Our Family History
STRINGER William Henry
1911 - 1935 (23 years)-
Name STRINGER William Henry Birth 9 Dec 1911 Lower Gornal, Staffordshire, England [1, 2] - 17 East Street
Noted on entry that mothers maiden name was Ball, her real maiden name was Powers.
Birth entry for WH Stringer
Keywords: PictureWilliam Henry Stringer
Keywords: PictureGender Male Death 18 Feb 1935 Wolverhampton, Staffordshire, England [3, 4] - Died at Royal Hospital
Overview
Empyema is a collection of pus (dead cells and infected fluid) inside a body cavity. Usually, this term refers to pus inside your pleural cavity, or "pleural space." The pleural cavity is the thin space between the surface of your lungs and the inner lining of your chest wall.
A cavity is a hollow space. Your lungs sit inside your chest cavity, just as your brain rests inside your skull cavity. Any fluid inside the chest cavity decreases the amount of space that your lungs have to expand. In order to fill with air when you breathe in, your lungs must be able to fully expand. When you breathe, your lungs should expand smoothly and painlessly within the pleural cavity inside your chest. When your lungs can't expand properly, you have trouble getting the oxygen you need. This causes you to become short of breath and it may even hurt for you to breathe.
Because empyema is pus, and pus is caused by an infection, empyema can lead to life-threatening problems such as sepsis (bacteria in the blood) and shock. According to the American College of Chest Physicians, empyema is a potentially life-threatening medical emergency.
Part 2 of 7: Causes
What Causes Empyema?
Empyema doesn't occur on its own; it is a complication of other medical conditions. In order for empyema to occur, bacteria, fungi, or chemicals must get into your pleural space and cause inflammation, leading to the production of pus.
Lung infections, such as pneumonia, and lung abscess are two of the most common ways that bacteria get into your pleural space. Bacteria can also get into your pleural space from medical instruments that are used to do tests or to operate on your chest.
Part 3 of 7: Types
Types: Simple & Complex Empyema
According to the medical journal Chest, there are two classes of empyema: simple and complex.
Simple Empyema
Simple empyema is seen early in the course of the illness. In simple empyema, pus is present, but it is free flowing. Treatment at the simple stage is best, because the pleural cavity can easily be drained.
Complex Empyema
In complex empyema, the inflammation is more severe. The longer you have empyema that is left untreated, the greater the chance that you will develop complex empyema.
In cases of severe inflammation, your body forms lots of scar tissue in the pleural space. Formation of scar tissue causes the cavity to become divided into multiple, smaller cavities. This is called loculation. Loculation creates complications, because infected areas that have been walled off can be difficult to drain. Complete drainage of pus from the pleural cavity is essential for treatment.
Part 4 of 7: Risk Factors
Who Is at Risk for Empyema?
According to the British Medical Journal, the greatest risk factors for empyema are: pneumonia, risk factors for pneumonia, and medical procedures that involve the lung and its surrounding structures.
Chest trauma and pre-existing lung diseases, such as COPD and lung cancer, also create an increased risk for empyema. According to Chest, people who have pre-existing lung diseases who develop empyema are more likely to die than those who don't.
Pneumonia & the Presence of Risk Factors for Pneumonia
Seventy percent of empyema cases occur as a result of pneumonia. People who have difficulty swallowing, those who are immunocompromised, and those who use drugs or abuse alcohol have an increased risk for pneumonia. If you have been treated for pneumonia but didn't get better, you might have empyema.
Risk From Medical Procedures
Twenty percent of empyema cases are related to medical procedures such as chest surgery and thoracentesis. Thoracentesis is a procedure that involves using needles and tubes to drain fluid from the pleural space. Medical instruments can transfer bacteria into your pleural cavity.
Part 5 of 7: Symptoms
Symptoms of Empyema
The most common symptoms of empyema are fever, cough, shortness of breath, and pleurisy. Pleurisy is chest pain that occurs when you breathe and is caused by inflammation. The shortness of breath experienced by patients with empyema occurs when the lungs cannot fully expand. Pneumonia can also cause shortness of breath.
If you have empyema, you may also have other symptoms, such as fatigue, loss of appetite, and weight loss. The most severe signs of empyema are associated with sepsis (the presence of bacteria in the blood). Signs of sepsis include high fever, chills, rapid breathing, a fast heart rate, and low blood pressure (less than 90/60). Sepsis is life-threatening and requires emergency treatment.
Part 6 of 7: Diagnosis
How Is Empyema Diagnosed?
