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'
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 4358 |
| RCPE Catalogue Number | CUL/1/1/11/96 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 5 January 1779 |
| Annotation | None |
| Type | Scribal 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 ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:1646] | Addressee | Dr John Mudie (Moodie) |
| [PERS ID:2490] | Patient | Mrs Henderson |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:1646] | Patient's Physician / Surgeon / Apothecary | Dr John Mudie (Moodie) |
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
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 O¬
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.
Diplomatic Text
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 O¬
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.
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