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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)

Rebecca Parry, 66, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 66
Gender: Female
Date of admission: 29 Dec 1847
Date of death: 31 Dec 1847
Disease (transcribed): Femoral hernia. Operation. Peritonitis
Disease (standardised): Hernia (Abdomen); Peritonitis (Abdomen); Operation (Abdomen)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Pollock, George
Medical notes: This patient was admitted with symptoms of strangulated femoral hernia. There was a hernial tumour in the right thigh of about the size of a hen's egg.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Ellen Kelley, 28, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Female
Date of admission: 11 Nov 1846
Date of death: 06 Jan 1847
Disease (transcribed): Inflammation of lungs with consolidation. Diseased heart. Endocarditis. Kidneys mottled. Tubercles in subperitoneal cellular tissue
Disease (standardised): Inflammation (Lung); Disease (Heart); Endocarditis (Heart); Disease (Kidney); Tuberculosis (Abdomen)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Pollock, George
Medical notes: This patient reported that she had enjoyed good health up to three years ago, when she lost a large quantity of blood by vomiting, and since that time had been rather weak and had suffered at intervals from palpitation.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Emma Stapp, 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Female
Date of admission: 1 Dec 1847
Date of death: 12 Jan 1848
Disease (transcribed): Secondary abscess of lung, shoulder and hip joints. Fistula in ano. Inflammation of rectal veins. Inflammation of mucous membrane of the rectum.
Disease (standardised): Abscess (Lung, Shoulder, Hip); Fistula (Anal canal); Inflammation (Veins); Inflammation (Rectum)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Pollock, George
Medical notes: This patient stated that she had a fistula in ano for six or seven years but that it had caused little inconvenience until three years after its first appearance when it became inflamed. Six weeks previously to her admission she miscarried.
Body parts examined in the post mortem: Thorax, abdomen and joints
Type of incident: n/a

Sarah Buttle, 19, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Female
Date of admission: 17 Mar 1847
Date of death: 23 Apr 1847
Disease (transcribed): Erysipelas of head and neck. Congestion of both lungs. Intestinal glands very much enlarged.
Disease (standardised): Erysipelas (Skin); Congestion (Lung); Enlarged (Intestinal mucosa)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Pollock, George
Medical notes: This patient died under an attack of erysipelas of the scalp of five days standing.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Sarah Anne Legge, 21, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 21
Gender: Female
Date of admission: 17 May 1848
Date of death: 18 May 1848
Disease (transcribed): Inflammation of brain and membranes. Pneumonia and hepatisation of lung. Scrofulous bronchial glands.
Disease (standardised): Inflammation (Brain); Pneumonia (Lung); Disease (Lung); Tuberculosis (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: This patient was said to have been taken ill with severe pain in the head, delirium, and occasionally very noisy and troublesome.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Samuel Newman, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 28 Mar 1880
Date of death: Before admission
Disease (transcribed): Fracture of spine and of face. Fibroid phthisis
Disease (standardised): Fracture (Spine); Fracture (Face); Tuberculosis (Lung); Fibrosis (Lung)
Admitted under the care of: Pollock, George
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Not entered here.
Body parts examined in the post mortem: Bones, lungs, heart, liver, spleen and kidneys
Type of incident: Trauma/accident?

John Deezkiamz, 53, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 53
Gender: Male
Date of admission: 14 Apr 1847
Date of death: 23 Apr 1847
Disease (transcribed): Purpura of both legs. Extensive pleurisy with considerable purulent effusion. Lung greatly compressed. Dilatation of cavities of heart. Slight hour glass contraction of stomach
Disease (standardised): Purpura (Leg); Pleurisy (Pleura); Compressed (Lung); Disease (Heart); Contraction (Stomach); Suppuration (Pleura)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Pollock, George
Medical notes: It appeared from the meagre account which could be obtained of his symptoms, that he had long been suffering from could and cough, and on one or two occasions had had slight haemoptysis.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Elizabeth Dibley, 19, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Female
Date of admission: 5 Apr 1848
Date of death: 18 May 1848
Disease (transcribed): Pneumonia with abscess in lung. Pleuritis. Ascites. Anasarca. Fluid blood.
Disease (standardised): Pneumonia (Lung); Abscess (Lung); Pleurisy (Pleura); Ascites (Abdomen); Oedema (Leg)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: This patient stated that she she had enjoyed very good health up to twelve months ago, when the catamenia seemed to decrease in quantity, and finally disappeared entirely in the course of two or three months.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Charles Curzon, 30, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Male
Date of admission: 07 Apr 1847
Date of death: 24 Apr 1847
Disease (transcribed): Vomica and tubercles in lungs. Old pleuritic adhesions. Small ulcers of small intestine.
Disease (standardised): Tuberculosis (Lung); Adhesions (Pleura); Ulcer (Intestines)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Pollock, George
Medical notes: This patient on admission was found to be in the last stages of Phthisis Pulmonalis.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Thomas Kerr, 60, Cabinet maker

