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St George's Hospital Reports, Vol. IX

CONTENTS
I. Report of the Medical Registrar, Dr. OWEN, for 1877
II. Report of the Medical Registrar, Dr. OWEN, for 1878.
III. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1877
IV. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1878
V. Report of the Post-mortem Department for 1877, by Dr. EWART
VI. Report of the Obstetrical Department for 1877, by Mr. G. S. HARPER
VII. Report of the Obstetrical Department for 1878, by Dr. H. BLAKE
VIII. Report of the Ophthalmic Department for 1877, by. Mr. MCHARDY
IX. Report of the Ophthalmic Department for 1878, by Mr. MCHARDY
X. Report of the Out-patients' Ophthalmic Department for 1878, by Mr. MCHARDY
XI. Notes from the Department for the Treatment of Diseases of the Throat for 1877 and 1878, by Dr. WHIPHAM
XII. Report of the Orthopaedic Department, by Mr. HAWARD .
XIII. Report of the Aural Department for 1877 and 1878, by Mr. DALBY
XIV. Report of the Dental Department for 1877 by Mr. C. WINTERBOTTOM
XV. Report of the Dental Department for 1878, by Mr. A. WINTERBOTTOM
XVI. On the Treatment of Gout by Salicylic Acid, by Dr. BARCLAY
XVII. On the Results of the Treatment of Compound Fracture of the Leg in this Hospital, with special reference to Lister's Antiseptic Method, by Mr. HOLMES
XVIII. Clinical Lecture on a Case of Enchondromatous Tumour of the Brain, by Mr. Pick
XIX. Abstract of a Case of Diabetes, illustrating the Effects of Remedies, by Dr. CAVAFY and Mr. BERTOLACCI
XX. Report on the Cases of Tetanus, by Mr. E. C. STIRLING
XXI. Some Cases of Mitral Disease without Murmur, by Dr. WATNEY
XXII. Observations on Outbreaks of Diphtheria in Rural Districts, by Dr. WILLIAM OGLE
XXIII. On a Novel Method of reducing Dislocation of the Shoulder, by Mr. J. JONES
XXIV. Notes on some forms of Intestinal Obstructions, by Dr. E L. Fox .
XXV. On Ichthyosis, by Mr. G. GASKOIN
XXVI. On Chrysophanic Acid, by Mr. WYNDHAM COTTLE .
XXVII. On Warty Growths, by Mr. WYNDHAM COTTLE
XXVIII. On the Opening and Drainage of Joints, by Mr. J. H. MORGAN
XXIX. History of an Illness, by Mr. S. WILSON HOPE
XXX. Case of Tympanic Abscess, by Dr. E. C. BABER
XXXI. Exophthalmic Goître, by Dr. W. B. CHEADLE

LIST OF ILLUSTRATIONS
Charts of Analyses of the Urine in a Case of Diabetes
Warty Growths
Membrana Tympani in Case of Tympanic Abscess
Microscopic Appearances of Medulla in Exophthalmic Goître

Richard Neale, 43, Carman

Occupation or role: Carman
Age: 43
Gender: Male
Date of admission: 9 Apr 1861
Date of death: 20 Apr 1861
Disease (transcribed): Tetanus
Disease (standardised): Tetanus (Systemic)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: Two months before he was admitted he grazed his right elbow and the back of his thumb, but both places were quite healed in less than a week, and presented no symptoms afterwards. About a month afterwards he thought he caught cold, followed by shivering, sore throat and difficulty swallowing
Body parts examined in the post mortem: Cranium and spine, thorax and abdomen
Illustrations: yes
Type of incident: Trauma/accident

