Cullen

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

 

[ID:2587] From: Mr John White (Whytt) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr James Gilchrist Cochrane (Jamie) (Patient) / April? 1785 / (Incoming)

Letter from James Whytt, reporting the death of James Cochrane at Culross Abbey House on 19 March, and giving an account of the post mortem carried out on the authority of Lord Dundonald. The letter may be dated early April, as he refers to the child's death as taking place on 'the Nineteenth Ult(imo)'.

Facsimile

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Metadata

FieldData
DOC ID 2587
RCPE Catalogue Number CUL/1/2/1636
Main Language English
Document Direction Incoming
DateApril? 1785
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy Yes
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from James Whytt, reporting the death of James Cochrane at Culross Abbey House on 19 March, and giving an account of the post mortem carried out on the authority of Lord Dundonald. The letter may be dated early April, as he refers to the child's death as taking place on 'the Nineteenth Ult(imo)'.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:195]
Case of James [Jamie] Cochrane seriously ill with a hard, swollen abdomen and whose case proves fatal.
9


People linked to this document

Person IDRole in documentPerson
[PERS ID:3000]AuthorMr John White (Whytt)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2692]PatientMr James Gilchrist Cochrane (Jamie)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:2700]Patient's Physician / Surgeon / ApothecaryDr Kennedy
[PERS ID:2698]Patient's Relative / Spouse / FriendEarl Archibald Cochrane (9th Earl of Dundonald; Lord Dundonald)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Culross Abbey House Culross Edinburgh and East Scotland Europe inferred
Destination of Letter Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain
Mentioned / Other Culross Abbey House Culross Edinburgh and East Scotland Europe certain

Normalized Text

[Page 1]
Sir


As Mr James Cochran died ↑at↑ the Abbey of
Culross the Nineteenth Ultimo; I imagin'd the Communication
of the following Particulars would not be disagreeable;
especially as Some Diversity of Opinion prevail'd among
Physicians with respect to his Disease; & consequently
Practise . Lord Dundonald agreed that his Abdomen
should be opened, which was done, twelve Hours after his
Death - The Swelling of which increased gradually to a very
great Extent after you saw him; previous to the open¬
ing the Abdomen, when filliped, it gave the Sound of a
Drum: when open'd some flatus escaped with a little water.
The Intestines were greatly extended with wind, and on
the Surface in Some parts of the Small Guts, there was
a Yellowish Tinge. On the right Side, where there had been
an induration, from the Beginning, the Mesentery was
collected together in Length no less than two hand-
breadths, & about four Inches thick; there were two or
three Adhesions to the
Abdomen & two Erosions in the



[Page 2]

in the intestines; I saw little or no Suppuration -
There appeared to me much more faeces, than I could have
expected, in a Natural state; Notwithstanding he had
been very regular with several stools the day that he
died. The Stomach seem'd to be in a Sound state
Dr Kennedys medicines produced no worms, nor gave
any Relief except the Emission sometimes of some
wind - I recollect nothing more worthy of Relation -


Wishing you all Happiness I am with the warmest
gratitude & highest Esteem
Sir
your most obliged
& very humble Servant
James Whytt


P:S from the obstruction of the mesenteric Glands or Vessels there, no nourish¬
ment could be properly convey'd to the system not does it appear that
any medicine could remove his Complaints




[Page 3]


Doctor Cullen
Mint Close
Edinburgh


Mr. James Whyte
Concerning Mr James Cochrane
March 1785

Diplomatic Text

[Page 1]
Sir


As Mr James Cochran died ↑at↑ the Abbey of
Culross the Nineteenth Ult.; I imagin'd the Communication
of the following Particulars would not be disagreeable;
especially as Some Diversity of Opinion prevail'd among
Physicians with respect to his Disease; & consequently
Practise . Lord Dundonald agreed that his Abdomen
should be opened, which was done, twelve Hours after his
Death - The Swelling of wh. increased gradually to a very
great Extent after you saw him; previous to the open¬
ing the Abdomen, when filliped, it gave the Sound of a
Drum: when open'd some flatus escaped with a little water.
The Intestines were greatly extended with wind, and on
the Surface in Some parts of the Small Guts, there was
a Yellowish Tinge. On the right Side, where there had been
an induration, from the Beginning, the Mesentery was
collected together in Length no less than two hand-
breadths, & about four Inches thick; there were two or
three Adhesions to the
Abdomen & two Erosions in the



[Page 2]

in the intestines; I saw little or no Suppuration -
There appeared to me much more faeces, than I could have
expected, in a Natural state; Notwithstanding he had
been very regular with several stools the day that he
died. The Stomach seem'd to be in a Sound state
Dr Kennedys medicines produced no worms, nor gave
any Relief except the Emission sometimes of some
wind - I recollect nothing more worthy of Relation -


Wishing you all Happiness I am with the warmest
gratitude & highest Esteem
Sir
your most obliged
& very humble Sert
James Whytt


P:S from the obstruction of the mesenteric Glands or Vessels there, no nourish¬
ment could be properly convey'd to the system not does it appear that
any medicine could remove his Complaints




[Page 3]


Doctor Cullen
Mint Close
Edin


Mr. Jas. Whyte
C. Mr Jas. Cochrane
March 1785

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