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St George's Hospital Reports, Vol. VI

CONTENTS
I. Lettsomian Lectures: On Syphilitic Urethral Discharges. By H. LEE, Esq.
II. Lettsomian Lectures: On Prostatic Discharges. By H. LEE, Esq.
III. Lettsomian Lectures : On Non-Syphilitic Urethral Discharges. By H. LEE, Esq.
IV. A Case of Osteomalacia. By S. W. MOORE, Esq.
V. Remarks on the most common Forms of Cutaneous Diseases in Children. By R. J. LEE, M.D.
VI. On Sudden Death by Entrance of Air into Uterine Veins. By G. CORDWENT, M.D.
VII. On the Calculous Disease in Bombay and some other Parts of India. By H. V. CARTER, M.D.
VIII. Some Remarks on Inhalation. By R. J. LEE, M.D.
IX. Indican in the Urine. By F. LAKING, M.D.
X. On the Employment of Quinine in the Treatment of Rheumatic Fever. By A. W. BARCLAY, M.D.
XI. Contributions to the Surgery of the Head: No. IV. On Congenital Encephalocele and Hydrencephalocele. By PRESCOTT HEWETT, Esq. .
XII. On Cleft Palate. By T. P. PICK, Esq.
XIII. On Partial Rupture of Arteries from External Violence. By T. P. PICK, Esq. XIV. On the Influence of Impaired Hearing on the Voice and Speech. By W. B. DALBY, Esq.
XV. On the Therapeutical Action of Sulphur. By C. ROBERTS, Esq.
XVI. A Case of Femoral Aneurism. By C. WALTER, Esq.
XVII. A Case of Cancer of the Upper Lip. By E. VENNING, Esq.
XVIII. A Case of Cancer of the Upper Lip, following Lupus. By T. HOLMES, Esq. XIX. On Contagious Ophthalmia. By R. B. CARTER, Esq.
XX. A Case of Aneurism of the Aorta and Innominate Artery, in which the Right Subclavian and Carotid were ligatured simultaneously. By T. HOLMES, Esq.
XXI. On Thrombosis, in Cases in which the Arterial Walls and Viscera are natural. By T. WHIPHAM, M.B.
XXII. Regarding Certain Influences exercised by the Nervous System upon Bone. By J. W. OGLE, M.D.
XXIII. Report of Medical Cases for 1870. By J. CAVAFY, M.D.
XXIV. Report of Medical Cases for 1871. By J. CAVAFY, M.D., and F. LAKING, M.D.
XXV. Report of Surgical Cases for 1870-71. By J. W. HAWARD, Esq.
XXVI. Report on the Department for Diseases of the Ear. By W. B. DALBY, Esq.
XXVII. Report of the Maternity Department from 1854 to 1871, with Observations on Revaccination during the Smallpox Epidemic of 1871. By EDGAR G. BARNES, M.B.

LIST OF ILLUSTRATIONS
Microscopical Appearances in a Case of Mollities Ossium (lithograph)
Three Views of a Patient labouring under Encephalocele, at different Ages
A Case of Cancer of the Upper Lip (coloured lithograph)
Thermographs in a Case of Simultaneous Ligature of the Subclavian and Carotid Arteries
An Artery after Ligature with Carbolised Catgut; obliterated but not divided .

Charles Marshall, 27, Interpreter

Occupation or role: Interpreter
Age: 27
Gender: Male
Date of admission: 10 Jul 1863
Date of death: 17 Jul 1863
Disease (transcribed): Cranial periostitis (syphilitic). Consequent meningitis
Disease (standardised): Periostitis (Skull); Syphilis (Systemic); Meningitis (Brain)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Sturges, Octavius
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient had enjoyed good health except for syphilis which he had contracted some years before.
Body parts examined in the post mortem: Head, chest and abdomen
Type of incident: n/a

Henry Simpson, 35, Lecturer

Occupation or role: Lecturer
Age: 35
Gender: Male
Date of admission: 6 Feb 1862
Date of death: 23 Feb 1862
Disease (transcribed): Syphilitic disease of skull and dura mater. Meningeal apoplexy
Disease (standardised): Syphilis (Skull); Syphilis (Brain); Stroke (Brain)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was brought to the hospital in a a convulsive fit.
Body parts examined in the post mortem: Cranium
Type of incident: n/a

John Aves, 19, Carman

Occupation or role: Carman
Age: 19
Gender: Male
Date of admission: 14 Jun 1862
Date of death: 12 Jul 1862
Disease (transcribed): Syphilitic ulceration of fauces, larynx and trachea
Disease (standardised): Syphilis (Systemic); Ulcer (Pharynx); Ulcer (Larynx); Ulcer (Trachea);

