease (transcribed): Coal gas poisoning
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Gordon, Hugh Walker
Medical examination performed by: n/a
Post mortem examination performed by: Taylor, John
Medical notes: Brought in dead
Body parts examined in the post mortem: Pleurae, lungs, heart, pericardium, valves, vessels, liver, spleen, stomach and brain
Type of incident: n/a

[Name redacted], 46, Domestic

Occupation or role: Domestic
Age: 46
Gender: Female
Date of admission: 26 May 1939
Date of death: 4 Aug 1939
Disease (transcribed): Clinical diagnosis: Thyrotoxicosis. (Death under anaesthetic)
Disease (standardised): Thyrotoxicosis (Thyroid gland); Anaesthetic death (Systemic)
Admitted under the care of: Torrens, James Aubrey
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: No autopsy
Body parts examined in the post mortem: Autopsy elsewhere
Type of incident: n/a

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