Occupation or role: Cabinet maker
Age: 60
Gender: Male
Date of admission: 26 Mar 1865
Date of death: 7 Apr 1865
Disease (transcribed): Abscess of prostate
Disease (standardised): Abscess (Prostate)
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 in November last, with the history of stricture and abscess in the groin of three weeks duration.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Edward Thompson, 19 days, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 19 days
Gender: Male
Date of admission: 7 Mar 1875
Date of death: 26 Mar 1875
Disease (transcribed): Meningocele. Tapping. Suppuration of the remaining contents of the cyst
Disease (standardised): Meningocele (Brain); Tapping (Brain); Suppuration (Brain)
Admitted under the care of: Pollock, George
Medical examination performed by: Thrupp, James Godfrey
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This infant was admitted a few hours after birth with a meningocele growing from the back part of the head equal in size to a small melon.
Body parts examined in the post mortem: Cranium
Type of incident: n/a

Sarah Painter, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Gender: Female
Age: [No age stated]
Date of admission: n/a
Date of death: n/a
Disease (transcribed): Abscess of thigh; early hip joint disease. Amyloid degeneration of organs
Disease (standardised): Abscess (Leg); Disease (Hip); Amyloidosis (Indeterminate);
Admitting doctor: Pollock, George
Medical examination performed by: n/a
PM performed by: Ewart, William
Medical notes: n/a
Body parts examined in the post mortem: Abscess, hip joint, thyroid gland, lungs, heart, liver, spleen, uterus, kidneys
Type of incident: n/a

Jeremiah Summers, 60, Pensioner

Occupation or role: Pensioner
Age: 60
Gender: Male
Date of admission: 11 Dec 1861
Date of death: 16 Apr 1862
Disease (transcribed): Stricture. Suppuration in kidneys
Disease (standardised): Constriction (Urethra); Suppuration (Kidney)
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 the history of a stricture of thirty eight years standing.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

Samuel Risley, 35, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 35
Gender: Male
Date of admission: 25 Apr 1847
Date of death: 25 Apr 1847
Disease (transcribed): Blood tinged fluid in abdomen. Recent peritonitis. Twisting and strangulation of small intestine after reduction of inguinal hernia.
Disease (standardised): Effusion (Abdomen); Peritonitis (Abdomen); Strangulation (Intestines); Hernia (Abdomen)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Pollock, George
Medical notes: This patient was brought to the Hospital with symptoms of strangulated inguinal hernia. When admitted he was in a dying state.
Body parts examined in the post mortem: Abdomen
Type of incident: n/a

Frederick Turner, 23, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 23
Gender: Male
Date of admission: 11 Nov 1846
Date of death: 28 Apr 1847
Disease (transcribed): Psoas abscess
Disease (standardised): Abscess (Psoas muscles)
Admitted under the care of: Keate, Robert
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Pollock, George
Medical notes: Case omitted as the body was not examined after death.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

William Gates, 23, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 23
Gender: Male
Date of admission: 12 Apr 1848
Date of death: 21 May 1848
Disease (transcribed): Phthisis Pulmonalis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: This patient having been admitted under the care of Mr Cutler in consequence of an ulcer of the leg of some standing following on the kick of a horse, was transferred to the care of Dr Page with cough, spitting and hoarseness of voice.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Stephen Cook, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Male
Date of admission: 19 Apr 1848
Date of death: 22 May 1848
Disease (transcribed): Erysipelas of face and head. Pleuritis and empyema. Pericarditis. Cysts in kidney.
Disease (standardised): Erysipelas (Skin); Pleurisy (Pleura); Empyema (Pleural cavity); Pericarditis (Heart); Cysts (Kidney)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: This patient applied for advice regarding a firm tumour of some size adhering to the upper part of the sternum.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Samuel Thurgood, 56, Labourer