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 for an Hunterian Chancre of one months standing.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Fanny Watkins, 26, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 26
Gender: Female
Date of admission: 13 Apr 1859
Date of death: 18 May 1859
Disease (transcribed): Syphilitic ulceration of throat
Disease (standardised): Syphilis (Systemic); Ulcer (Pharynx)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Therefore the case is not given
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Emma Smith, 26, Laundress

Occupation or role: Laundress
Age: 26
Gender: Female
Date of admission: 2 Oct 1872
Date of death: 17 Oct 1872
Disease (transcribed): Syphilis. Congestion of the lungs
Disease (standardised): Syphilis (Systemic); Congestion (Lung)
Admitted under the care of: Ogle, John William
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This woman stated that her health was good up to about a year ago after a severe cold when she had loss of appetite and occasional pain in the head.
Body parts examined in the post mortem: Pleurae, lungs ,heart, liver, spleen, kidneys, stomach and organs of generation
Type of incident: n/a

Maude Hudkeley, 37, Married

Occupation or role: Married
Age: 37
Gender: Female
Date of admission: 7 Aug 1866
Date of death: 4 Oct 1866
Disease (transcribed): Rupia
Disease (standardised): Rupia (Skin); Syphilis (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: This woman was admitted having had rupial ulcers for some two months, but lately they had been increasing in number and size.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Charles Snell, 40, Packer

Occupation or role: Packer
Gender: Male
Age: 40
Date of admission: 12 Dec 1877
Date of death: 30 Dec 1877
Disease (transcribed): Low pneumonia. Cystic disease of kidneys. Syphilitic disease of liver
Disease (standardised): Pneumonia (Lung); Kidney diseases, cystic (Kidney); Syphilis (Liver);
Admitting doctor: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No heritable disease in the family. Suffered from 'brain fever' in childhood: from 'rheumatics' in 1857, from occasional sore throats. Venereal sore in 1857 (after the rheumatism) […] A temperate man. Languor and want of appetite, with some loss of flesh for about a month. Attacked with shivering about noon 12 days before admn [admission]: had to leave work and go home. Pain in L [Left] hypochondrium, increased at night, after food, or on inspiration; cough, dyspnoea, and occasional palpitation commenced, and continued. Shivering lasted two days. Bowels costive: urine as usual'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, brain
Illustrations: Yes
Type of incident: n/a

Henry Pring, 45, Chemist

Occupation or role: Chemist
Age: 45
Gender: Male
Date of admission: 10 Dec 1880
Date of death: 14 Dec 1880
Disease (transcribed): Syphilitic ulceration of throat. Thickening of epiglottis and arytaeno epiglottidean fold. Thickening of bones of skull
Disease (standardised): Syphilis (Systemic); Ulcer (Pharynx); Thickening (Epiglottis); Thickening (Skull)
Admitted under the care of: Wadham, William
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Robinson, G L
Medical notes: The patient had been subject to sore throats for several years. About a month ago the present attack commenced. The throat became sore with the sensation of a lump in the throat, the neck swelled and swallowing became difficult.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, brain, cranium, larynx and tonsils
Type of incident: n/a

Arthur Alexander, 26, Boat builder

Occupation or role: Boat builder
Age: 26
Gender: Male
Date of admission: 25 Oct 1879
Date of death: 13 Jan 1880
Disease (transcribed): Gonorrhoeal rheumatism. Pyaemia?
Disease (standardised): Gonorrhoea (Systemic); Rheumatic diseases (Tissues); Sepsis (Systemic)
Admitted under the care of: Rouse, James
Medical examination performed by: n/a
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: n/a
Body parts examined in the post mortem: Larynx and trachea, lungs and pleuraee, brain, liver, spleen, intestines, heart and aorta
Type of incident: n/a

John Dickenson, 34, Coal porter

Occupation or role: Coal porter
Age: 34
Gender: Male
Date of admission: 28 Apr 1880
Date of death: 7 Jun 1880
Disease (transcribed): Gummata of brain (and liver)
Disease (standardised): Gumma (Brain); Gumma (Liver); Syphilis (Systemic)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The patient was first admitted in December 1879 for a syphilitic ulcer of the foot and disease of the metatarsal bone. The bone was removed. Soon after his admission to Atkinson Morley Convalescent Hospital his wrist dropped and his speech became impaired.
Body parts examined in the post mortem: , lungs, heart, aorta, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

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

Jesse Jones, 43, Labourer

Occupation or role: Labourer
Age: 43
Gender: Male
Date of admission: 17 Sep 1873
Date of death: 17 Dec 1873
Disease (transcribed): Syphilis? Phthisis
Disease (standardised): Syphilis (Systemic); Tuberculosis (Lung)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Laking, Francis Henry
Post mortem examination performed by: Haward, John Warrington
Medical notes: This man was under the care of the surgeon with a supposed syphilitic tumour in the muscles about the belly, necrosis of the nose bones and ulceration of the throat.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, glands and organs of generation
Type of incident: n/a