George Hall, 39, Attendant

Occupation or role: Attendant
Age: 39
Gender: Male
Date of admission: 31 May 1869
Date of death: 3 Jun 1869
Disease (transcribed): Old dysentery. Amyloid degeneration. Phthisis. Ulceration
Disease (standardised): Dysentery (Intestines); Amyloidosis (Spleen); Amyloidosis (Kidney); Tuberculosis (Lung); Ulcer (Intestines)
Admitted under the care of: Wadham, William
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man had been in the army from 1852 to 1860 and had served in the Crimea.
Body parts examined in the post mortem: Abdomen
Illustrations of photographs: Yes
Type of incident: n/a

Samuel Patridge, 29, Labourer, ex soldier

Occupation or role: Labourer, ex soldier
Age: 29
Gender: Male
Date of admission: 13 July 1877
Date of death: 19 July 1877
Disease (transcribed): Pneumonia. Old hepatic abscesses. Amyloid disease
Disease (standardised): Pneumonia (Lung); Abscess (Liver); Amyloidosis (Liver, Spleen)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: During the Ashanti war in 1874 he had a fever, and he was invalided in 1875 for pain in the right side of the chest. Early in November he began to cough, shiver, vomit and to experience pain in the right shoulder. He spat green matter and sweated much.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, intestine and brain
Illustration or photograph: Yes
Type of incident: n/a

Sarah Young, 67, Widow

Occupation or role: Widow
Age: 67
Gender: Female
Date of admission: 13 Jun 1877
Date of death: 19 July 1877
Disease (transcribed): Tubercular phthisis; granular kidneys
Disease (standardised): Tuberculosis (Lung); Disease (Kidney)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Ewart, William
Medical notes: This patient was not examined by the Registrar, as her extreme weakness precluded it.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, stomach, uterus and brain
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

William Howard, 21, Labourer

Occupation or role: Labourer
Gender: Male
Age: 21
Date of admission: 2 Jan 1878
Date of death: 2 Jan 1878
Disease (transcribed): Fibrinous pneumonia etc. Tubercle
Disease (standardised): Pneumonia (Lung); Tuberculosis (Lung);
Admitting doctor: Barclay, Andrew Whyte
Medical examination performed by: n/a
PM performed by: Ewart, William
Medical notes: 'Not examined by Registrar'
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, brain
Illustrations: Yes
Type of incident: n/a

William Barrett, 49, Butcher

Occupation or role: Butcher
Age: 49
Gender: Male
Date of admission: 16 Aug 1879
Date of death: 20 Sep 1879
Disease (transcribed): Tubercle of lungs. Emphysema (pulmonary). Hydropericardium
Disease (standardised): Tuberculosis (Lung); Emphysema (Lung); Hydropericardium (Heart)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Tidswell, Herbert Henry
Medical notes: He was an in-patient in this hospital in 1877 for haemoptysis. He had suffered from dyspnoea more or less for ten years, and the cough had steadily increased since 1877.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

Thomas Parry, 30, Cooper

Occupation or role: Cooper
Age: 30
Gender: Male
Date of admission: 15 Jan 1880
Date of death: 13 Feb 1880
Disease (transcribed): Tuberculosis of lungs and larynx. Phthisis
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Larynx)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: For sixteen months he had a cough which had been continuously getting worse, and for four months he had felt a ‘lump’ in the throat which made swallowing unneasy.
Body parts examined in the post mortem: Lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Robert Warwick, 43, Watchman

Occupation or role: Watchman
Age: 43
Gender: Male
Date of admission: 1 Nov 1879
Date of death: 19 Feb 1880
Disease (transcribed): Oedema, tubercle, and gangrene of lung. Pericarditis. Enlarged prostate
Disease (standardised): Oedema (Lung); Tuberculosis (Lung); Gangrene (Lung); Pericarditis (Heart); Enlarged (Prostate)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: n/a
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: No notes of this case could be found. He was transferred from the surgeons on 3rd November 1879.
Body parts examined in the post mortem: Lungs, pericardium, heart, liver, spleen, kidneys and bladder
Illustrations: Yes
Type of incident: n/a

