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Dickinson, William Howship Infections
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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

William Holden, 49, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 49
Gender: Male
Date of admission: 14 Dec 1859
Date of death: 29 Dec 1859
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Thomas
Medical notes: This man had been out of health for three or four months, and for seven weeks had had cough with mucous expectoration.
Body parts examined in the post mortem: Thorax, larynx and abdomen
Type of incident: n/a

Thomas Richardson, 53, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 53
Gender: Male
Date of admission: 4 Jan 1860
Date of death: 31 Jan 1860
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: n/a
Medical notes: 'As the body was not examined, this case is not given’
Body parts examined in the post mortem: 'The body was not examined’

Type of incident: n/a

James Henderson, 22, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 22
Gender: Male
Date of admission: 18 Jan 1860
Date of death: 9 Feb 1860
Disease (transcribed): Phthisis. Diseased kidneys. Old dislocation of radius
Disease (standardised): Tuberculosis (Lungs); Disease (Kidneys); Dislocation (Wrist)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'Few years before his admission, this man had some complaing which he described as ‘chronic fever’ and it appeared he never was well afterwards, Five months afterwards he coughed up a large quantity of blood, and ever afterwards had a slight cough’
Body parts examined in the post mortem: Left arm, thorax, abdomen

Type of incident: n/a

Harriet Pile, 39, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 39
Gender: Female
Date of admission: 1 Feb 1860
Date of death: 14 Feb 1860
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'When this patient was admitted, she appeared in an excited, half-crazed state, and could not give a very lucid account of her preceding symptoms. She said that she had been ill for two years, that she had spat blood, and had cough with frequent vomiting. She had not menstruated for 18 months’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Alfred Amos, 36, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 36
Gender: Male
Date of admission: 1 Feb 1860
Date of death: 19 Feb 1860
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'For 12 months this man had suffered from cough, expectoration and increasing debility. For three or four months he had had habitual night sweats’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Frances Littlewood, 19, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 19
Gender: Female
Date of admission: 28 Jan 1860
Date of death: 24 Feb 1860
Disease (transcribed): Phthisis. Bronchitis
Disease (standardised): Tuberculosis (Lungs); Bronchitis (Lungs)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: n/a
Medical notes: 'As the body was not examined, this case is not given’
Body parts examined in the post mortem: 'The body was not examined’

Type of incident: n/a

George South, 43, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 43
Gender: Male
Date of admission: 23 Nov 1859
Date of death: 26 Mar 1860
Disease (transcribed): Ascites. Partial peritonitis. Diseased liver. Phthisis
Disease (standardised): Ascites (Peritoneum); Peritonitis (Abdomen); Disease (Liver); Tuberculosis (Lungs)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy and Dickinson, William Howship
Medical notes: 'This man had been an excessive drinker of spirits, chiefly of rum. He had had spitting of blood some time before. One month previously the belly began to swell, he never had any pain except that due to the distention’
Body parts examined in the post mortem: Thorax, abdomen, scrotum

Type of incident: n/a

Edward Perryman, 28, Firewood cutter

Occupation or role: Firewood cutter
Age: 28
Gender: Male
Date of admission: 18 Apr 1860
Date of death: 22 Apr 1860
Disease (transcribed): Meningitis. Phthisis
Disease (standardised): Meningitis (Brain); Tuberculosis (Lung)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A firewood cutter of exceedingly drunken habits. From the account obtained from his wife, it appeared that he was taken ill on the 9th of April, having been continuously intoxicated for the previous week. He was seized with pains in the head and aching in the thighs’
Body parts examined in the post mortem: Cranium, spine, thorax, abdomen, pelvis

Type of incident: n/a

William Law, 49, Painter

Occupation or role: Painter
Age: 49
Gender: Male
Date of admission: 18 Apr 1860
Date of death: 28 Apr 1860
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A painter in the habit of drinking freely. For the last six weeks, he had had cough with expectoration, never of blood. For the fortnight preceding admission, he had been hoarse’
Body parts examined in the post mortem: Thorax, larynx, abdomen

