
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
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 3 images for this document.

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[Page 2]

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Metadata
Field | Data |
---|---|
DOC ID | 2423 |
RCPE Catalogue Number | CUL/1/2/1478 |
Main Language | English |
Document Direction | Incoming |
Date | 1784? |
Annotation | None |
Type | Authorial 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 ID | Role in document | Person |
---|---|---|
[PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
[PERS ID:3294] | Patient | E K |
[PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
[PERS ID:13] | Patient's Physician / Surgeon / Apothecary | Mr Benjamin Bell |
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
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
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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