Henry Corbitt, 50, Labourer

Occupation or role: Labourer
Age: 50
Gender: Male
Date of admission: 14 Apr 1880
Date of death: 2 May 1880
Disease (transcribed): Stricture. Perineal abscess. Septicaemia?
Disease (standardised): Constriction (Indeterminate); Abscess (Perineum); Sepsis (Systemic)
Admitted under the care of: Pick, Thomas Pickering
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

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

Elizabeth Garrett, 55, Cook

Occupation or role: Cook
Age: 55
Gender: Female
Date of admission: 20 Oct 1875
Date of death: 20 Feb 1876
Disease (transcribed): Tuberculosis of the lung and mesenteric glands
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Lymph nodes)
Admitted under the care of: Cavafy, John
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: Lee, Robert James
Medical notes: This woman stated that for a year she had had some red spots on the legs, and for four months pains in the legs followed by pain across the abdomen.
Body parts examined in the post mortem: Lungs, liver, spleen, mesenteric glands and kidneys
Illustrations: Yes
Type of incident: n/a

Mary Clarke, 61, Nurse

Occupation or role: Nurse
Gender: Female
Age: 61
Date of admission: 8 May 1878
Date of death: 14 Jul 1878
Disease (transcribed): Perforating ulcer of the stomach. Limited superficial abscess in the peritoneal cavity and left lobe of liver
Disease (standardised): Ulcer (Stomach); Abscess (Abdomen); Abscess (Liver);
Admitting doctor: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No heritable disease in the family. Scarlatina at 16: 'gastric fever' at 40: diphtheria at 43: smallpox at 57. Always intolerant of fat; - subject to pain after food in the epigastrium and to sick headaches as long as she remembered: bowels habitually costive and diaphoresis profuse: subject also to palpitation and to glandular swellings in the neck. For two years she had noticed a fulness in the epigastrium. From Dec [December] 1st to 31st she suffered from a dry 'spasmodic' cough, which began suddenly without rigor or nasal catarrh. On Dec [December] 31st it left her suddenly, and she was as suddenly attack with severe vomiting and epigastric pain, which lasted an hour. From that time there was a constant dull pain in the epigastrium, increased after food'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, uterus
Illustrations: Yes
Type of incident: n/a

Hannah Kates, 45, Laundress

Occupation or role: Laundress
Age: 45
Gender: Female
Date of admission: 18 Jun 1888
Date of death: 22 Jun 1888
Disease (transcribed): Cancer of the pyloric end of stomach. Perforation of stomach wall. Passage of faeces into peritoneum. Peritonitis. Partial kinking of transverse colon, causing obstruction of the lumen of the gut, with great dilatation of the immediately preceding portion
Disease (standardised): Cancer (Stomach); Perforation (Stomach); Peritonitis (Abdomen); Obstruction (Colon, gut)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Penrose, Francis George
Post mortem examination performed by: Sisley, Richard
Medical notes: 'The woman was married when she was 25 years of age. She had 3 children, 2 of whom died of ‘consumption’. She said that she had generally had good health and had never been laid up before’
Body parts examined in the post mortem: Body parts examined: Peritoneum, stomach, intestines, kidneys, spleen, liver, thorax, lungs, heart, brain
Illustrations or photographs: Yes
Type of incident: n/a

Mary Flanagan, 56, [Wife of] Foreman

Occupation or role: [Wife of] Foreman
Age: 56
Gender: Female
Date of admission: 15 Jun 1888
Date of death: 26 Jul 1888
Disease (transcribed): Gall stone impacted in common bile duct. Biliary obstruction and hepatic abscesses
Disease (standardised): Gallstone (Gallbladder); Abscess (Liver)
Admitted under the care of: Rouse, James
Medical examination performed by: Penrose, Francis George
Post mortem examination performed by: Le Cronier, Maxwell
Medical notes: 'Had never left Britain. In early life lived amongst the Cambrian Mountains. No history of ague. For 11[?] years had had attacks, the symptoms of which point to the passage of gall stones, altogether she had 4 or 5 such attacks’
Body parts examined in the post mortem: Body parts examined: Abdomen, liver, lungs, heart, spleen, kidneys, stomach, bladder
Illustrations or photographs: Yes
Type of incident: n/a

