Cullen

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

 

[ID:2175] From: Dr Alexander Taylor (Sanders) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Robert Orr (Patient) / 17 March 1782 / (Incoming)

Letter from Alexander Taylor, concerning the case of Mr Orr, who has been coughing up reddish pus. Taylor believes it must have come from an abcess in the liver and not from the lungs.

Facsimile

There are 4 images for this document.

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[Page 2]


 

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Metadata

FieldData
DOC ID 2175
RCPE Catalogue Number CUL/1/2/1248
Main Language English
Document Direction Incoming
Date17 March 1782
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 Alexander Taylor, concerning the case of Mr Orr, who has been coughing up reddish pus. Taylor believes it must have come from an abcess in the liver and not from the lungs.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:782]
Case of Robert Orr, who is consumptive.
7


People linked to this document

Person IDRole in documentPerson
[PERS ID:207]AuthorDr Alexander Taylor (Sanders)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2019]PatientMr Robert Orr
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:207]Patient's Physician / Surgeon / ApothecaryDr Alexander Taylor (Sanders)

Places linked to this document

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

Normalized Text

[Page 1]
Sir


When I wrote Yesterday
I did not consider that it would
not reach You till Monday; other¬
wise I would have delayed writing
till now –– from 4 in the After¬
noon Yesterday till 12 at night
Mr. Orr Continued Coughing &
expectorating redish Coloured
Pus freely
when the Cough and
expectoration abated – during
this time his pulse beat 116

thro the night he got a little sleep
tho' the Anodyne had been omitted



[Page 2]

And About 4 in the morning fell
into a profuse sweat
and at 9 got
a free and loose passage of his belly
wherein there was no Appearance
of Pus
; and this day he finds the
Pains of his shoulders Almost gone
and himself easy and no way restless
– his Appetite is better and his pulse
beats only 80 and is weak and soft
.
he still continues coughing up a
little Pus
from time to time but
without uneasiness – he guesses that
in All he has coughed up more than
half a mutchkin
–– I trouble you
with this Account because I think
it of consequence before your answer


[Page 3]

that you should have the full of this
Change before you ––––


This Abscess must have been in
the liver for it could not have been
in his lungs and Respiration all
Along so little Affected; and yet
it is Amazing that the Pus should
have wrought it's way into th[e]
Lungs
with so little Commotion; – it
shews how much Pain depends upon
a state of inflammation; and when
this is resolved that even membranes
themselves may be melted down and
Perforated without Uneasiness –

I am Sir
Your most humble servant
Alexr. Taylor

Paisley 17th. March
1782



[Page 4]


Dr. William Cullen
Professor of Medicine
Edinburgh

Diplomatic Text

[Page 1]
Sir


When I wrote Yesterday
I did not consider that it would
not reach You till Monday; other¬
wise I would have delayed writing
till now –– from 4 in the After¬
noon Yesterday till 12 at night
Mr. Orr Continued Coughing &
expectorating redish Coloured
Pus freely
when the Cough and
expectoration abated – during
this time his pulse beat 116

thro the night he got a little sleep
tho' the Anodyne had been omitted



[Page 2]

And About 4 in the morning fell
into a profuse sweat
and at 9 got
a free and loose passage of his belly
wherein there was no Appearance
of Pus
; and this day he finds the
Pains of his shoulders Almost gone
and himself easy and no way restless
– his Appetite is better and his pulse
beats only 80 and is weak and soft
.
he still continues coughing up a
little Pus
from time to time but
without uneasiness – he guesses that
in All he has coughed up more than
half a mutchkin
–– I trouble you
with this Account because I think
it of consequence before your answer


[Page 3]

that you should have the full of this
Change before you ––––


This Abscess must have been in
the liver for it could not have been
in his lungs and Respiration all
Along so little Affected; and yet
it is Amazing that the Pus should
have wrought it's way into th[e]
Lungs
with so little Commotion; – it
shews how much Pain depends upon
a state of inflammation; and when
this is resolved that even membranes
themselves may be melted down and
Perforated without Uneasiness –

I am Sir
Your most humble servt.
Alexr. Taylor

Paisley 17th. March
1782



[Page 4]


Dr. William Cullen
Professor of Medicine
Edinr.

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