
The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:2108] From: Mr Thomas Mack / To: Dr William Cullen (Professor Cullen) / Regarding: Miss (Patient) / 5 December 1781 / (Incoming)
Letter from Thomas Mack, concerning a three-year-old girl with a 'swelling upon the region of the stomach which increases to a very great hight so as to render it necessary to unloose her stays and other cloaths'.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.

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Metadata
Field | Data |
---|---|
DOC ID | 2108 |
RCPE Catalogue Number | CUL/1/2/1183 |
Main Language | English |
Document Direction | Incoming |
Date | 5 December 1781 |
Annotation | None |
Type | Authorial original |
Enclosure(s) | No enclosure(s) |
Autopsy | No |
Recipe | No |
Regimen | No |
Letter of Introduction | No |
Case Note | No |
Summary | Letter from Thomas Mack, concerning a three-year-old girl with a 'swelling upon the region of the stomach which increases to a very great hight so as to render it necessary to unloose her stays and other cloaths'. |
Manuscript Incomplete? | No |
Evidence of Commercial Posting | Yes |
Case
Cases that this document belongs to:
Case ID | Description | Num Docs |
---|---|---|
[Case ID:1322] |
Case of a three year old girl with a swollen stomach region. |
2 |
People linked to this document
Person ID | Role in document | Person |
---|---|---|
[PERS ID:197] | Author | Mr Thomas Mack |
[PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
[PERS ID:4927] | Patient | Miss |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:197] | Patient's Physician / Surgeon / Apothecary | Mr Thomas Mack |
[PERS ID:4928] | Patient's Relative / Spouse / Friend | Mr |
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 | certain | |
Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | certain | |
Place of Handstamp | Berwick-upon-Tweed (Berwick) | North-East | England | Europe | certain |
Normalized Text
Sir
I am aquested by a gentleman in this
country to state the case of his daughter for your opinion? - She is
three years of age 1 , of a delicate constitution, & has once or twice been subject
to a slight hectic fever, but has been free of that complaint for several months.
the symptoms that alarms the family most at present is a swelling upon the
region of the stomach which increases to a very great hight so as to render it
necessary to unloose her stays and other cloaths - when the swelling continues
she is tolerabley easy, her breathing free, but complains of a pain in her belly
& that but slightly, her appetite is tolerable, sleeps in her usual way, & her
discharge by stool & urine both are very regular, some time ago when she had
the hectic complaint I have mentioned her keeper 2 told us that she voided some
worms which by her description I find to have been ↑of↑ the Ascarides kind but at
present she has no symptom of that sort the swelling frequently comes on towards
[Page 2]
evening and is subsided in the morning but not all together; the family have
supposed that it might be owing to a collection of water but by applying the
palm of my hand to the one side of the swelling & popping my fingers on the
other I have not been able to discover any fluctuation or if were water can I
possibly account for its sudden absorption and its equaly sudden return, I
have rather refered it to some injury the coats of the stomach my have received
and a habit in general relaxed, with a view to obviate these circumstances I have
ordered her regular exercise in the carriage the use of sound port wine in small
quantitys & a powder twice ↑a day↑ with a small quantity of steel Rhubarb & cinnamon
her diet which used chiefly to consist of broths I have changed in some degree
by allowing her less broth a little animal food at dinner and light pudding
but as these regulations has not been so successful as I wished would be glad
to be favoured with your opinion on the subject. I am with great respect
Sir
Your most Obedient servant
Thos. Macks
Berwick
5th. December 1781
[Page 3]
Doctor Cullen
Physician
Edinburgh
Mr Mack
Concerning a young Lady
Concerning 1781
V. XIII. p. 229
Diplomatic Text
Sir
I am aquested by a gentleman in this
country to state the case of his daughter for your opinion? - She is
three years of age 1 , of a delicate constitution, & has once or twice been subject
to a slight hectic fever, but has been free of that complaint for several months.
the symptoms that alarms the family most at present is a swelling upon the
region of the stomach which increases to a very great hight so as to render it
necessary to unloose her stays and other cloaths - when the swelling continues
she is tolerabley easy, her breathing free, but complains of a pain in her belly
& that but slightly, her appetite is tolerable, sleeps in her usual way, & her
discharge by stool & urine both are very regular, some time ago when she had
the hectic complaint I have mentioned her keeper 2 told us that she voided some
worms which by her description I find to have been ↑of↑ the Ascarides kind but at
present she has no symptom of that sort the swelling frequently comes on towards
[Page 2]
evening and is subsided in the morning but not all together; the family have
supposed that it might be owing to a collection of water but by applying the
palm of my hand to the one side of the swelling & popping my fingers on the
other I have not been able to discover any fluctuation or if were water can I
possibly account for its sudden absorption and its equaly sudden return, I
have rather refered it to some injury the coats of the stomach my have received
and a habit in general relaxed, with a view to obviate these circumstances I have
ordered her regular exercise in the carriage the use of sound port wine in small
quantitys & a powder twice ↑a day↑ with a small quantity of steel Rhubarb & cinnamon
her diet which used chiefly to consist of broths I have changed in some degree
by allowing her less broth a little animal food at dinner and light pudding
but as these regulations has not been so successful as I wished would be glad
to be favoured with your opinion on the subject. I am with great respect
Sir
Your most Obedient servt.
Thos. Macks
Berwick
5th. December 1781
[Page 3]
Doctor Cullen
Physician
Edinburgh
Mr Mack
C. a young Lady
Decr. 1781
V. XIII. p. 229
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