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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

Markham Moore, 36, Butler

Occupation or role: Butler
Age: 36
Gender: Male
Date of admission: 1 Jan 1868
Date of death: 11 Jan 1868
Disease (transcribed): Disease of knee. Phthisis.
Disease (standardised): Disease (Knee); Tuberculosis (Lung)
Admitted under the care of: Lee, Henry
Medical examination performed by: Leigh, William
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: The patient had been in the Hospital at the beginning of the previous year with Phthisis. Six weeks after he went out the right knee began to swell.
Body parts examined in the post mortem: Thorax, abdomen and knee joint
Type of incident: n/a

Ellen Day, 26, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 26
Gender: Female
Date of admission: 29 Apr 1857
Date of death: 7 May 1857
Disease (transcribed): Malignant tumour of the ovary. Chronic peritonitis
Disease (standardised): Tumour (Ovary); Peritonitis (Abdomen)
Admitted under the care of: Lee, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: A married woman who was admitted with pain and distension of the abdomen in which a hard mass present.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

Francis Flemming, 32, Porter

Occupation or role: Porter
Age: 32
Gender: Male
Date of admission: 30 Mar 1868
Date of death: 15 Apr 1868
Disease (transcribed): Amputation of leg. Pyaemia.
Disease (standardised): Amputation (Leg); Sepsis (Systemic)
Admitted under the care of: Lee, Henry
Medical examination performed by: Leigh, William
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man was knocked down by a train which passed over his right leg and foot.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: Trauma/accident

William Chapman, 21, Labourer

Occupation or role: Labourer
Age: 21
Gender: Male
Date of admission: 27 Mar 1867
Date of death: 24 Apr 1867
Disease (transcribed): Excision of knee. Pyaemia
Disease (standardised): Excision (Knee); Sepsis (Systemic)
Admitted under the care of: Lee, Henry
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This patient stated that eight or nine years ago whilst engaged in ploughing the right knee became painful and swelling of the joint ensued.
Body parts examined in the post mortem: Thorax, abdomen and joint
Type of incident: n/a

Anne Hawkins, 25, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 25
Gender: Female
Date of admission: 19 Apr 1845
Date of death: 26 Apr 1845
Disease (transcribed): Abscess in breast. Erysipelas over the breast and chest. Puerpural mania
Disease (standardised): Abscess (Breast); Erysipelas (Breast, chest); Postpartum depression (Brain)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted in consequence of abscesses in the right breast and was delivered of a fully developed child on the following day. After her delivery she lost a considerable quantity of blood’
Body parts examined in the post mortem: 'The body was not examined’

Type of incident: n/a

James Carter, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 2
Gender: Male
Date of admission: 10 May 1871
Date of death: 21 May 1871
Disease (transcribed): Rickets. Scrofula. Scrofulous pneumonia
Disease (standardised): Rickets (Bones); Tuberculosis (Lymph nodes); Pneumonia (Lungs)
Admitted under the care of: Lee, Henry
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: 'This child had been vaccinated 2 months before admission in three places on left arm. All became sore in a fortnight and remained open six weeks. There was no history of ‘snuffles’. The mother said she had one other child, which was healthy, but that it had a rash about head and face when about seventeen months old. The mother had frontal headache, but no rash, nor other signs of syphilis. Hair not thin. Father said to have died four months before, from ‘consumption’. Before marriage he had eruption on legs’
Post mortem notes: Body parts examined in the post mortem: Thorax, abdomen, bones, joints, glands

Type of incident: n/a

Elizabeth Wickham, 60, Married

Occupation or role: Married
Age: 60
Gender: Female
Date of admission: 29 Mar 1869
Date of death: 31 Mar 1869
Disease (transcribed): Strangulated hernia. Operation. Peritonitis
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Lee, Henry
Medical examination performed by: Leigh, William
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This woman had been ruptured for 40 years and had never worn a truss.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