Occupation or role: Labourer
Age: 56
Gender: Male
Date of admission: 30 Mar 1876
Date of death: 6 Apr 1876
Disease (transcribed): Tetanus
Disease (standardised): Tetanus (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Morgan, John Hammond
Post mortem examination performed by: Lee, Robert James
Medical notes: The patient was raising a ladder and fell over into an area.
Body parts examined in the post mortem: Arms, lungs, heart, liver, kidneys, spleen and brain
Type of incident: Trauma/accident

William Mungean, 42, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Male
Date of admission: 14 Apr 1847
Date of death: 06 May 1847
Disease (transcribed): Ulceration and destruction of epiglottis. Ulcers of mucous membrane of pharynx and posterior wall of trachea. Vomica and tubercles in lungs. Hypertrophy of left ventricle. Aortic valves much diseased and contracted.
Disease (standardised): Ulcer (Larynx); Ulcer (Pharynx); Ulcer (Trachea); Tuberculosis (Lung); Disease (Heart)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Pollock, George
Medical notes: This patient was admitted giving a distinct history of Laryngeal Phthisis.
Body parts examined in the post mortem: Fauces, larynx, trachea, thorax and abdomen
Type of incident: n/a

Thomas Collyer, 51, Carman

Occupation or role: Carman
Age: 51
Gender: Male
Date of admission: 10 Apr 1874
Date of death: 19 Apr 1874
Disease (transcribed): Crushed fingers. Contusions. Tetanus
Disease (standardised): Crushed (Hand); Contusions (Hand); Tetanus (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: This man fell off the shaft of a cart while sleeping and the wheel passed over his legs and left hand.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and spinal membranes and cord
Type of incident: Trauma/accident

William Burke, 30, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Male
Date of admission: 24 May 1848
Date of death: 27 May 1848
Disease (transcribed): Scarlatina. Ulceration of tonsils. Oedema of larynx. Inflamed trachea. Congestion of lungs. Fluid blood.
Disease (standardised): Scarlet fever (Systemic); Ulcer (Tonsil); Oedema (Larynx); Inflammation (Trachea); Congestion (Lung)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
Medical notes: This patient reported that having slept with his window open, he found himself attacked with shivering and soreness of throat on the following day.
Body parts examined in the post mortem: Fauces, thorax and abdomen
Type of incident: n/a

George Waldron, 38, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Male
Date of admission: 09 Dec 1846
Date of death: 06 Jan 1847
Disease (transcribed): Amputation of leg followed by secondary abscess in cavity of knee joint and pus in iliac veins. Enlarged and thickened liver.
Disease (standardised): Amputation (Leg); Abscess (Leg); Suppuration (Veins); Disease (Liver)
Admitted under the care of: Keate, Robert
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Pollock, George
Medical notes: This patient stated that the disease for which he was admitted had gradually appeared during the last four years.
Body parts examined in the post mortem: Thorax, abdomen and extremities
Type of incident: n/a

Mary J Walsh, 2 years 10 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 2 years 10 months
Gender: Female
Date of admission: 28 Dec 1872
Date of death: 12 Jan 1873
Disease (transcribed): Scald of chest. Scarlatina
Disease (standardised): Scald (Skin); Scarlet fever (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Claridge, William
Post mortem examination performed by: n/a
Medical notes: This child pulled the teapot from the fire upon her chest.
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Samuel Smith, 36, Optician

Occupation or role: Optician
Age: 36
Gender: Male
Date of admission: 5 Jan 1876
Date of death: 8 Jan 1876
Disease (transcribed): Syphilis. Granular kidneys
Disease (standardised): Syphilis (Systemic); Disease (Kidney)
Admitted under the care of: Pollock, George
Medical examination performed by: Morgan, John Hammond
Post mortem examination performed by: Lee, Robert James
Medical notes: The patient was weak and emaciated having been out of work for some months. He was covered with several rupial ulcers, he also suffered from slight stricture.
Body parts examined in the post mortem: Lungs, heart, liver and kidneys
Type of incident: n/a

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