Cullen

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

 

[ID:4358] From: Dr William Cullen (Professor Cullen) / To: Dr John Mudie (Moodie) / Regarding: Mrs Henderson (Patient) / 5 January 1779 / (Outgoing)

Reply 'Dr Mudie Q[uery] a Lady - Mrs Henderson'

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Metadata

FieldData
DOC ID 4358
RCPE Catalogue Number CUL/1/1/11/96
Main Language English
Document Direction Outgoing
Date5 January 1779
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'Dr Mudie Q[uery] a Lady - Mrs Henderson'
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:855]
Case of Mrs Henderson who has a severe pain in her side and such varied symptoms that Cullen is unsure of the underlying disease.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:1646]AddresseeDr John Mudie (Moodie)
[PERS ID:2490]PatientMrs Henderson
[PERS ID:1646]Patient's Physician / Surgeon / ApothecaryDr John Mudie (Moodie)
[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
Place of Writing Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Montrose East Highlands Scotland Europe inferred

Normalized Text

[Page 1]
Dr. Mudie Query a Lady - Mrs Henderson


Symptoms still so mixed that it is difficult to determine
precisely the case. From the dysuria & from her
last pains having been attended with vomiting I suspect
an affection of the kidneys or ureter. Is she of ne¬
phritic
parents -- Has dysuria appeared at other
times -- When she complained of dysuria was her
urine examined for sand or mucus -- Have not vo¬
mitings
appeared before now? -- In your first letter
you say her stomach hardly kept any medicine.
Other circumstances perhaps may upon recollection
occur to you & make you confirm or reject the idea of
nephritis. But all the symptoms can be explained on
that supposition: some of them however requiring
the supposition also of some remains of a hemorrhoi¬
dal affection
; tho there is no external evidence of this.


In whatever light I view the case I can advise
nothing better than a constant attention to keep
her belly open & the full use of opiates when pain
requires it. If such another attack of pain as hap¬
pened ten days ago should again appear with so
many feverish symptoms I would have a little blood
taken in the first place
which will render the
piates
both more safe & more effectual.. I have




[Page 2]


no other remedy to propose at present; but the frequent use of
some soft mucilaginous drink which you may sometimes
employ in the form of Arabic Emulsion, sometimes in
the form of Decoction for which the radix althea, herbarum parietaria,
semin linei, sweetened to her taste with honey or figs.

W. C.
Edinburgh January 5. 1779

Diplomatic Text

[Page 1]
Dr. Mudie Q. a Lady - Mrs Henderson


Symptoms still so mixed that it is difficult to determine
precisely the case. From the dysuria & from her
last pains having been attended with vomiting I suspect
an affection of the kidneys or ureter. Is she of ne¬
phritic
parents -- Has dysuria appeared at other
times -- When she complained of dysuria was her
urine examined for sand or mucus -- Have not vo¬
mitings
appeared before now? -- In your first letter
you say her stomach hardly kept any medicine.
Other circumstances perhaps may upon recollection
occur to you & make you confirm or reject the idea of
nephritis. But all the symptoms can be explained on
that supposition: some of them however requiring
the supposition also of some remains of a hemorrhoi¬
dal affection
; tho there is no external evidence of this.


In whatever light I view the case I can advise
nothing better than a constant attention to keep
her belly open & the full use of opiates when pain
requires it. If such another attack of pain as hap¬
pened ten days ago should again appear with so
many feverish symptoms I would have a little blood
taken in the first place
which will render the
piates
both more safe & more effectual.. I have




[Page 2]


no other remedy to propose at present; but the freqt. use of
some soft mucilaginous drink which you may sometimes
employ in the form of Arabic Emulsion, sometimes in
the form of Decoction for which the rad. alth., herb. parietas.,
sem. lin., sweetened to her taste with honey or figs.

W. C.
Edinr. Jany. 5. 1779

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