Edwin Towill, 37, Waiter

Occupation or role: Waiter
Age: 37
Gender: Male
Date of admission: 14 Oct 1889
Date of death: 26 Oct 1889
Disease (transcribed): Pulmonary tuberculosis. General tuberculosis
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Systemic)
Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Delepine, Sheridan
Medical notes: The patient said that he was in good health till about a month before he came to St George’s. He then began to suffer from cough and rapidly lost flesh. A fortnight before admission he had an attack of shivering and his cough became more troublesome.
Body parts examined in the post mortem: Pleurae, lungs, larynx, pericardium, heart, aorta, liver, spleen, pancreas, kidneys, intestines, suprarenal bodies and testicles
Illustrations: Yes
Type of incident: n/a

Maria Ware, 32, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 32
Gender: Female
Date of admission: 26 Dec 1889
Date of death: 14 Jan 1890
Disease (transcribed): Pulmonary phthisis. Beginning tuberculosis of intestines
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Intestines)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Delepine, Sheridan
Medical notes: She was married and had had four children and three miscarriages. For eleven years before her admission the woman had suffered every winter from a cough. A fortnight before she came to the hospital the woman had a child, and the cough and dyspnoea from which she had suffered during her pregnancy became worse.
Body parts examined in the post mortem: Pleurae, lungs, heart, peritoneum, liver, spleen, pancreas, kidneys, stomach and ileum
Illustrations: Yes
Type of incident: n/a

May Fraser, 21, Lady’s maid

Occupation or role: Lady’s maid
Age: 21
Gender: Female
Date of admission: 3 Feb 1886
Date of death: 12 Feb 1886
Disease (transcribed): Typhoid fever (early stage inflammation of bowels and a few enlarged solitary glands. No ulceration)
Disease (standardised): Typhoid fever (Systemic); Inflammation (Intestines); Enlarged (Lymph nodes)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Griffiths, Herbert Tyrrell
Post mortem examination performed by: Sisley, Richard
Medical notes: The patient was a Scotch girl who had lived in Scotland up to the end of 1884 when she came down to town. She had constipation as a rule. Up to one week before admission she had been well. She then had some cold felt languid and had slight headache.
Body parts examined in the post mortem: Intestines, brain and spinal cord
Type of incident: n/a

George Jackson, 54, Labourer

Occupation or role: Labourer
Age: 54
Gender: Male
Date of admission: 9 Aug 1893
Date of death: 29 Aug 1893
Disease (transcribed): Transverse myelitis
Disease (standardised): Myelitis (Spinal cord)

Admitted under the care of: Whipham, Thomas Tillyer
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: n/a
Medical notes: On Jun 20th 1893 he could not pass his water and a few hours afterwards his left leg became weak and numb.
Body parts examined in the post mortem: Brain, spine, thorax, pleurae, lungs, larynx, pericardium, heart, abdomen, kidneys, suprarenals, pancreas, liver and spleen
Type of incident: n/a

John McCarthy, 63, Gardener

Occupation or role: Gardener
Age: 63
Gender: Male
Date of admission: 20 Jan 1894
Date of death: 24 Jan 1894
Disease (transcribed): Pneumonia. Aneurysm of thoracic aorta
Disease (standardised): Pneumonia (Lung); Aneurysm (Aorta)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'This man, formerly in the army, who had had no secondary syphilitic symptoms, no rheumatic fever, and good health until 3 years before his first admission in Aug 1893. […] On Jan 30th 1894 he was admitted with obvious signs of pneumonia of which he died, as he constantly affirmed that he would'
Body parts examined in the post mortem: Thoracic organs, spleen, liver, kidneys, bladder, prostate
Illustrations: Yes
Type of incident: n/a

