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Bennett, William Henry 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

James Young, 54, Coachman

Occupation or role: Coachman
Age: 54
Gender: Male
Date of admission: 31 Jan 1877
Date of death: 22 Feb 1877
Disease (transcribed): Excision of ankle. Pyaemia.
Disease (standardised): Excision (Ankle); Sepsis (Systemic)
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 St George's Hospital on a previous occasion with some inflammation about the right ankle.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, skull, meninges and brain
Type of incident: n/a

Timothy Sheffield, 66, Carpenter

Occupation or role: Carpenter
Age: 66
Gender: Male
Date of admission: 30 May 1877
Date of death: 7 July 1877
Disease (transcribed): Pyaemia
Disease (standardised): Sepsis (Systemic)
Admitted under the care of: Pollock, George
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: Three years ago the patient first noticed difficulty in passing water, frequent micturition and occasional passage of blood in the urine.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, urethra and right thigh
Type of incident: n/a

Mary Sibley, 4, [No occupation]

Occupation or role: [No occupation]
Age: 4
Gender: Female
Date of admission: 26 Sep 1877
Date of death: 8 Oct 1877
Disease (transcribed): Tetanus, the result of a cutaneous burn.
Disease (standardised): Tetanus (Systemic); Burn (Skin)
Admitted under the care of: Lee, Henry
Medical examination performed by: Bennet, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This child was found with its clothes on fire. The upper extremities, shoulders, neck and lower part of face were burned.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, intestine, brain and spinal cord
Type of incident: Trauma/accident

Michael Duggin, 52, Stone sawyer

Occupation or role: Stone sawyer
Gender: Male
Age: 52
Date of admission: 24 Jan 1878
Date of death: 29 Jan 1878
Disease (transcribed): Fracture of skull. Intrameningeal haemorrhage. Lobular pneumonia
Disease (standardised): Fracture (Skull); Haemorrhage (Brain, spine); Pneumonia (Lung);
Admitting doctor: Rouse, James
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Was run over by a Hansom Cab. Symptoms Jan [January] 24. Insensible – Face pale – Surface cold – Pulse very weak and irregular – Pupils contracted quite inert – Breathing loud and shallow. Lies still – Limbs flaccid. Vomited soon after admission. On Back of right Parietal region an irregular lacerated wound at base of which is exposed bone'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys, meninges, brain
Type of incident: Trauma/accident

Thomas Baily, 34, Policeman

Occupation or role: Policeman
Gender: Male
Age: 34
Date of admission: 24 Feb 1878
Date of death: 26 Feb 1878
Disease (transcribed): Traumatic tetanus
Disease (standardised): Tetanus (Central nervous system);
Admitting doctor: Pick, Thomas Pickering
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Ten days before admission. Patient received a wound from wheel of a carriage on back of Rt. [Right] Hand. Wound seemed to do well, and was not more painful that [sic than] would have expected from the nature of injury– Evening before admission felt some stiffness at back of neck and soft difficulty in opening mouth. Pain and stiffness increased and extended down back – Had not been exposed to wet, or any sudden change of Temperature'
Body parts examined in the post mortem: Limbs, abdomen, blood, spinal cord
Type of incident: Trauma/accident

James Mullinger, 56, Stableman

Occupation or role: Stableman
Gender: Male
Age: 56
Date of admission: 28 Feb 1878
Date of death: 8 Mar 1878
Disease (transcribed): Fractured ribs, pneumonia. Fatty heart, etc
Disease (standardised): Fracture (Ribs); Pneumonia (Lung); Disease (Heart);
Admitting doctor: Pollock, George
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Patient stated that he had fallen down some days before admission and struck his side – Could give no other information. Symptoms Feb [February] 28. Tremulous – Cyanosed – Sweating – Pulse quick and feeble – Tongue foul – Complained of Pain over middle of 6 and 7 ribs on right side – No fracture detected – Bronchitis throughout both lungs – Urine albuminous'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, peritoneum, stomach, ribs
Type of incident: Trauma/accident