Isaac Church , 46, [No occupation]

Occupation or role: [No occupation]
Age: 46
Gender: Male
Date of admission: 17 Jan 1877
Date of death: 5 Feb 1877
Disease (transcribed): Syphilitic pemphigus. Endocarditis. Pleurisy.
Disease (standardised): Pemphigus (Skin); Syphilis (Systemic); Endocarditis (Heart); Pleurisy (Pleura)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This patient had been in the hospital on a previous occasion, suffering from an impetiginous eruption of a distinctly syphilitic origin. On readmission the whole body was covered with a pustular eruption.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, meninges and brain
Type of incident: n/a

James Martin, 22, Clerk

Occupation or role: Clerk
Age: 22
Gender: Male
Date of admission: 3 Feb 1875
Date of death: 6 Mar 1875
Disease (transcribed): Syphilis. Chronic peritonitis
Disease (standardised): Syphilis (Systemic); Peritonitis (Abdomen)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: Haward, John Warrington
Medical notes: Since Christmas 1874 he had had constant vomiting with some cough and spitting and had lost much flesh.
Body parts examined in the post mortem: Pleurae, lungs, heart, peritoneum, intestinal tract, liver, spleen, kidneys and organs of generation
Type of incident: n/a

Ellen Hobbs, 31, Married

Occupation or role: Married
Age: 31
Gender: Female
Date of admission: 13 Jan 1879
Date of death: 13 Jan 1879
Disease (transcribed): Visceral syphilis. Cerebral haemorrhage into the subarachnoideum space
Disease (standardised): Syphilis (Viscera); Haemorrhage (Brain)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: The patient was picked up by the police in the park in a state of stupor broken up by occasional movements or sounds, supposed by them to be an alcoholic.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and brain
Type of incident: n/a

William E Green, 5 weeks, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 5 weeks
Gender: Male
Date of admission: 4 Jun 1879
Date of death: 7 Jun 1879
Disease (transcribed): Pulmonary atelectasis. Congenital syphilis
Disease (standardised): Atelectasis (Lung); Syphilis, congenital (Systemic)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: During pregnancy, the mother had a skin rash and an obstinate sort throat. The child was born at full time, but from birth it vomited frequently after food and its genitals swelled. It has nasal catarrh for a week before admission.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, brain and intestines
Type of incident: n/a

William Townsden, 44, Labourer

Occupation or role: Labourer
Age: 44
Gender: Male
Date of admission: 8 Dec 1888
Date of death: 5 Jan 1889
Disease (transcribed): Periostitis and ostitis of tibia with extreme hemialgia following syphilia
Disease (standardised): Periostitis (Leg); Osteitis (Leg); Neuralgia (Nervous system); Syphilis (Systemic)
Admitted under the care of: Bennett, William Henry
Medical examination performed by: Cotes, Charles Edward Henry
Post mortem examination performed by: Penrose, Francis George
Medical notes: The patient contracted syphilis sixteen years back and for the oast two years his left leg had been swollen and the seat of constant pain.
Body parts examined in the post mortem: Leg, skull cap, brain, spinal cord, spine, thorax, abdomen, spleen, liver, kidneys, testes, small intestines and eyes
Type of incident: n/a

William Sharp, 25, Shop assistant

Occupation or role: Shop assistant
Age: 25
Gender: Male
Date of admission: 2 May 1889
Date of death: 6 May 1889
Disease (transcribed): Gonorrhoea. Pyaemia. Surgical kidney (right). Pericarditis
Disease (standardised): Gonorrhoea (Urogenital tract); Sepsis (Systemic); Nephritis (Kidney); Pericarditis (Heart)
Admitted under the care of: Cavafy, John
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Penrose, Francis George
Medical notes: Eighteen months before his admission the patient had gonorrhoea and was treated as an outpatient at the Lock Hospital. For a week before he came to St George’s he had pains in his knees and in the calves of his legs.
Body parts examined in the post mortem: Brain, pericardium, heart, spleen, stomach, kidneys, urethra, testes, eyes and blood vessels
Type of incident: n/a

Donald Simpson, 29, Baker

Occupation or role: Baker
Age: 29
Gender: Male
Date of admission: 9 Aug 1883
Date of death: 28 Nov 1883
Disease (transcribed): Septicaemia after gonorrhoea
Disease (standardised): Sepsis (Systemic); Gonorrhoea (Urogenital tract)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: The man came into the hospital suffering from an attack of rheumatism in the left knee following an attack of gonorrhoea contracted five months previously.
Body parts examined in the post mortem: Pleurae, heart, liver, spleen, kidneys, knee joint and abdomen
Type of incident: n/a

