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Digestive system diseases
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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

George Hall, 39, Attendant

Occupation or role: Attendant
Age: 39
Gender: Male
Date of admission: 31 May 1869
Date of death: 3 Jun 1869
Disease (transcribed): Old dysentery. Amyloid degeneration. Phthisis. Ulceration
Disease (standardised): Dysentery (Intestines); Amyloidosis (Spleen); Amyloidosis (Kidney); Tuberculosis (Lung); Ulcer (Intestines)
Admitted under the care of: Wadham, William
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man had been in the army from 1852 to 1860 and had served in the Crimea.
Body parts examined in the post mortem: Abdomen
Illustrations of photographs: Yes
Type of incident: n/a

Thomas Simpson, 60, Upholsterer

Occupation or role: Upholsterer
Age: 60
Gender: Male
Date of admission: 11 Nov 1880
Date of death: 12 Nov 1880
Disease (transcribed): Granular kidneys. Enteritis. Obstruction
Disease (standardised): Disease (Kidney); Enteritis (Intestines); Obstruction (Intestines)
Admitted under the care of: Wadham, William
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: This man had been seized with acute pain in the abdomen followed immediately by violent vomiting. He later became restless, unable to speak or recognise his friends.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and intestines
Illustrations: Yes
Type of incident: n/a

William Savage, 33, Coachman

Occupation or role: Coachman
Age: 33
Gender: Male
Date of admission: 29 Jun 1879
Date of death: 23 Jul 1879
Disease (transcribed): Hypertrophy of heart (Cirrhosis of liver)
Disease (standardised): Disease (Heart); Cirrhosis (Liver)
Admitted under the care of: Wadham, William
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Tidswell, Herbert Henry
Medical notes: As far as he remembered, he was quite well until the last week in April, when he had to lay up for about four days in consequence of a tooth abscess. While laying up, he recollected applying a poultice to the chest to ease a cough and dyspnoea from which he was suffering.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, kidneys, spleen and peritoneum
Illustrations: Yes
Type of incident: n/a

Mary Flanagan, 56, [Wife of] Foreman

Occupation or role: [Wife of] Foreman
Age: 56
Gender: Female
Date of admission: 15 Jun 1888
Date of death: 26 Jul 1888
Disease (transcribed): Gall stone impacted in common bile duct. Biliary obstruction and hepatic abscesses
Disease (standardised): Gallstone (Gallbladder); Abscess (Liver)
Admitted under the care of: Rouse, James
Medical examination performed by: Penrose, Francis George
Post mortem examination performed by: Le Cronier, Maxwell
Medical notes: 'Had never left Britain. In early life lived amongst the Cambrian Mountains. No history of ague. For 11[?] years had had attacks, the symptoms of which point to the passage of gall stones, altogether she had 4 or 5 such attacks’
Body parts examined in the post mortem: Body parts examined: Abdomen, liver, lungs, heart, spleen, kidneys, stomach, bladder
Illustrations or photographs: Yes
Type of incident: n/a

William Smith, 5 months, [Child of] Labourer

Occupation or role: [Child of] Labourer
Age: 5 months
Gender: Male
Date of admission: 29 Sep 1889
Date of death: 29 Sep 1889
Disease (transcribed): Intussusception
Disease (standardised): Intussusception (Intestines)
Admitted under the care of: Bennett, William Henry
Medical examination performed by: n/a
Post mortem examination performed by: Delepine, Sheridan
Medical notes: n/a
Body parts examined in the post mortem: Peritoneum and alimentary canal
Illustrations: Yes
Type of incident: n/a

