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Barclay, Andrew Whyte 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

John Marlow, 39, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 39
Gender: Male
Date of admission: 14 Oct 1850
Date of death: 18 Oct 1850
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: Holl, Harvey Buchanan
Medical notes: As the body was not examined, the history of this case is not given.
Body parts examined in the post mortem: This body was not examined
Type of incident: n/a

John Freeman, 28, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Male
Date of admission: 16 Oct 1850
Date of death: 15 Nov 1850
Disease (transcribed): Phthisis pulmonalis. Ulceration of intestines. Large pale kidneys
Disease (standardised): Tuberculosis (Lung); Ulcer (Intestines); Disease (Kidney)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This man applied for relief suffering from constant diarrhoea during the last three months.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

John Dalton, 46, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Male
Date of admission: 14 Nov 1850
Date of death: 18 Nov 1850
Disease (transcribed): Delirium. Phthisis pulmonalis. Brain wet. Ventricles full. Fornix soft. Lungs congested. Liver pale.
Disease (standardised): Delirium (Brain); Tuberculosis (Lung); Disease (Brain ); Congestion (Lung); Pale (Liver)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: This man whose face bore the mark of hard drinking and was acknowledged to be a man of dissipated habits, was admitted complaining that he felt nervous, low and weak.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

John Eldridge, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 18 Dec 1850
Date of death: 19 Dec 1850
Disease (transcribed): Emphysema of lungs, miliary tubercles.
Disease (standardised): Emphysema (Lung); Tuberculosis (Lung)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holl, Harvey Buchanan
Medical notes: No history of this case was obtained. The patient had been brought into the hospital having fainted in the street.
Body parts examined in the post mortem: Thorax
Type of incident: n/a

Julia Willoughby, 25, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 25
Gender: Female
Date of admission: 17 Jan 1851
Date of death: 21 Jan 1851
Disease (transcribed): Tubercles of brain. Softening
Disease (standardised): Tuberculosis (Brain); Softening (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient was stated to have been ill only a fortnight before admission, having commenced with vomiting & pain of the head. During the last 3 days she had been constantly delirious, talking incoherently & screaming aloud. It appeared however that she had been long ailing & always complained of pain in the head’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

John Brookes, 28, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Male
Date of admission: 4 Dec 1850
Date of death: 27 Jan 1851
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
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: 'Body was removed from the hospital prior to examination’

Type of incident: n/a

John Turner, 32, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 32
Gender: Male
Date of admission: 26 Jan 1851
Date of death: 5 Feb 1851
Disease (transcribed): Phthisis. Vomicae in lungs. Old adhesions, including of larynx, & glands of intestines &c
Disease (standardised): Tuberculosis (Lungs); Suppuration (Lungs); Adhesions (Larynx, intestines)

Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This man when admitted had all the general appearances of being in the last stage of phthisis but the emaciation was not great and he said that he had not been ill more than 3 days. His face was full & florid & his pulse 110 & very feeble’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Edward Taylor, 22, Gardener

Occupation or role: Gardener
Age: 22
Gender: Male
Date of admission: 1 Feb 1851
Date of death: 7 Feb 1851
Disease (transcribed): Fever. Ulceration & perforation of intestines. Peritonitis
Disease (standardised): Fever (Systemic); Ulcer (Intestines); Perforation (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Hewett, Prescott Gardner and Ogle, John William
Medical notes: 'This man dated the commencement of his illness to his having been engaged, in his business of gardener, in pulling up some decayed vegetables, the smell of which was very offensive, ten days before his admission. He was seized with sickness, & found himself unable to return to his work, and two days after was attacked by diarrhoea which continued up to his admission’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

Elizabeth Tomas, 39, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 39
Gender: Female
Date of admission: 28 Jan 1851
Date of death: 12 Jan 1851
Disease (transcribed): Pneumonia. Diarrhoea. Right lung hepatized. Ulceration of mucous membrane of caecum & peritonitis
Disease (standardised): Pneumonia (Lungs); Diarrhoea (Intestines); Hepatization (Lungs); Ulcer (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Hewett, Prescott Gardner and Ogle, John William
Medical notes: 'This patient said she had been ailing about a [fortnight] commencing with cough, headache, pains in the limbs &c. 5 days before admission she had a severe shivering followed by great heat of skin, but not perspiration. She complaining of a feeling of general debility with loss of appetite and much thirst, & pain in the abdomen. The bowels have acted 9 times during the last 24 hours’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Caroline Gregory, 22, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 22
Gender: Female
Date of admission: 19 Mar 1851
Date of death: 22 Mar 1851
Disease (transcribed): Phthisis pulmonalis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
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 removed unexamined’

