Cullen

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

 

[ID:2423] Case Note / Regarding: E K (Patient) / 1784? / (Incoming)

Unsigned case note describing the case of 'E. K.', a female patient. Year entirely conjectural.

Facsimile

There are 3 images for this document.

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[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 2423
RCPE Catalogue Number CUL/1/2/1478
Main Language English
Document Direction Incoming
Date1784?
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Unsigned case note describing the case of 'E. K.', a female patient. Year entirely conjectural.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:1771]
Case of 'E. K.' a female patient with menstrual problems and suspected worms.
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:3294]Patient E K
[PERS ID:13]Patient's Physician / Surgeon / ApothecaryMr Benjamin Bell
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
E K - Aet 16


About 6 weeks ago at the menstrual period
was seized with a severe pain in her back,
seated about the last of the Lumbar Vertebrae -
At the same time came on a swelling in her
Belly
extending & equally diffused from the
Pubes
to the Cartilago enseformis - These
Symptoms continued with her for the space of
10 days much in the same state as when she
first felt them; nor were they attended with any
febrile affection- On the 11th however, after their
commencement they underwent some Degree
of aggravation, were attended by with an encreased
frequency of pulse, which was from 80 to 86
, skin
hot
; Tongue foul; Belly Costive; Appetite impaired-
She at thesame time (↑likewise↑) complained of an itching
at her Nose, Slept ill & wakened by starts-
Suspecting from these symptoms that her
complaints might proceed from Worms
an Anthelmentic Decoction was admin¬
istered but without any appearance which
could confirm the suspicion-




[Page 2]


It was now {illeg} made known that ever since
the first appearance of her Complaints she
had been used to make her Urine frequently,
without any difficulty, & to the quantity of three
or 4 ounces at a time, which was preternaturally
limpid - Suspecting {illeg} now some Renal
affection
recourse was had to Nitre of which
she took 24 in the space of 24 hours, but
the quality of the Urine remained the ↑same↑ nor
was the quantity much changed-


The febrile Symptoms after continueing 3
days disappeared, & so too has the Urinary
affection & but the swelling of the belly
still continues & has rather increased in
size, while the pain in her back has
almost vanished; altho' it sometimes re¬
curs at intervals of 2 days -


Mr. Bell is ap inclined to think this
Disease Hysterical; & be desired that
Dr Cullen should be informed of the same -
N. B. The swelling in her belly is not much
if at all relieved by the discharge of flatus
which she does frequently




[Page 3]


E. K.

Diplomatic Text

[Page 1]
E K - Aet 16


About 6 weeks ago at the menstrual period
was seized with a severe pain in her back,
seated about the last of the Lumbar Vertebrae -
At the same time came on a swelling in her
Belly
extending & equally diffused from the
Pubes
to the Cartilago enseformis - These
Symptoms continued with her for the space of
10 days much in the same state as when she
first felt them; nor were they attended with any
febrile affection- On the 11th however, after their
commencement they underwent some Degree
of aggravation, were attended by with an encreased
frequency of pulse, which was from 80 to 86
, skin
hot
; Tongue foul; By. Costive; Appte. impaired-
She at thesame time (↑likewise↑) complained of an itching
at her Nose, Slept ill & wakened by starts-
Suspecting from these symptoms that her
complaints might proceed from Worms
an Anthelmentic Decoction was admin¬
istered but without any appearance which
could confirm the suspicion-




[Page 2]


It was now {illeg} made known that ever since
the first appearance of her Complaints she
had been used to make her Urine frequently,
without any difficulty, & to the quantity of three
or 4 ounces at a time, which was preternaturally
limpid - Suspecting {illeg} now some Renal
affection
recourse was had to Nitre of which
she took 24 in the space of 24 hours, but
the quality of the Urine remained the ↑same↑ nor
was the quantity much changed-


The febrile Symptoms after continueing 3
days disappeared, & so too has the Urinary
affection & but the swelling of the belly
still continues & has rather increased in
size, while the pain in her back has
almost vanished; altho' it sometimes re¬
curs at intervals of 2 days -


Mr. Bell is ap inclined to think this
Disease Hysterical; & be desired that
Dr Cullen should be informed of the same -
N. B. The swelling in her belly is not much
if at all relieved by the discharge of flatus
which she does frequently




[Page 3]


E. K.

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