George Draper, 44, Scullery man

Occupation or role: Scullery man
Age: 44
Gender: Male
Date of admission: 23 Feb 1909
Date of death: 2 Mar 1909
Disease (transcribed): Malignant disease of hepatic flexure of colon ulcerating into duodenum. Gall stones
Disease (standardised): Cancer (Intestines); Ulcer (Duodenum); Gall stones (Gall bladder)
Admitted under the care of: Latham, Arthur Carlyle
Medical examination performed by: Higgs, Frederick William
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: The patient said he felt well until a month before admission. Then he first noticed a pain in his abdomen. Two weeks later the pain became more severe and diarrhoea commenced.
Body parts examined in the post mortem: Lungs, larynx, pericardium, heart, liver, spleen, pancreas, kidneys, adrenals and alimentary canal
Type of incident: n/a

Henry Kanard, 56, Waiter

Occupation or role: Waiter
Age: 56
Gender: Male
Date of admission: 11 Feb 1909
Date of death: 4 Mar 1909
Disease (transcribed): Diabetes. Hypostatic pneumonia. Infarct in left kidney. Pancreas fatty and fibrous. Suppurating wound in right groin
Disease (standardised): Diabetes mellitus (Pancreas); Pneumonia (Lung); Infarction (Kidney); Disease (Pancreas); Suppuration (Groin); Wound (Groin)
Admitted under the care of: Pendlebury, Herbert Stringfellow
Medical examination performed by: Back, Ivor Gordon
Post mortem examination performed by: Jex-Blake, Arthur John
Medical notes: The patient had had a right inguinal hernia for some years.
Body parts examined in the post mortem: Pleurae, lungs, larynx, trachea, thyroid, pericardium, aorta, peritoneum, oesophagus, stomach, duodenum, small intestine, appendix, liver, gall bladder, spleen, pancreas, kidneys, bladder, suprarenals and testes
Type of incident: n/a

William Broad, 70, No occupation

Occupation or role: No occupation
Age: 70
Gender: Male
Date of admission: 5 Jun 1909
Date of death: 7 Jun 1909
Disease (transcribed): Obstruction of ileum with a gall stone. Ulceration between gall bladder and duodenum. General peritonitis. Laparotomy. Opening of ileum. Carcinoma of rectum. Aspiration pneumonia
Disease (standardised): Gall stone (Intestines); Ulcer (Gall bladder); Ulcer (Duodenum); Peritonitis (Abdomen); Laparotomy (Abdomen); Cancer (Rectum);Pneumonia, aspiration (Lung)
Admitted under the care of: Pendlebury, Herbert Stringfellow
Medical examination performed by: Back, Ivor Gordon
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: Five days before admission he had begun to have difficulty in defaecation.
Body parts examined in the post mortem: Lungs, larynx, thyroid, pericardium, heart, liver, spleen, pancreas, adrenals, alimentary canal, prostate and kidneys
Type of incident: n/a

Eliza Skeen, 41, [Wife of] Butler

Occupation or role: [Wife of] Butler
Age: 41
Gender: Female
Date of admission: 11 Jan 1910
Date of death: 5 Feb 1910
Disease (transcribed): Appendicular abscess. Laparotomy. General and local peritonitis. Pericolitis sinistra. Ulceration of sigmoid with rupture. Pulmonary embolism
Disease (standardised): Abscess (Appendix); Laparotomy (Abdomen); Peritonitis (Abdomen); Appendicitis (Appendix); Ulcer (Intestines); Rupture (Intestines);Embolism (Lung)
Admitted under the care of: Jaffray, Francis
Medical examination performed by: Frankau, Claude Howard Stanley
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: Fifteen days ago she had an attack of pain in the right iliac fossa with vomiting.
Body parts examined in the post mortem: Lungs, pericardium, heart, abdomen, liver, gall bladder, spleen, pancreas, kidneys, bladder, alimentary canal and large bowel
Illustrations: Yes
Type of incident: n/a