Type of incident: n/a

James Caunt, 25, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 25
Gender: Male
Date of admission: 16 Apr 1851
Date of death: 6 May 1851
Disease (transcribed): Disease of the kidneys which were greatly enlarged, mottled, smooth & having their cortical part infiltrated by a light yellow deposit. Enlarged heart with ‘granulations’ on the margins of the aortic valves. One of the flaps of this valve was greatly enlarged & broader than the others. Peritonitis. Pleural effusions
Disease (standardised): Disease (Kidneys, heart, lungs); Peritonitis (Abdomen); Effusion (Lungs)

Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This man gave no very distinct account of the commencement of his symptoms. He had been ailing 10 months, had felt weak, & perspired very much, and had now been obliged to keep his bed for 2 months. Had had shortness of breath but no beating of the heart’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

James Tyson, 46, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Male
Date of admission: 27 May 1851
Date of death: 29 May 1851
Disease (transcribed): Double pleurisy. Pneumonia in lower lobe of right lung. Tubercle in the apex of both lungs. Incipient disease of the kidneys
Disease (standardised): Pleurisy (Lungs); Pneumonia (Lungs); Tuberculosis (Lungs); Disease (Kidneys)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Barclay, Andrew Whyte and Ogle, John William
Medical notes: 'This man had been left in charge of a house after the death of its owner, who was his mistress, and it appeared that in consequence of being by himself, he had been much neglected, and his illness had been allowed to go on unheeded. He was reported by the person who accompanied him to have been delirious in the preceding night. His illness was dated so far back as the beginning of March, when it was said that he first suffered from pain in the chest which was followed by diarrhoea, and accompanied by some cough’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Mary Forsyth, 31, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 31
Gender: Female
Date of admission: 30 Apr 1851
Date of death: 30 May 1851
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
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

William Booth, 48, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 48
Gender: Male
Date of admission: 2 Jul 1851
Date of death: 17 Jul 1851
Disease (transcribed): Tubercular deposits in both lungs & vomicae in the right one. Old pleurisy on both sides. Tubercle under the peritoneum & ulceration of mucous membrane of the lower part of the ileum, caecum & rectum, with a sinus among the areolar tissue & surrounding the latter
Disease (standardised): Tuberculosis (Lungs, peritoneum); Suppuration (Lungs); Pleurisy (Lungs); Ulcer (Intestines, caecum, rectum)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient was admitted under the care of the surgeon, with fistula in ano. Next day he shewed symptoms of diarrhoea also, & was ordered chalk-mixture, and after being a week in the hospital was transferred to the physician in an advanced stage of phthisis with cough & spitting and diarrhoea still continuing’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Susan Seward, 20, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 20
Gender: Female
Date of admission: 14 Jul 1851
Date of death: 20 Jul 1851
Disease (transcribed): Fever. Enlarged peyers glands. Flaccid & lacerable heart. Old cretaceous tubercular degeneration at the root of the lung. Enlarged spleen
Disease (standardised): Fever (Systemic); Disease (Intestines, heart, spleen); Tuberculosis (Lungs)

Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This girl stated that having been quite well on the 10th inst., she had been seized with shivering, headache & pain in the limbs & back on the following day. Two days later delirium had set in, & she was on admission very deaf, complaining of sore throat, with a coated tongue & quick pulse’
Body parts examined in the post mortem: Abdomen, thorax, cranium

Type of incident: n/a

Samuel Parker, 26, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 26
Gender: Male
Date of admission: 16 Jul 1851
Date of death: 17 Aug 1851
Disease (transcribed): Albuminuria and phthisis
Disease (standardised): Albuminuria (Kidneys); Tuberculosis (Lungs)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Pollock, George
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 at the request of friends’

Type of incident: n/a

Sarah Bergan, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Female
Date of admission: 20 Aug 1851
Date of death: 25 Aug 1851
Disease (transcribed): Pleurisy on the right side with compression & contraction of the lung. Peritonitis. Conversion of both ovaries into cysts containing clear dark serum
Disease (standardised): Pleurisy (Lungs); Compression (Lungs); Peritonitis (Abdomen); Cyst (Ovaries)
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 herself to have been ill only 6 or 7 weeks. She had been suffering from pain in the abdomen with some degree of swelling, and she supposed herself dropsical, as the urine had been scanty & high-coloured. During this time her chief complaint had been of loss of appetite, and feelings of dyspepsia’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