Diagnosis of empyema begins with a complete medical history and physical examination. Tests that are useful for diagnosing empyema include:
Blood tests, such as:
Blood cultures (to identify what bacterium or organism is causing the infection)
C-reactive protein (CRP) (elevated levels are seen in inflammatory conditions)
White blood cell count (WBC) (elevated levels in inflammatory and infectious conditions) )
X-ray (to diagnose pneumonia, lung abscess document fluid accumulation)
thoracentesis (aspiration of pleural fluid for microscopic examination and testing)
thoracic ultrasound (use of sound waves to tell if loculations are present)
CAT scan of the chest (use of computerized X-ray analysis to evaluate the lungs and pleural space)
Part 7 of 7: Treatment
Treatment Options for Empyema
Empyema is treated with intravenous antibiotics, such as cephalosporins (cefuroxime sodium), flagyl (metronidazole), and penicillins with beta-lactamase (ampicillin/sulbactam). Clindamycin can be used for patients who are allergic to penicillin.
A chest tube is used to drain pus from the pleural space and allow the lungs to expand normally. Fluids lost, due to lack of appetite and fever, are replaced, and medications such as acetaminophen (Tylenol) can be used to bring down the fever and relieve discomfort.
Death entry WH Stringer
Keywords: PictureWilliam Henry Stringer death
Keywords: PicturePatriarch & Matriarch STRINGER William, b. Abt 1812, Sedgley, Staffordshire, England, United Kingdom d. Mar 1876, Staffordshire, England (Age 64 years) (Great Grandfather)
FELLOWS Sarah A, b. Abt 1833, Sedgley, Staffordshire, England, United Kingdom d. Yes, date unknown (Great Grandmother)Person ID I87 Stringer family tree Last Modified 16 Mar 2015
Father STRINGER Francis Mother POWERS Sarah Ann Children 6 children Family ID F26 Group Sheet | Family Chart
- 17 East Street
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Photos Steve Stringers brother
William (Billy) StringerKeywords: PictureSteve Stringers brother (2)
William (Billy) StringerKeywords: PictureSteve Stringers brothers
William & George StringerKeywords: Picture (At least one living or private individual is linked to this item - Details withheld.)Stringer family Francis Sarah Ann Mary George Fl
Stringer family, it appears Francis has been added and was not presentat the original sittingnotably the left arm is missing so tthe picturewould have been taken post 1916 when it is believed he was discharged. Sarah Ann Powers is seen sitting with I believe Violet Mary stood(born 1909). William Henry (born 1912) stood in front of his fatherand George Francis on her lap (born 1914) I do not believe Nellie,Florence or Stephen had been born at the time this picture was takenso it puts it between 1914 & 1917 with Francis added after.Keywords: Picture (At least one living or private individual is linked to this item - Details withheld.)
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Sources - [S11] England & Wales, Birth Index, 1916-2005, William H Stringer 1912 Q1 Dudley Vol 6C Page 134.
Birth entry for William H Stringer. Mothers maiden name listed as Ball, it was in fact Powers.Birth entry for WH Stringer
Keywords: Picture - [S7] General Register Office, Birth Certificate English, William Henry Stringer 1912 Sedgley entry 12.
Birth certificate for William Henry Stringer born 9 Dec 1911 at 17 East Street Lower Gornal
Father is Francis Stringer a coal hewer
Mother is Sarah Ann Stringer formerly Ball
Birth registered by Father Francis Stringer also of 17 East Street Lower Gornal on 9th Jan 1912William Henry Stringer
Keywords: Picture - [S14] England & Wales, Death Index, 1916-2007, William H Stringer 1935 Q1 Wolverhampton Vol 6b Page 613.
Death entry for William H Stringer. Age at death 23Death entry WH Stringer
Keywords: Picture - [S8] General Register Office, Death Certificate, English, William Henry Stringer Wolverhampton 1935 entry 412.
Death of William Henry Stringer age 23 living at 64 High Street Sedgley
Death was Toxemia due to an Empyema (see notes for explanation) Certifficate registered by coroner.
Overview
Empyema is a collection of pus (dead cells and infected fluid) inside a body cavity. Usually, this term refers to pus inside your pleural cavity, or "pleural space." The pleural cavity is the thin space between the surface of your lungs and the inner lining of your chest wall.
A cavity is a hollow space. Your lungs sit inside your chest cavity, just as your brain rests inside your skull cavity. Any fluid inside the chest cavity decreases the amount of space that your lungs have to expand. In order to fill with air when you breathe in, your lungs must be able to fully expand. When you breathe, your lungs should expand smoothly and painlessly within the pleural cavity inside your chest. When your lungs can't expand properly, you have trouble getting the oxygen you need. This causes you to become short of breath and it may even hurt for you to breathe.