George Forscutt, 24, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Male
Date of admission: 2 Apr 1845
Date of death: 30 Apr 1845
Disease (transcribed): Fracture of the femur into the knee joint, with extensive extravasation of blood in the joint. Erysipelas & abscesses in the cellular tissue of the limb. Secondary deposits, with extensive red hepatisation of both lungs
Disease (standardised): Fracture (Thigh); Extravasation (Knee joint); Erysipelas (Skin); Deposit (Lungs); Hepatisation (Lungs)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient walked to the hospital after a severe injury of the knee joint and upon his admission it was found that there was great pain & swelling of the joint with effusion into the synovial membrane’
Body parts examined in the post mortem: Cranium, thorax, abdomen, left inferior extremity

Type of incident: Trauma / accident

John Groves, 27, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 27
Gender: Male
Date of admission: 12 Feb 1845
Date of death: 1 May 1845
Disease (transcribed): Extensive caries of the dorsal vertebrae with a large scrofulous abscess. Small abscess in kidney. Tubercles in the sub-pleural cellular tissue. Slight ulceration of the pharynx. Heart dilated with thin parietes & soft muscular structure
Disease (standardised): Caries (Spine); Abscess (Spine, kidney); Tuberculosis (Lungs); Ulcer (Pharynx); Disease (Heart)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'About two years previous to admission into the hospital, the patient first experienced pain in the back, and at the expiration of three months, he found his back ‘growing out’. He went on working for twelve months during which time he had occasionally severe fits of pain on the back, but with no diminution of bodily strength’
Body parts examined in the post mortem: Cranium, thorax, abdomen, spine

Type of incident: n/a

William Wright, 30, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Male
Date of admission: 9 Apr 1845
Date of death: 7 May 1845
Disease (transcribed): Fracture of patella. Erysipelas, with diffuse cellular inflammation of leg & suppuration in knee joint. Secondary deposits in lungs with pleurisy & pneumonia, & bronchitis. Deposition, apparently of lymph, in cortical structure of one kidney
Disease (standardised): Fracture (Knee); Erysipelas (Skin); Inflammation (Leg); Deposit (Lungs); Pneumonia (Lungs); Pleurisy (Lungs)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'He was first admitted on the 4th of March with a transverse fracture of the right patella, caused by direct violence. When admitted there was some swelling but no pain’
Body parts examined in the post mortem: Thorax, abdomen, right inferior extremity

Type of incident: Trauma / accident

Emma Leigh, 33, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Female
Date of admission: 5 Mar 1845
Date of death: 8 May 1845
Disease (transcribed): Partial inflammation of right lung. Malignant disease of femur with suppuration in the thigh & in the knee joint
Disease (standardised): Inflammation (Lungs); Malignant disease (Thigh); Suppuration (Thigh, knee)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'Two years ago this patient experienced constant shooting pain down the right thigh which sometimes would keep her awake and at others would wake her from her sleep. These pains were rather relieved by walking’
Body parts examined in the post mortem: Thorax, abdomen, right inferior extremity

Type of incident: n/a

William Hyles, 65, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Male
Date of admission: 2 May 1845
Date of death: 10 May 1845
Disease (transcribed): Scalp wound. Erysipelas with oedema of scalp, & diffuse cellular inflammation of neck & mediastinum. Larynx oedematous, with increased vascularity. Large quantities of fluid in the ventricles of the brain with perforation, in several places, of septum lucidum
Disease (standardised): Wound (Scalp); Erysipelas (Skin); Edema (Scalp); Inflammation (Neck, chest); Edema (Larynx); Wound (Brain)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'Was first brought to the hospital on the 2nd of May with a wound about an inch in length, situated immediately above the right superciliary ridge and not exposing the bone. He was sensible and able to answer questions but his manner was excited. He was said to have been stunned by a blow, and had not been sick after the accident. He declared his intention of leaving the hospital, but was ultimately reduced to go to bed’
Body parts examined in the post mortem: Cranium, neck, thorax, abdomen