William Brooks, 32, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 32
Gender: Male
Date of admission: 24 Sep 1851
Date of death: 26 Sep 1851
Disease (transcribed): Deposition of semitransparent miliary tubercle in the substance of both lungs. Scrofulous miliary deposits in the kidneys. Scrofulous deposits in the epididymis & substance of the testes. ‘White patches’ on heart’s surface
Disease (standardised): Tuberculosis (Lungs); Deposit (Lungs, kidneys, testes); Disease (Heart)

Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This man was admitted with a dusky congested face, hurried respiration, and rapid pulse, in a state of great prostration, & stating that he had been confined to bed a week with cough without much expectoration, and that for some years he had been subject to winter cough, but he had never spit blood’
Body parts examined in the post mortem: Thorax, abdomen, scrotum, testes, cranium

Type of incident: n/a

Mary Anne Broadrigg, n/a, [No occupation stated]

Occupation or role: [No occupation stated]
Age: n/a
Gender: Female
Date of admission: 27 Aug 1851
Date of death: 4 Oct 1851
Disease (transcribed): Phthisis
Disease (standardised): Tuberculosis (Lungs)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: n/a
Medical notes: 'As the body was not examined the case is not given’
Body parts examined in the post mortem: 'The body was removed unexamined’

Type of incident: n/a

John Simmons, 64, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 64
Gender: Male
Date of admission: 8 Oct 1851
Date of death: 31 Oct 1851
Disease (transcribed): Ascites & anasarca of lower extremities. Peritonitis. Slightly hypertrophied heart with thickening of the mitral valve flaps
Disease (standardised): Ascites (Lower extremities); Edema (Systemic); Peritonitis (Abdomen); Disease (Heart)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This man reported himself to have been a strong healthy man previous to this attack, accustomed to work hard & to drink somewhat freely. He had been operated upon for cataract some short time previously; and about a month ago his abdomen had first begun to swell’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

Elizabeth Harris, 39, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 39
Gender: Female
Date of admission: 3 Sep 1851
Date of death: 8 Nov 1851
Disease (transcribed): Tumour at the lower part of the abdomen, disappearing greatly before death. Pelvic peritonitis & two collections of purulent fluid with form parietes within the pelvis found in communication with the lower part of colon & rectum
Disease (standardised): Tumour (Abdomen); Peritonitis (Pelvis); Suppuration (Pelvis, colon, rectum)

Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: 'This woman stated that her illness had begun very suddenly with pain in the abdomen, & especially on the right side, a month before her admission. She had never been free from pain since, and very soon after it had commenced the abdomen had begun to swell. The catamenia [menstruation] had been quite regular up to the last occasion before her illness began’
Body parts examined in the post mortem: Thorax, larynx, cranium, abdomen

Type of incident: n/a

W J Donelly, 13, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 13
Gender: Male
Date of admission: 26 Nov 1851
Date of death: 2 Jan 1852
Disease (transcribed): Peritonitis. Extensive ulceration of great and small intestines. Vomicae in both lungs. Double pleural adhesions. Scrofulous deposits in the spleen
Disease (standardised): Peritonitis (Abdomen); Ulcer (Intestines); Vomicae (Lung); Adhesions (Pleura); Tuberculosis (Spleen)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Ogle, John William
Medical notes: This boy had been ill for three months with pain in the abdomen and the bowels had been relaxed three or four times a day.
Body parts examined in the post mortem: Abdomen and thorax
Type of incident: n/a

John Brown, 48, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 48
Gender: Male
Date of admission: 5 Dec 1851
Date of death: 3 Jan 1852
Disease (transcribed): Lumbar abscess
Disease (standardised): Abscess (Spine)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Barclay, Andrew Whyte
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 removed unexamined
Type of incident: n/a

William Looby, 20, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 20
Gender: Male
Date of admission: 14 Jan 1852
Date of death: 21 Jan 1852
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: n/a
Medical notes: As the body was not examined this case is not given.
Body parts examined in the post mortem: The friends objected to examination of this body
Type of incident: n/a

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