Cullen

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

 

[ID:1633] From: Dr John Mudie (Moodie) / To: Dr William Cullen (Professor Cullen) / Regarding: Mrs Henderson (Patient) / 1 March 1779 / (Incoming)

Letter from John Mudie concerning the case of Mrs Henderson.

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Metadata

FieldData
DOC ID 1633
RCPE Catalogue Number CUL/1/2/722
Main Language English
Document Direction Incoming
Date1 March 1779
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 John Mudie concerning the case of Mrs Henderson.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

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 IDRole in documentPerson
[PERS ID:1646]AuthorDr John Mudie (Moodie)
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:2490]PatientMrs Henderson
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:1646]Patient's Physician / Surgeon / ApothecaryDr John Mudie (Moodie)

Places linked to this document

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

Normalized Text

[Page 1]
Dear Sir


Not long after the Receipt of Your
last of the 5th. of January our Patient Mrs. Henderson
turned gradually easier. She voided by Stool a
considerable quantity of a Gory purulent like Matter

in which were sometimes bits of a Substance resembling
the fatty Contents of a Steatom. She likewise had a
Dysuria and passed some clear Mucus with her Urine
,
which separated and precipitated to the Bottom of the
Chamber Pot- The Matter passed by Stool was
mixed with Fæces or somewhat else, that I could not
get it particularly examined whether there was Pus
in it or not. What {illeg} passed with the Urine
seemed to be the Mucus that naturally lines the Bladder and Urethra. She seemed to recover for
several weeks; Her Appetite, Digestion, and Rest in
the Night were better, She was pretty free of pain
kept regular in the Belly without any Medicine
and acquired Strength, but Her Pulse was generally
abo 96, or more in the Minute
. About a week ago
the Pain of Her Side or rather ↑right↑ Groin returned and strik
ing down the inside of her Thigh, but it was not




[Page 2]


so violent or She so feverish as to require Bleeding-
The Dysuria is likewise returned but not severely-
I scarce think Her Complaints are of the Nephritic kind
Her Parents were never liable to any such Disorder. No Sand
was ever observed in her Urine
which has been attentively examined.
Mucus as above mentioned and only when the Dysuria was severe.
Vomiting She has had many times, but it did not appear to depend
on the Dysuria or any Nephritic Disorder, but rather from Her Stomach
being weakened and very irritable.
Some kinds of Aliment or Druggs
would occasion Vomiting, when She was free of Pain & Dysuria, nay the
mentioning or Sight of them would excite it. The common Seat of
her Pain is lower down in the Belly than either the Kidney or Ureter, &
the Vomiting is only when Meat Drink, or Medicines are offered her, or
soon after taking them- I suspect a Callosity, Scirrosity, or Tumor
in the upper & forepart of the Rectum. I shall be glad to know Your
Opinion & what You judge proper. There has been nothing done since
I wrote You last but Belly kept open with laxatives, Opiates
when the Pain demanded
them and a mild Regimen -


I am with
[the greatest?] Esteem Your most humble servant
John Mudie
Montrose 1st. March 1779



[Page 3]


Doctor Cullen
Physician
Edinburgh


Mudie
Query
Mrs Henderson.
March. 1779.
9. p. 134.

Diplomatic Text

[Page 1]
Dear Sir


Not long after the Receipt of Your
last of the 5th. of January our Patient Mrs. Henderson
turned gradually easier. She voided by Stool a
considerable quantity of a Gory purulent like Matter

in which were sometimes bits of a Substance resembling
the fatty Contents of a Steatom. She likewise had a
Dysuria and passed some clear Mucus with her Urine
,
which separated and precipitated to the Bottom of the
Chamber Pot- The Matter passed by Stool was
mixed with Fæces or somewhat else, that I could not
get it particularly examined whether there was Pus
in it or not. What {illeg} passed with the Urine
seemed to be the Mucus that naturally lines the Bladder and Urethra. She seemed to recover for
several weeks; Her Appetite, Digestion, and Rest in
the Night were better, She was pretty free of pain
kept regular in the Belly without any Medicine
and acquired Strength, but Her Pulse was generally
abo 96, or more in the Minute
. About a week ago
the Pain of Her Side or rather ↑right↑ Groin returned and strik
ing down the inside of her Thigh, but it was not




[Page 2]


so violent or She so feverish as to require Bleeding-
The Dysuria is likewise returned but not severely-
I scarce think Her Complaints are of the Nephritic kind
Her Parents were never liable to any such Disorder. No Sand
was ever observed in her Urine
which has been attentively examined.
Mucus as above mentioned and only when the Dysuria was severe.
Vomiting She has had many times, but it did not appear to depend
on the Dysuria or any Nephritic Disorder, but rather from Her Stomach
being weakened and very irritable.
Some kinds of Aliment or Druggs
would occasion Vomiting, when She was free of Pain & Dysuria, nay the
mentioning or Sight of them would excite it. The common Seat of
her Pain is lower down in the Belly than either the Kidney or Ureter, &
the Vomiting is only when Meat Drink, or Medicines are offered her, or
soon after taking them- I suspect a Callosity, Scirrosity, or Tumor
in the upper & forepart of the Rectum. I shall be glad to know Your
Opinion & what You judge proper. There has been nothing done since
I wrote You last but Belly kept open with laxatives, Opiates
when the Pain demanded
them and a mild Regimen -


I am with
[the greatest?] Esteem Your most humble servt
John Mudie
Montrose 1st. March 1779



[Page 3]


Doctor Cullen
Physician
Edinburgh


Mudie
Q
Mrs Henderson.
March. 1779.
9. p. 134.

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