Andrew Panton, 65, Labourer

Occupation or role: Labourer
Gender: Male
Age: 65
Date of admission: 29 Mar 1878
Date of death: 3 Apr 1878
Disease (transcribed): Old stricture, cystitis; cirrhosis from Biliary obstructions, etc. [?] abscesses in the kidney
Disease (standardised): Constriction (Indeterminate); Cystitis (Bladder); Liver cirrhosis, biliary (Liver); Obstruction (Biliary tract); Abscess (Kidney);
Admitting doctor: Pollock, George
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Stricture for many years – For 10 or 12 has been in Habit of passing an instrument – for 4 years, much pain about bladder and urine ill smelling, thick and often bloody – A fortnight before admission passed [?] catheter with difficulty and on withdrawing it found that the point had broken off – for 10 days urine had been dribbling from him. Bladder was aspirated by a Surgeon 2 days before admission'
Body parts examined in the post mortem: Liver, gall bladder, pancreas, intestine, spleen, kidneys
Type of incident: n/a

Matilda Tindell, 60, Widow

Occupation or role: Widow
Age: 60
Gender: Female
Date of admission: 5 Apr 1881
Date of death: 8 Apr 1881
Disease (transcribed): Ruptured gall bladder. Peritonitis
Disease (standardised): Rupture (Gallbladder); Peritonitis (Abdomen)
Admitted under the care of: Bennett, William Henry
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Turner, George Robertson
Medical notes: 'Had been ruptured on the left side (inguinal) for a good many years, and had worn a truss constantly. 2 days before admission the rupture came down and she reduced it in about an hour's time. She was seized with vomiting, colicky pains in the abdomen and vertigo. The bowels had not been open for 2 days'
Body parts examined in the post mortem: Lungs, heart, liver, peritoneum, spleen, kidneys, ovaries

Type of incident: n/a

Mary Cotley, 10, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 10
Gender: Female
Date of admission: May 1881
Date of death: May 1881
Disease (transcribed): Periostitis of tibia. Disorganisation of knee joint
Disease (standardised): Periostitis (Leg); Disease (Knee joint)
Admitted under the care of: Haward, John Warrington and Bennett, William Henry
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'Not reported here'
Body parts examined in the post mortem: 'Not examined'

Type of incident: n/a

Philip Potter, 8, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 8
Gender: Male
Date of admission: 7 Aug 1879
Date of death: 16 Aug 1879
Disease (transcribed): Traumatic tetanus
Disease (standardised): Tetanus (Systemic)
Admitted under the care of: Pick, Thomas Pickering
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: A week before admission the patient fell on an iron spike which entered his right groin.
Body parts examined in the post mortem: Bladder, lungs, heart, liver, kidneys, spleen, brain and spinal cord
Type of incident: Trauma/accident

Anne-Maria Haines, 54, Widow

Occupation or role: Widow
Age: 54
Gender: Female
Date of admission: 27 Aug 1879
Date of death: 29 Aug 1879
Disease (transcribed): Phlegmonous erysipelas of leg, leading to gangrene. Phthisis
Disease (standardised): Erysipelas (Skin); Gangrene (Leg); Tuberculosis (Lung)
Admitted under the care of: Rouse, James
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This patient died before she had been seen by the registrar. No notes were therefore taken of her case.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and uterus
Type of incident: n/a

Frederick Innes, 30, Omnibus bus conductor

Occupation or role: Omnibus bus conductor
Age: 30
Gender: Male
Date of admission: 16 Aug 1879
Date of death: 18 Sep 1879
Disease (transcribed): Cancerous stricture of rectum. Colotomy. Sloughing cellulitis. Gangrenous pneumonia
Disease (standardised): Cancer (Rectum); Colotomy (Intestines); Cellulitis (Skin); Gangrene (Lung); Pneumonia (Lung)
Admitted under the care of: Haward, John Warrington
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This patient was admitted under the care of Dr Barclay on account of intestinal obstruction and vomiting
Body parts examined in the post mortem: Heart, liver, kidneys, spleen and intestines
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

