Cullen

The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh

 

[ID:1483] From: [AUTHOR UNKNOWN] / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs (Patient) / 3 February 1778 / (Incoming)

Letter from William Riddell concerning the case of an unnamed female patient with abdominal pains who is subsequently examined by a midwife who detects a dangerously morbid uterine condition.

Facsimile

There are 4 images for this document.

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Metadata

FieldData
DOC ID 1483
RCPE Catalogue Number CUL/1/2/577
Main Language English
Document Direction Incoming
Date3 February 1778
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from William Riddell concerning the case of an unnamed female patient with abdominal pains who is subsequently examined by a midwife who detects a dangerously morbid uterine condition.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1019]
Case of an unnamed female patient.
3


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2174]PatientMrs
[PERS ID:3392]Patient's Physician / Surgeon / Apothecary
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:561]Patient's Physician / Surgeon / ApothecaryDr Walter Riddell

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Berwick-upon-Tweed (Berwick) North-East England Europe inferred
Destination of Letter Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain
Place of Handstamp Berwick-upon-Tweed (Berwick) North-East England Europe certain

Normalized Text

[Page 1]
Dear Sir,


Since my last, the violence of my
patient's symptoms leading me to suspect that there was
some [uritian?] locale in the case. I have had the
parts carefully inspected and examined by an expert
midwife, and am sorry to find by her report that there
is great reason to apprehend at least a schirrus, and
perhaps a cancer, of the uterus. - I was led to this
suspicion by the unremitting violence of the pain,
attending (ed) with some degree of swelling and hardness
of the lower part of the belly, and, at times, an inabi¬
lity of making water
, tho' not attended with any pain.
The report of the midwife is, that there is a [prosidentic?]
uteri
, that the os uteri is considerably dilated and,
upon introducing the finger into the uterus, there



[Page 2]

is to be felt around the inside of the ostincæ a
rough, spongy, immovable substance which she com¬
pares to a portion of the placenta uterica. - While
the midwife was examining these parts, the patient
suffered very great pain, and the matter which [adhered?]
to the finger was of a dark colour and had a most
intolerable stench. --- All these symptoms, I am
affraid, too certainly indicate a very diseas'd state
of the uterus, which I suspect too is of such a nature
as will probably elude the force of medicine. -
What I wou'd wish to know is, whether you wou'd
advise the same plan, pointed out in your last,
to be pursued, or if, from this new view of the
case, any other course shou'd be adopted. - All that
remains to be done, I am affraid, is to palliate
the violence of the symptoms, which I have been


[Page 3]

obliged to do by an increased dose of the opiate and
the application of warm fomentations, but even
these produce a very transitory relief.-- I am, with
due regard,


Dear Sir,
Your most obedient Servant
W Riddell
B[erwick] February 3d. 1778. ---



[Page 4]


Dr. Cullen
Edinburgh


Dr W. Riddell C.
F.
February 3. 1778

Diplomatic Text

[Page 1]
Dear Sir,


Since my last, the violence of my
patient's symptoms leading me to suspect that there was
some [uritian?] locale in the case. I have had the
parts carefully inspected and examined by an expert
midwife, and am sorry to find by her report that there
is great reason to apprehend at least a schirrus, and
perhaps a cancer, of the uterus. - I was led to this
suspicion by the unremitting violence of the pain,
attending (ed) with some degree of swelling and hardness
of the lower part of the belly, and, at times, an inabi¬
lity of making water
, tho' not attended with any pain.
The report of the midwife is, that there is a [prosidentic?]
uteri
, that the os uteri is considerably dilated and,
upon introducing the finger into the uterus, there



[Page 2]

is to be felt around the inside of the ostincæ a
rough, spongy, immovable substance which she com¬
pares to a portion of the placenta uterica. - While
the midwife was examining these parts, the patient
suffered very great pain, and the matter which [adhered?]
to the finger was of a dark colour and had a most
intolerable stench. --- All these symptoms, I am
affraid, too certainly indicate a very diseas'd state
of the uterus, which I suspect too is of such a nature
as will probably elude the force of medicine. -
What I wou'd wish to know is, whether you wou'd
advise the same plan, pointed out in your last,
to be pursued, or if, from this new view of the
case, any other course shou'd be adopted. - All that
remains to be done, I am affraid, is to palliate
the violence of the symptoms, which I have been


[Page 3]

obliged to do by an increased dose of the opiate and
the application of warm fomentations, but even
these produce a very transitory relief.-- I am, with
due regard,


Dear Sir,
Your most obed Servt.
W Riddell
B[erwick] Feby. 3d. 1778. ---



[Page 4]


Dr. Cullen
Edinburgh


Dr W. Riddell C.
F.
Febry. 3. 1778

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