Philip Burridge, 8, [Child of] Carpenter

Occupation or role: [Child of] Carpenter
Gender: Male
Age: 8
Date of admission: 11 Jul 1904
Date of death: 13 Jul 1904
Disease (transcribed): Gangrenous appendicitis. General peritonitis. Appendicectomy
Disease (standardised): Gangrene (Appendix); Appendicitis (Appendix); Peritonitis (Abdomen); Appendectomy (Appendix);
Admitted under the care of: Bennett, William Henry
Medical examination performed by: English, T. Crisp
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: 'History. July 9. Pain in R. [Right] iliac fossa and vomiting: no apparent cause. 10. Pain continued: vomited twice. 11. Pain worse: no further vomiting. Bowels opened once each day naturally. No previous attacks: no previous illnesses'
Body parts examined in the post mortem: Thorax, abdomen
Illustrations: Yes
Type of incident: n/a

Rebecca Woodward, 64, Cook

Occupation or role: Cook
Age: 64
Gender: Female
Date of admission: 9 Sep 1903
Date of death: 25 Sep 1903
Disease (transcribed): Malignant disease (diffuse carcinoma, much inflamed) of the stomach. Gastro-jejunostomy. Sero-fibrinous peritonitis. Localized suppuration below the laparotomy wound. Fibrosis of left lung. Commencing bronchiectasis
Disease (standardised): Cancer (Stomach); Gastrojejunostomy (Stomach); Peritonitis (Abdomen); Suppuration (Abdomen); Fibrosis (Lung); Bronchiectasis (Lung)
Admitted under the care of: Pendlebury, Herbert Stringfellow
Medical examination performed by: English, T. Crisp
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: For three months, the patient had had indigestion, pain, and vomiting occurred about twice daily.
Body parts examined in the post mortem: Lungs, larynx, trachea, pericardium, heart, abdomen, stomach, liver, biliary passages and gall bladder, portal vein, spleen, pancreas, kidneys, adrenals and genitals
Illustrations: Yes
Type of incident: n/a

Edward Prince, 60, Labourer

Occupation or role: Labourer
Age: 60
Gender: Male
Date of admission: 12 Oct 1903
Date of death: 22 Oct 1903
Disease (transcribed): Acute intestinal obstruction from impaction of indigestible material and fruit stones at ileo-caecal junction. Appendicitis from foreign bodies. Chronic obstruction from malignant stricture of descending colon. Oedema of lungs with early aspiration pneumonia.
Disease (standardised): Obstruction (Intestines); Foreign bodies (Intestines); Appendicitis (Appendix); Cancer (Intestines); Oedema (Lung); Pneumonia, aspiration (Lung)
Admitted under the care of: Turner, George Robertson
Medical examination performed by: English, T. Crisp
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: The symptoms fated from about six months before admission. There was gradual onset of abdominal swelling, pains and rumblings with marked tendency to constipation.
Body parts examined in the post mortem: Lungs, infratreacheal glands, pericardium, heart, abdomen, liver, gall bladder, spleen, pancreas, kidneys, adrenals, bladder and alimentary tract
Illustrations: Yes
Type of incident: n/a

Frederick Read, 63, Door keeper

Occupation or role: Door keeper
Gender: Male
Age: 63
Date of admission: 16 Dec 1903
Date of death: 21 Jan 1904
Disease (transcribed): Gastric ulcer. Laparotomy. Gastro enterostomy. Leakage. General peritonitis. Septic inhalation Bronchopneumonia with oedema of lungs
Disease (standardised): Ulcer (Stomach); Laparotomy (Abdomen); Gastroenterostomy (Stomach, intestines); Peritonitis (Abdomen); Bronchopneumonia (Lung); Sepsis (Lung); Oedema (Lung);
Admitted under the care of: Bennett, William Henry
Medical examination performed by: English, T. Crisp
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: 'History. I.P. [In-patient] in June last under Dr Rolleston: see M.R. [Medical Register] 826.03 [1903]. Readmitted under Dr Ewart on Dec [December] 16. Patient's illness practically dated from 9 years before admission. He then first began to suffer from epigastric pain and vomiting. During the 9 years he had had about 12 attacks, lasting from 3-4 weeks. The pain came on 3 hours after food and was relieved by vomiting. Early in November, the pain and vomiting recurred. On [December] 12, he vomited about Oiss [1.5 pints] of coffee ground material, ¼ hour after taking some warm milk'
Body parts examined in the post mortem: Thorax, abdomen
Illustrations: Yes
Type of incident: n/a