Type of incident: n/a

Sarah Elliott, 50, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 50
Gender: Female
Date of admission: 4 May 1860
Date of death: 5 May 1860
Disease (transcribed): Pneumonia. Abscess of the lung
Disease (standardised): Pneumonia (Lungs); Abscess (Lungs)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship and Goldsmith, George Pocock
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'The mother of 15 children. She was said to have had good health until a month previous to admission, when she caught cold, and since suffered from cough’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

William Douglas, 24, Gardener

Occupation or role: Gardener
Age: 24
Gender: Male
Date of admission: 9 May 1860
Date of death: 13 Jun 1860
Disease (transcribed): Phthisis. Pleurisy
Disease (standardised): Tuberculosis (Lungs); Pleurisy (Pleura)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A gardener, accustomed to working in a hot-house. He had good health, excepting occasional dyspepsia, until 3 weeks before admission when he began to suffer from cough with scanty expectoration, never of blood. Latterly he had night sweats with loss of appetite’
Body parts examined in the post mortem: Thorax, abdomen, larynx

Type of incident: n/a

John Newport, 22, Stableman

Occupation or role: Stableman
Age: 22
Gender: Male
Date of admission: 24 May 1860
Date of death: 14 Jun 1860
Disease (transcribed): Phthisis. Tubercular peritonitis
Disease (standardised): Tuberculosis (Lungs); Peritonitis (Abdomen)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A stableman. He had good health until 2 months before admission when he caught cold, as he supposed, and had more or less dry cough ever since. He never spat blood’
Body parts examined in the post mortem: Thorax, larynx, abdomen

Type of incident: n/a

Mary Hoory, [No age stated], [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: [No age stated]
Gender: Female
Date of admission: 2 May 1860
Date of death: 12 Jul 1860
Disease (transcribed): Fungoid disease of uterus
Disease (standardised): Mycosis (Uterus)
Admitted under the care of: Lee, Robert
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: n/a
Medical notes: 'As the body was not examined, this case is not given’
Body parts examined in the post mortem: 'The body was not examined’

Type of incident: n/a

David Brickley, 5, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 5
Gender: Male
Date of admission: 10 Sep 1860
Date of death: 22 Sep 1860
Disease (transcribed): Abscess of chest from injury. Secondary deposits
Disease (standardised): Abscess (Thorax); Deposit
Admitted under the care of: Cutler, Edward
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy and Dickinson, William Howship
Medical notes: 'A few days before admission he was climbing into a cart when he fell, he complained of much pain in his left arm & he was taken to the parish doctor who put his arm in a splint. Finding he did not improve he was brought here’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: Trauma / accident

John Dunnett, 35, Butler

Occupation or role: Butler
Age: 35
Gender: Male
Date of admission: 17 Oct 1860
Date of death: 8 Nov 1860
Disease (transcribed): Old & recent peritonitis
Disease (standardised): Peritonitis (Abdomen)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A butler. About 4 months ago this man suffered from constipation of the bowels, passing fourteen days without an evacuation. At that time, and ever since, he had constant pain in the abdomen. When admitted he was much emaciated and sallow’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Isabella Bishop, 39, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 39
Gender: Female
Date of admission: 26 Dec 1860
Date of death: 29 Dec 1860
Disease (transcribed): Caries of temporal bone. ?Pyaemia. Scarlatina
Disease (standardised): Caries (Temporal bone); Sepsis (Systemic); Scarlet fever (Systemic)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient was brought into the hospital delirious, and her friends knew little about her or that very little could be learned concerning her. It appeared that for some time past she had suffered pain in the head, and had latterly become very deaf’
Body parts examined in the post mortem: Right ear, cranium, spine, thorax, abdomen, pelvis