Type of incident: Trauma / accident

William Heeps, 77, Clergyman

Occupation or role: Clergyman
Age: 77
Gender: Male
Date of admission: 29 Dec 1873
Date of death: 18 Jan 1874
Disease (transcribed): Caries and suppuration of the ankle joint
Disease (standardised): Caries (Leg); Suppuration (Leg)
Admitted under the care of: Lee, Henry
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: This patient stated that four years ago he had begun to suffer from pain in the left ankle and had difficulty in walking.
Body parts examined in the post mortem: Ankle joint
Type of incident: n/a

John Woolger, 35, Stoker

Occupation or role: Stoker
Age: 35
Gender: Male
Date of admission: 2 Mar 1865
Date of death: 20 Apr 1865
Disease (transcribed): Scalp wound. Abscess of brain
Disease (standardised): Wound (Scalp); 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: This man was first admitted on the 18th of February with a scalp wound, but was discharged at his own request before the wound was healed.
Body parts examined in the post mortem: Head, chest and abdomen
Type of incident: Trauma/accident?

George Fish, 5 , [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 5
Gender: Male
Date of admission: 7 May 1845
Date of death: 20 May 1845
Disease (transcribed): Stone in bladder. Lithotomy. Diffuse cellular inflammation of pelvis. Peritonitis. Pleurisy on both sides. Pericarditis
Disease (standardised): Calculus (Bladder); Lithotomy; Inflammation (Pelvis); Peritonitis (Abdomen); Pleurisy (Lungs); Pericarditis (Heart)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'George Fish, at 5 ½, admitted into the hospital on the 7th of May. No distinct history of his complaint could be procured, but it was stated that he had had some pain in making water and had been in the habit of pulling his prepuce for four months’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

Henry Bateman, 19, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Male
Date of admission: 14 Apr 1845
Date of death: 22 May 1845
Disease (transcribed): Fracture of fibula. Diffuse cellular inflammation of leg and suppuration in knee joint. Inflammation of lungs with 2ndary deposits
Disease (standardised): Fracture (Leg); Inflammation (Leg); Suppuration (Knee); Inflammation (Lungs); Deposit (Lungs)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted with his leg presenting all the appearances of having just recovered from an attack of erysipelas, with [...] abscess on the back of the knee and ankle […] It appeared that 9 weeks previously he had fractured his fibula and had walked about for two or three days afterwards. His leg then began to swell and stints were applied’
Body parts examined in the post mortem: Thorax, abdomen, left inferior extremity

Type of incident: Trauma / accident

Thomas Garrett, 30, Butler

Occupation or role: Butler
Age: 30
Gender: Male
Date of admission: 21 May 1873
Date of death: 24 May 1873
Disease (transcribed): Acute tuberculosis
Disease (standardised): Tuberculosis (Lung)
Admitted under the care of: Lee, Henry
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: This man had been attending this hospital as an out patient for enlarged glands of the neck. He was admitted into the hospital for retention of urine.
Body parts examined in the post mortem: Cranium, pleurae, lungs, heart, liver, spleen, kidneys, bladder and urethra
Type of incident: n/a

John Pilcher, 38, Bookbinder

Occupation or role: Bookbinder
Age: 38
Gender: Male
Date of admission: 1 Feb 1867
Date of death: 9 May 1867
Disease (transcribed): Phthisis. Disease of knee
Disease (standardised): Tuberculosis (Lung); Disease (Knee)
Admitted under the care of: Ogle, John William. Lee, Henry
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man was admitted with an injury to the left knee which had been long diseased. He had struck it against a pail of coals and had fallen down.
Body parts examined in the post mortem: Thorax, abdomen and knee
Type of incident: Trauma/accident

Anne Dudley, 53, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 53
Gender: Female
Date of admission: 26 May 1845
Date of death: 28 May 1845
Disease (transcribed): Umbilical & femoral hernia. Mortification of small intestine contained in the femoral sac. Extensive hepatisation of lower lobe, left lung. One small vomica in the apex of the right lung
Disease (standardised): Hernia (Abdomen, thigh); Mortification (Intestines); Hepatisation (Lungs); Abscess (Lungs)