Emily Inkster, 38, Married

Occupation or role: Married
Gender: Female
Age: 38
Date of admission: 27 Jun 1878
Date of death: 8 Jul 1878
Disease (transcribed): Tetanus from extensive cutaneous burn
Disease (standardised): Tetanus (Central nervous system); Burn (Skin);
Admitting doctor: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Contents of lighted Paraffin lamp were upset over Patient. Symptoms. Much collapse – Cold – Shivering – Both arms, lower extremities and greater part of abdomen red and vesicated – In parts epidermis wanting – In parts skin white and leathery'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, intestine, brain
Type of incident: Trauma/accident

Frederick Brown, 66, Labourer

Occupation or role: Labourer
Gender: Male
Age: 66
Date of admission: 12 Jul 1878
Date of death: 3 Aug 1878
Disease (transcribed): Stricture. Cystitis. Granular kidney. Pyaemia (? T.W.[Traumatic Wound?])
Disease (standardised): Constriction (Urethra); Cystitis (Bladder); Nephritis (Kidney); Sepsis (Systemic);
Admitting doctor: Pick, Thomas Pickering
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'This patient could give no account whatever of himself and nothing could be made out about his case – He was sent to Wimbledon 12 days after admission – At end of a week was readmitted from Wimbledon but unfortunately escaped notice of Registrar – No notes were therefore taken'
Body parts examined in the post mortem: Heart, liver, kidneys, spleen, bladder, urethra
Type of incident: n/a

William Pullinfor, 55, Stableman

Occupation or role: Stableman
Gender: Male
Age: 55
Date of admission: 3 Jun 1878
Date of death: 13 Aug 1878
Disease (transcribed): Epithelioma of left side of tongue and lower jaw – Broncho-pneumonia
Disease (standardised): Carcinoma (Tongue); Carcinoma (Jaw); Bronchopneumonia (Lung);
Admitting doctor: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Six wks [weeks] before admission found, after a prolonged toothache, that left side of lower jaw was swollen – Soon soreness of inside of mouth [?] - Difficulty in opening mouth next came on and has been increasing – Pain very great'
Body parts examined in the post mortem: Tongue, jaw, pharynx, lungs, pleurae, heart, liver, kidneys, spleen
Type of incident: n/a

James Taylor, 58, Valet

Occupation or role: Valet
Gender: Male
Age: 58
Date of admission: 21 Aug 1878
Date of death: 13 Sep 1878
Disease (transcribed): Suppurating glands. Chronic pneumonia
Disease (standardised): Suppuration (Glands); Pneumonia (Lung);
Admitting doctor: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
PM performed by: Ellis, William Ashton
Medical notes: 'History. 3 years before admission abscess formed on each side of arms – Fistula followed – 8 months before admission fistula were operated on in St Mary's Hospital – Wounds never healed – For 7 months cough and expectoration – No blood – Much loss of flesh – Five months painful lumps in both groins that in left groin burst on morning of admission'
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen, intestines, glands
Type of incident: n/a

Thomas William Brown, 34, Groom

Occupation or role: Groom
Gender: Male
Age: 34
Date of admission: 28 Aug 1878
Date of death: 22 Sep 1878
Disease (transcribed): Abscess connected with the ilium. Lardaceous disease
Disease (standardised): Abscess (Hip); Amyloidosis (Kidney);
Admitting doctor: Pollock, George
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'Patient was in Hospital for first time in 1877, he was then transferred from the Physicians – He had what was thought to be Psoas abscess (Right side) without spinal disease. This was opened and he was discharged much improved though the wounds had not quite healed – The wounds never healed after his discharge and a month or six weeks before second admission June 19 1877 some painful swelling appeared in left Iliac region, and soon spread down to Scarpa's triangle and continued increasing up to time of admission'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, abscess
Type of incident: n/a