William Weeden, 56, Clock-jobber

Occupation or role: Clock-jobber
Age: 56
Gender: Male
Date of admission: 24 Mar 1909
Date of death: 25 Mar 1909
Disease (transcribed): Haemorrhage on surface of brain. Adhesions of cerebral vessels. Syphilis. Arterio-sclerosis
Disease (standardised): Haemorrhage (Brain); Adhesions (Brain); Syphilis (Systemic); Arteriosclerosis (Arteries)
Admitted under the care of: Latham, Arthur Carlyle
Medical examination performed by: Higgs, Frederick William
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: While running for a bus, the patient felt giddy, collapsed in a heap and cut his lip.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, spleen, pancreas, adrenals, kidneys, bladder, alimentary canal and brain
Type of incident: n/a

Dorothy Porter, 3, [Child of] Porter

Occupation or role: [Child of] Porter
Gender: Female
Age: 3
Date of admission: 14 Jun 1904
Date of death: 21 Jun 1904
Disease (transcribed): ? Congenital syphilis. Marasmus
Disease (standardised): Syphilis (Systemic); Protein-energy malnutrition (Systemic);
Admitted under the care of: Penrose, Francis George
Medical examination performed by: Ascherson, William Lawrence
Post mortem examination performed by: Whipham, Thomas Roland Charles
Medical notes: 'Child admitted in a condition of marasmus. She has been previously admitted (2 years before) for marasmus following rickets. She had been in other hospitals too for wasting and had always improved at once after admission to a hospital. On admission, an extreme state of wasting. Weight 10 lbs 4 oz!'
Body parts examined in the post mortem: Thorax, abdomen
Type of incident: n/a

Thomas Crain, 4 months, [Child of] Labourer

Occupation or role: [Child of] Labourer
Age: 4 months
Gender: Male
Date of admission: 17 Jun 1908
Date of death: 20 Jun 1908
Disease (transcribed): Congenital morbus cordis. Patent ductus botalli. Patent foramen ovale. Marasmus. ? Congenital syphilis
Disease (standardised): Congenital disease (Heart); Ductus arteriosus, patent (Heart); Foramen ovale, patent (Heart); Protein-energy malnutrition (Systemic); Congenital syphilis (Systemic)
Admitted under the care of: Latham, Arthur Carlyle
Medical examination performed by: Higgs, Frederick William
Post mortem examination performed by: Torrens, James Aubrey
Medical notes: The child was first admitted to the hospital on May 30th when it was noticed to be losing flesh and later a rash was observed.
Body parts examined in the post mortem: Larynx, trachea, lungs, heart, pericardium, liver, spleen, kidneys, suprarenals, uterus and bladder
Type of incident: n/a

John Polley, 69, Gardener

Occupation or role: Gardener
Age: 69
Gender: Male
Date of admission: 9 Jul 1903
Date of death: 15 Jul 1903
Disease (transcribed): Aortic stenosis. Hypostatic pneumonia. Hydrothorax. Gout. Syphilis
Disease (standardised): Disease (Heart); Pneumonia (Lung); Hydrothorax (Lung); Gout (Joints); Syphilis (Systemic)
Admitted under the care of: Rolleston, Humphry Davy
Medical examination performed by: Pearson, Sidney Vere
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: The patient had rapidly increasing dyspnoea, cough, swelling of the feet and orthopnoea.
Body parts examined in the post mortem: Lungs, larynx, thyroid, pericardium, heart, liver, spleen, pancreas, kidneys, adrenals, alimentary canal, testes and toe joints
Type of incident: n/a

Florence Porter, 25, [Wife of] Plasterer

Occupation or role: [Wife of] Plasterer
Gender: Female
Age: 25
Date of admission: 16 May 1904
Date of death: 17 May 1904
Disease (transcribed): Laryngitis with ulceration of soft palate (? Syphilitic.) and epiglottis and vocal chords. Tracheotomy. Asphyxia
Disease (standardised): Laryngitis (Larynx, epiglottis, vocal cords); Ulcer (Palate, soft); Syphilis (Systemic); Tracheotomy (Trachea); Asphyxia (Respiratory system);
Admitted under the care of: Ewart, William
Medical examination performed by: Ascherson, William Lawrence
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: 'Patient admitted on May 16th for sore throat. Trouble in the throat had been present 18 months and had been getting steadily worse. She had occasionally bought a bottle of medicine for it (!) but had never consulted a doctor. Loss of voice 4 months. Her hair had been falling out recently. Patient had had one child and no miscarriages'
Body parts examined in the post mortem: Thorax, abdomen
Type of incident: n/a

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