Type of incident: n/a

Henry Sale, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 9 Jan 1861
Date of death: 12 Jan 1861
Disease (transcribed): Necrosis of the temporal bone. Abscess of the brain
Disease (standardised): Necrosis (Skull); Abscess (Brain)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: The first symptoms were observed 6 weeks before admission, when he returned home cold and half starved. He then had a fit described as apoplectic; there were no convulsions. He partially recovered, never had any paralysis but complained constantly of pains in the forehead.
Body parts examined in the post mortem: Cranium
Type of incident: n/a

Catherine Welsky, 46, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Female
Date of admission: 13 Feb 1861
Date of death: 2 Mar 1861
Disease (transcribed): Gangrenous abscess of the lung
Disease (standardised): Gangrene (Lung); Abscess (Lung)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: This patient was said to have had good health until 8 months before her last admission, when she had an attack of rheumatic fever.
Body parts examined in the post mortem: Thorax
Type of incident: n/a

Lydia Reynolds, 17, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 17
Gender: Female
Date of admission: 6 Feb 1861
Date of death: 20 Mar 1861
Disease (transcribed): Hydrothorax. Paracentesis. Peritonitis
Disease (standardised): Hydrothorax (Lung); Paracentesis (Thorax); Peritonitis (Abdomen)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: This patient had pretty good health until two months before she came it, when, having as she supposed taken cold, she was attacked with cough, spitting and pains in the right side.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

Michael Maloney, 25, Labourer

Occupation or role: Labourer
Age: 25
Gender: Male
Date of admission: 9 Aug 1862
Date of death: 24 Aug 1862
Disease (transcribed): Fracture of skull. Abscess of brain
Disease (standardised): Fracture (Skull); Abscess (Brain)
Admitted under the care of: Lee, Henry
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: It was stated that half an hour before admission he fell down an area, striking the back of his head. He was drunk at the time.
Body parts examined in the post mortem: Cranium
Type of incident: Trauma/accident

Sarah O’Grady, 39, Married

Occupation or role: Married
Age: 39
Gender: Female
Date of admission: 20 Aug 1862
Date of death: 26 Aug 1862
Disease (transcribed): Phthisis. Pneumothorax
Disease (standardised): Tuberculosis (Lung); Pneumothorax (Lung)
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: Six months ago after a life of good health, this woman began to lose flesh, sweat at night, cough and spit.
Body parts examined in the post mortem: Cranium, chest and abdomen
Type of incident: n/a

John Lyons, 38, Coachman

Occupation or role: Coachman
Age: 38
Gender: Male
Date of admission: 30 Sep 1862
Date of death: 7 Oct 1862
Disease (transcribed): Suppuration in knee and shoulder joint
Disease (standardised): Suppuration (Leg); Suppuration (Arm)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted with the history that seven days before he had been attacked with rigors, followed by sickness and severe pains in the left knee joint.
Body parts examined in the post mortem: Chest, abdomen and joints
Type of incident: n/a

John Parriss, 24, Trunk maker

Occupation or role: Trunk maker
Age: 24
Gender: Male
Date of admission: 2 Oct 1862
Date of death: 7 Oct 1862
Disease (transcribed): Diphtheria. Scarlatina
Disease (standardised): Diphtheria (Pharynx); Scarlet fever (Systemic)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Harvey, Edward Robinson
Post mortem examination performed by: Dickinson, William Howship
Medical notes: Two days before admission this man had been attacked with sore throat, from which his wife was suffering and died the day of his admission.
Body parts examined in the post mortem: Chest, larynx and belly
Type of incident: n/a

William Jackman, 35, Horse keeper

Occupation or role: Horse keeper
Age: 35
Gender: Male
Date of admission: 18 Aug 1862
Date of death: 11 Oct 1862
Disease (transcribed): Diseased kidneys. Acute peritonitis
Disease (standardised): Disease (Kidney); Peritonitis (Abdomen)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Harvey, Edward Robinson
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This patient was employed in stables to wash carriages and he believed that this occupation was the cause of his catching cold.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: n/a

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