Annie Cook, 22, Linenmaid

Occupation or role: Linenmaid
Gender: Female
Age: 22
Date of admission: 15 May 1878
Date of death: 15 Oct 1878
Disease (transcribed): Phthisis pulmonum etc
Disease (standardised): Tuberculosis (Lung);
Admitting doctor: Pick, Thomas Pickering
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'Patient was admitted with knee disease of 2 years standing consequent on injury – Had been under treatment with only slight benefit – Three months before admission struck knee a second time whereupon symptom became much exaggerated'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, uterus
Type of incident: n/a

William Ladds, 40, Platelayer

Occupation or role: Platelayer
Gender: Male
Age: 40
Date of admission: 12 Oct 1878
Date of death: 10 Nov 1878
Disease (transcribed): Traumatic tetanus. Pneumonia
Disease (standardised): Tetanus (Central nervous system); Pneumonia (Lung);
Admitting doctor: Pollock, George
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. 3 wks [weeks] before admission crushed little finger of Rt. [Right] hand – Attended as an O.P. [Out-patient] – Was last seen as such a week before admission and was then doing well. 5 days before admission crampy pain in left side and some stiffness in back of neck – Jaw also became stiff and 3 days mouth could not be opened – About same time spasm and aching of back – 2 days before admission spasms 5 or 6 per hours, since that have been diminishing in frequency and violence – When spasms first commenced some shooting pain from wound up to axilla which passed off in an hour'
Body parts examined in the post mortem: Wound, lungs, heart, liver, kidneys, spleen, brain, spinal cord
Type of incident: Trauma/accident

George Waterloo Holland, 62, Carpet layer

Occupation or role: Carpet layer
Gender: Male
Age: 62
Date of admission: 31 Oct 1878
Date of death: 10 Nov 1878
Disease (transcribed): Prostatic abscess bursting into peritoneum. Peritonitis
Disease (standardised): Abscess (Prostate); Peritonitis (Abdomen);
Admitting doctor: Pick, Thomas Pickering
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Two years before admission noticed difficulty in passing water which in two or 3 months became so bad that he applied at the Stone Hospital and was there taught to pass a catheter for himself. For a year urine has been thick and ill smelling. Frequent incontinence at night. Four days ago pain prevented passage of an instrument – In 6 hour urine began to dribble away and continued doing so up to admission'
Body parts examined in the post mortem: Lungs, heart, peritonitis, liver, kidneys, bladder, urethra
Type of incident: n/a

Jessie Robertson, 30, Parlourmaid

Occupation or role: Parlourmaid
Gender: Female
Age: 30
Date of admission: 8 May 1878
Date of death: 25 Dec 1878
Disease (transcribed): Psoas abscess
Disease (standardised): Psoas abscess (Psoas muscles);
Admitting doctor: Pick, Thomas Pickering
Medical examination performed by: Bennett, William Henry
PM performed by: Ewart, William
Medical notes: 'History. Two years before admission aching pain about back of left hip which slowly increased and sometimes darted down thigh. This pain persisted without change till 10 wks [weeks] ago – Tender swelling then came at back of hip and pain almost ceased – Concussion of lower part of spine then became painful. 3 wks [weeks] before admission swelling as incised and 1 ½ pint of matter let out. Week before admission opening closed and swelling then increased in size'
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys
Type of incident: n/a

Annie Wise, 16 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 16 months
Gender: Female
Date of admission: 5 Apr 1879
Date of death: 12 Apr 1879
Disease (transcribed): Deep burn. Tetanus
Disease (standardised): Burn (Skin); Tetanus (Systemic)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This child was admitted on account of a deep scald extending over the neck, throat, shoulder and arm.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, brain and spinal cord
Type of incident: Trauma/accident

James Manning, 36, Butler

Occupation or role: Butler
Age: 36
Gender: Male
Date of admission: 6 May 1879
Date of death: 17 May 1879
Disease (transcribed): Cutaneous burn. Delirium tremens. Pulmonary tubercle
Disease (standardised): Burn (Skin); Alcohol withdrawal delirium (Brain); Tuberculosis (Lung)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient was burnt in a gas explosion.
Body parts examined in the post mortem: Lung, heart, liver, kidneys, spleen, duodenum and brain
Type of incident: Trauma/accident

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