Thomas Tee, 2, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 2
Gender: Male
Date of admission: 5 Mar 1894
Date of death: 5 Apr 1894
Disease (transcribed): Tuberculosis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Ewart, William
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'No history of tubercle amongst relations. This child, fed always by hand, but, apparently, in a proper manner, without previous signs of syphilis or of rickets, had been wasting for over a year - with cough of late, without any hooping or vomiting, and diarrhoea for the last 6 months - but not severe during the last 3 months. On admission (March 5) the child was anaemic, thin, cold, with marked depression of the anterior fontanelle; suffering from cough, but not in any distress'
Body parts examined in the post mortem: Thorax, abdomen
Illustrations: Yes
Type of incident: n/a

George Waller, 22, Labourer

Occupation or role: Labourer
Age: 22
Gender: Male
Date of admission: 14 Jun 1894
Date of death: 14 Jun 1894
Disease (transcribed): Perforation of appendix caeci. General peritonitis
Disease (standardised): Perforation (Appendix); Peritonitis (Abdomen)
Admitted under the care of: Cavafy, John
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: Fyffe, William Kington
Medical notes: 'The previous history of this patient was to the effect that a fortnight before admission he was suddenly attacked with pain in the right iliac forsa which spread across the abdomen. He vomited, sweated, and shivered. This was on May 20th - His symptoms abated till the 31st - On that day he had a recurrence of pain accompanied by some diarrhoea - This persisted till Sunday June 10th when the pain became worse than it ever had been and its distribution more general over the abdomen'
Body parts examined in the post mortem: Thorax, abdomen
Illustrations: Yes
Type of incident: n/a

William Broad, 70, No occupation

Occupation or role: No occupation
Age: 70
Gender: Male
Date of admission: 5 Jun 1909
Date of death: 7 Jun 1909
Disease (transcribed): Obstruction of ileum with a gall stone. Ulceration between gall bladder and duodenum. General peritonitis. Laparotomy. Opening of ileum. Carcinoma of rectum. Aspiration pneumonia
Disease (standardised): Gall stone (Intestines); Ulcer (Gall bladder); Ulcer (Duodenum); Peritonitis (Abdomen); Laparotomy (Abdomen); Cancer (Rectum);Pneumonia, aspiration (Lung)
Admitted under the care of: Pendlebury, Herbert Stringfellow
Medical examination performed by: Back, Ivor Gordon
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: Five days before admission he had begun to have difficulty in defaecation.
Body parts examined in the post mortem: Lungs, larynx, thyroid, pericardium, heart, liver, spleen, pancreas, adrenals, alimentary canal, prostate and kidneys
Type of incident: n/a

Eliza Skeen, 41, [Wife of] Butler

Occupation or role: [Wife of] Butler
Age: 41
Gender: Female
Date of admission: 11 Jan 1910
Date of death: 5 Feb 1910
Disease (transcribed): Appendicular abscess. Laparotomy. General and local peritonitis. Pericolitis sinistra. Ulceration of sigmoid with rupture. Pulmonary embolism
Disease (standardised): Abscess (Appendix); Laparotomy (Abdomen); Peritonitis (Abdomen); Appendicitis (Appendix); Ulcer (Intestines); Rupture (Intestines);Embolism (Lung)
Admitted under the care of: Jaffray, Francis
Medical examination performed by: Frankau, Claude Howard Stanley
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: Fifteen days ago she had an attack of pain in the right iliac fossa with vomiting.
Body parts examined in the post mortem: Lungs, pericardium, heart, abdomen, liver, gall bladder, spleen, pancreas, kidneys, bladder, alimentary canal and large bowel
Illustrations: Yes
Type of incident: n/a

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