Admitted under the care of: Tatum, Thomas
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'Anne Dudley, married, the mother of ten children, admitted at 9pm on 26th of May. She stated that she had had an umbilical hernia for thirty years, which first appeared during a difficult parturition. She had always worn a truss which however was not very effectual lately owing to its being out of repair’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

Emma Walkley, 24, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Female
Date of admission: 8 Apr 1857
Date of death: 7 Jun 1857
Disease (transcribed): Circumscribed peritonitis. Phlebitis. Abscess of ovary
Disease (standardised): Peritonitis (Abdomen); Phlebitis (Veins); Abscess (Ovary)
Admitted under the care of: Lee, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Rogers, George Goddard
Medical notes: Her illness commenced five weeks ago with pain in the right side of the abdomen, sickness and general febrile symptoms.
Body parts examined in the post mortem: Abdomen, femoral and iliac veins
Type of incident: n/a

Louisa Delisle, 23, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 23
Gender: Female
Date of admission: 30 May 1845
Date of death: 3 Jun 1845
Disease (transcribed): Strangulated femoral hernia. Operation. Peritonitis of a low character. Pleurisy on both sides, with congestion of the lungs. Petechial spots on the heart, the internal membrane of which was deeply bloodstained. Blood semi-fluid
Disease (standardised): Hernia (Thigh); Operation; Peritonitis (Abdomen); Pleurisy (Lungs); Purpura (Heart)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted with a large excessively tender tumor in the right femoral region, accompanied by tenderness of abdomen, and anxiety of countenance. Her manner was much depressed: she said that she had been subject to hernia for some time and had worn a truss. 3 or 4 hours previous to admission the hernia came down, while her truss was on’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

Mary Anne Westcott, 63, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 63
Gender: Female
Date of admission: 30 May 1845
Date of death: 3 Jun 1845
Disease (transcribed): Strangulated femoral hernia. Operation. Caecum & omentum in the sac. Peritonitis of a low character. Foul suppuration in the sac and in neighbouring cellular tissue. Gut thickened. Pleurisy on both sides
Disease (standardised): Hernia (Thigh); Operation; Peritonitis (Abdomen); Suppuration (Abdomen); Pleurisy (Lungs)
Admitted under the care of: Keate, Robert and Johnson, Henry Charles
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted with a large soft tumor in the right femoral region with some impulse on coughing and by the side of this was another small swelling which could be reduced into the abdomen without difficulty’
Body parts examined in the post mortem: Abdomen, hernial sac, thorax

Type of incident: n/a

Mary Anne Fisher, 31, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 31
Gender: Female
Date of admission: 14 Mar 1855
Date of death: 5 May 1855
Disease (transcribed): Phthisis. Disease Kidneys
Disease (standardised): Tuberculosis (Lung); Disease (Kidney)
Admitted under the care of: Lee, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Ogle, John William
Medical notes: This woman had been subject to cough and spitting of blood at various times during the last two years. Eleven months ago she had a miscarriage and had been much worse since that time. She was very weak and unable to stand. She complained of pain in the lower part of the abdomen, loss of appetite and great thirst.
Body parts examined in the post mortem: Thorax, larynx and abdomen
Type of incident: n/a

Joseph Carpenter, 57, Lodging house keeper

  • Occupation or role: Lodging house keeper
    Age: 57
    Gender: Male
    Date of admission: 20 Mar 1872
    Date of death: 11 Jun 1872
    Disease (transcribed): Disease ankle joint. Amputation of foot and ankle. Gangrene of flaps. Pyaemia
    Disease (standardised): Disease (Ankle); Amputation (Foot); Gangrene (Leg); Sepsis (Systemic)
    Admitted under the care of: Lee, Henry
    Medical examination performed by: Haward, John Warrington
    Post mortem examination performed by: Whipham, Thomas Tillyer
  • Laking, Francis Henry
    Medical notes: This man was admitted with chronic disease of the left ankle joint.
    Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and bladder
    Type of incident: n/a
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