Because empyema is pus, and pus is caused by an infection, empyema can lead to life-threatening problems such as sepsis (bacteria in the blood) and shock. According to the American College of Chest Physicians, empyema is a potentially life-threatening medical emergency.
Part 2 of 7: Causes
What Causes Empyema?
Empyema doesn't occur on its own; it is a complication of other medical conditions. In order for empyema to occur, bacteria, fungi, or chemicals must get into your pleural space and cause inflammation, leading to the production of pus.
Lung infections, such as pneumonia, and lung abscess are two of the most common ways that bacteria get into your pleural space. Bacteria can also get into your pleural space from medical instruments that are used to do tests or to operate on your chest.
Part 3 of 7: Types
Types: Simple & Complex Empyema
According to the medical journal Chest, there are two classes of empyema: simple and complex.
Simple Empyema
Simple empyema is seen early in the course of the illness. In simple empyema, pus is present, but it is free flowing. Treatment at the simple stage is best, because the pleural cavity can easily be drained.
Complex Empyema
In complex empyema, the inflammation is more severe. The longer you have empyema that is left untreated, the greater the chance that you will develop complex empyema.
In cases of severe inflammation, your body forms lots of scar tissue in the pleural space. Formation of scar tissue causes the cavity to become divided into multiple, smaller cavities. This is called loculation. Loculation creates complications, because infected areas that have been walled off can be difficult to drain. Complete drainage of pus from the pleural cavity is essential for treatment.
Part 4 of 7: Risk Factors
Who Is at Risk for Empyema?
According to the British Medical Journal, the greatest risk factors for empyema are: pneumonia, risk factors for pneumonia, and medical procedures that involve the lung and its surrounding structures.
Chest trauma and pre-existing lung diseases, such as COPD and lung cancer, also create an increased risk for empyema. According to Chest, people who have pre-existing lung diseases who develop empyema are more likely to die than those who don't.
Pneumonia & the Presence of Risk Factors for Pneumonia
Seventy percent of empyema cases occur as a result of pneumonia. People who have difficulty swallowing, those who are immunocompromised, and those who use drugs or abuse alcohol have an increased risk for pneumonia. If you have been treated for pneumonia but didn't get better, you might have empyema.
Risk From Medical Procedures
Twenty percent of empyema cases are related to medical procedures such as chest surgery and thoracentesis. Thoracentesis is a procedure that involves using needles and tubes to drain fluid from the pleural space. Medical instruments can transfer bacteria into your pleural cavity.
Part 5 of 7: Symptoms
Symptoms of Empyema
The most common symptoms of empyema are fever, cough, shortness of breath, and pleurisy. Pleurisy is chest pain that occurs when you breathe and is caused by inflammation. The shortness of breath experienced by patients with empyema occurs when the lungs cannot fully expand. Pneumonia can also cause shortness of breath.
If you have empyema, you may also have other symptoms, such as fatigue, loss of appetite, and weight loss. The most severe signs of empyema are associated with sepsis (the presence of bacteria in the blood). Signs of sepsis include high fever, chills, rapid breathing, a fast heart rate, and low blood pressure (less than 90/60). Sepsis is life-threatening and requires emergency treatment.
Part 6 of 7: Diagnosis
How Is Empyema Diagnosed?
Diagnosis of empyema begins with a complete medical history and physical examination. Tests that are useful for diagnosing empyema include:
Blood tests, such as:
Blood cultures (to identify what bacterium or organism is causing the infection)
C-reactive protein (CRP) (elevated levels are seen in inflammatory conditions)
White blood cell count (WBC) (elevated levels in inflammatory and infectious conditions) )
X-ray (to diagnose pneumonia, lung abscess document fluid accumulation)
thoracentesis (aspiration of pleural fluid for microscopic examination and testing)
thoracic ultrasound (use of sound waves to tell if loculations are present)
CAT scan of the chest (use of computerized X-ray analysis to evaluate the lungs and pleural space)
Part 7 of 7: Treatment
Treatment Options for Empyema
Empyema is treated with intravenous antibiotics, such as cephalosporins (cefuroxime sodium), flagyl (metronidazole), and penicillins with beta-lactamase (ampicillin/sulbactam). Clindamycin can be used for patients who are allergic to penicillin.
A chest tube is used to drain pus from the pleural space and allow the lungs to expand normally. Fluids lost, due to lack of appetite and fever, are replaced, and medications such as acetaminophen (Tylenol) can be used to bring down the fever and relieve discomfort.William Henry Stringer death
Keywords: Picture
- [S11] England & Wales, Birth Index, 1916-2005, William H Stringer 1912 Q1 Dudley Vol 6C Page 134.