Elsie Milson, 16, Housemaid

Occupation or role: Housemaid
Gender: Female
Age: 16
Date of admission: 15 Apr 1904
Date of death: 20 Apr 1904
Disease (transcribed): Perforated gastric ulcer. Septic peritonitis
Disease (standardised): Ulcer (Stomach); Perforation (Stomach); Peritonitis (Abdomen); Sepsis (Systemic);
Admitted under the care of: Sheild, Arthur Marmaduke
Medical examination performed by: English, T. Crisp
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: 'History. Apr. [April] 12. Evening. Pain in R. [Right] side commenced: no vomiting. Apr. [April] 15. 2.30 pm. Pain suddenly became acute, ½ hour after taking a cup of tea. Caused her to double up: no vomiting. Two tabloids given which eased the pain and caused her to sleep. Had been anaemic and dyspeptic for several months: pain immediately after food, lasting about 2 hours. No constipation'
Body parts examined in the post mortem: Thorax, abdomen
Illustrations: Yes
Type of incident: n/a

Duncan McLeod, 49, Draper’s assistant

Occupation or role: Draper’s assistant
Age: 49
Gender: Male
Date of admission: 1 Jan 1903
Date of death: 20 Jan 1903
Disease (transcribed): Malignant columnar celled carcinoma of first part of rectum. Loop of jejunum adherent to growth and opened by its colotomy (caecum opened). General peritonitis
Disease (standardised): Cancer (Rectum); Adherent (Intestines); Colotomy (Intestines); Peritonitis (Abdomen)
Admitted under the care of: Sheild, Arthur Marmaduke
Medical examination performed by: English, T. Crisp
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: Twelve months ago he had catarrh of the bowels following a chill which lasted for five months. He had had diarrhoea for twelve months and abdominal pain.
Body parts examined in the post mortem: Abdomen only examined by request
Illustrations: Yes
Type of incident: n/a

Ernest Reemin, 33, Bus driver

Occupation or role: Bus driver
Age: 33
Gender: Male
Date of admission: 23 Apr 1907
Date of death: 1 Jun 1907
Disease (transcribed): Suppurating hydatids in liver. Suppurative cholangitis and cholecystitis. Peritonitis. Pleurisy. Pericarditis. Laparotomy
Disease (standardised): Suppuration (Liver); Echinococcosis (Liver); Cholangitis (Bile ducts); Suppuration (Bile ducts); Cholecystitis (Bladder); Suppuration (Bladder);Peritonitis (Abdomen) ; Pleurisy (Pleura) ; Pericarditis (Heart) ; Laparotomy (Abdomen)
Admitted under the care of: Ogle, Cyril. Jaffray, Francis
Medical examination performed by: n/a
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: n/a
Body parts examined in the post mortem: Lungs, larynx, pericardium, heart, liver, spleen, pancreas, kidneys and alimentary canal
Illustrations: Yes
Type of incident: n/a

Leslie Rogers, 5, [Child of] Compositor

Occupation or role: [Child of] Compositor
Age: 5
Gender: Male
Date of admission: 5 Oct 1914
Date of death: 11 Oct 1914
Disease (transcribed): Mesenteric cyst (removal). Enteroptosis. Twist of mesentery. Gastrectasia and dilatation of duodenum from obstruction due to twist of mesentery
Disease (standardised): Cysts (Mesentery); Operation (Mesentery); Enteroptosis (Intestines); Twisting (Mesentery); Gastrectasia (Stomach); Dilatation (Duodenum);Obstruction (Duodenum)
Admitted under the care of: Frankau, Claude Howard Stanley
Medical examination performed by: Trevor, Robert Salusbury
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: The four days the patient had vague abdominal pain with vomiting and constipation, and some pyrexia.
Body parts examined in the post mortem: Lungs, larynx, thyroid, pericardium, heart, aorta, abdomen, liver, spleen, pancreas, kidneys, bladder and alimentary canal
Illustrations: Yes
Type of incident: n/a

John Hart, 16, Stonemason

Occupation or role: Stonemason
Age: 16
Gender: Male
Date of admission: 15 Jul 1912
Date of death: 20 Jul 1912
Disease (transcribed): Purulent peritonitis. Gangrene of stump of appendix with perforation
Disease (standardised): Suppuration (Abdomen); Peritonitis (Abdomen); Gangrene (Appendix); Perforation (Appendix)
Admitted under the care of: Dent, Clinton Thomas
Medical examination performed by: Frankau, Claude Howard Stanley
Post mortem examination performed by: Trevor, Robert Salusbury
Medical notes: He was admitted on the fourth days of a severe attack of acute appenditicitis.
Body parts examined in the post mortem: Permission to examine the abdomen only was granted
Illustrations: Yes
Type of incident: n/a

Elizabeth Sykes, 55, Charwoman

Occupation or role: Charwoman
Age: 55
Gender: Female
Date of admission: 10 Feb 1886
Date of death: 12 Feb 1886
Disease (transcribed): Umbilical hernia. Peritonitis
Disease (standardised): Hernia (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Pick, Thomas Pickering
Medical examination performed by: Bull, William Charles
Post mortem examination performed by: Sisley, Richard
Medical notes: The patient was first admitted into the hospital on January 7th 1886, complaining of pain around and old irreducible hernia.
Body parts examined in the post mortem: Pleurae, lungs, larynx, pericardium, heart, aorta, abdomen, liver, spleen, kidneys and bladder
Type of incident: n/a

Herbert Murrel, 29, Milkman

Occupation or role: Milkman
Age: 29
Gender: Male
Date of admission: 24 Mar 1880
Date of death: 10 Apr 1880
Disease (transcribed): Scirrhus of the stomach and neighbourhood. Perforation. Peritonitis
Disease (standardised): Cancer (Stomach); Perforation (Stomach); Peritonitis (Abdomen)
Admitted under the care of: Barclay, Andrew Whyte
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: In January 1879 he began to fail in strength and found that ‘he could not lift things as he used to’. He was later attacked with pain in the left loin, profuse perspiration and difficulty in ‘keeping food down’.
Body parts examined in the post mortem: Abdomen, liver, spleen, kidneys, heart, lungs, prostate and testes
Illustrations: Yes
Type of incident: n/a

Thomas McNamara, 2, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 2
Gender: Male
Date of admission: 6 Jun 1890
Date of death: 7 Jun 1890
Disease (transcribed): Intussusception. Follicular enteritis
Disease (standardised): Intussesception (Intestines); Enteritis (Intestines)
Admitted under the care of: Ewart, William
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Newton, Reginald Frederick Henry
Medical notes: She had generally had good health but had been subject to attacks of diarrhoea. On June 6th the child was on the door step and he suddenly cried out that he had pain in the belly.
Body parts examined in the post mortem: Lungs, heart, pericardium, abdomen, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

John Woods, 6 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 6 months
Gender: Male
Date of admission: 11 Mar 1895
Date of death: 11 Mar 1895
Disease (transcribed): Intussusception (Laparotomy)
Disease (standardised): Intussusception (Intestines); Laparotomy (Abdomen)
Admitted under the care of: Owen, Herbert Isambard
Medical examination performed by: Ward, Arthur Henry
Post mortem examination performed by: Ogle, Cyril
Medical notes: This child was admitted in a very collapsed state having had constipation for five days.
Body parts examined in the post mortem: Lungs, larynx, heart, liver, spleen, pancreas, kidneys, adrenals, testicles and intestines
Illustrations: Yes
Type of incident: n/a

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