The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:2291] Case Note / Regarding: Mr Mackenzie (Patient) / 2 August 1783 / (Incoming)
Letter from James MacLeod, concerning the case of Mr Mackenzie. Mr Mackenzie, aged forty-five, complains of 'a violent asthma' and 'a flatulent spasmodic affection'. As MacLeod is based upwards of forty miles from Mr Mackenzie, he has had no opportunity to see his patient, and therefore encloses a letter containing a more recent account of the patient's condition.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
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Metadata
| Field | Data |
|---|---|
| DOC ID | 2291 |
| RCPE Catalogue Number | CUL/1/2/1349a |
| Main Language | English |
| Document Direction | Incoming |
| Date | 2 August 1783 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Letter from James MacLeod, concerning the case of Mr Mackenzie. Mr Mackenzie, aged forty-five, complains of 'a violent asthma' and 'a flatulent spasmodic affection'. As MacLeod is based upwards of forty miles from Mr Mackenzie, he has had no opportunity to see his patient, and therefore encloses a letter containing a more recent account of the patient's condition. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:1569] |
Case of Mr Mackenzie who has a cough, asthma and whose body is very swollen from dropsy. |
7 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:3379] | Author | Dr James Macleod |
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:3380] | Patient | Mr Mackenzie |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:3379] | Patient's Physician / Surgeon / Apothecary | Dr James Macleod |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Place of Writing | Inverness | North Highlands | Scotland | Europe | certain | |
| Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | inferred |
Normalized Text
Mr. Mackenzie aged 45 naturally of a very healthy good Constitution.
About seven weeks ago (without being able to assign any cause for it)
began to be affected with a difficulty of breathing and Cough, with¬
out any expectoration, for which he lost about fourteen ounces of blood
& took a vomit from which he received some relief, but soon after
the Cough & difficulty of breathing became more severe, and conti¬
nued to increase till about the ninth of July when I was called
to visit him. I found him labouring under a violent asthma
and Cough with very little expectoration, and a flatulent spas¬
modic affection of the Stomach with a total loss of appetite;
Pulse about 76 soft and regular. Belly costive, Urine high coloured
without any sediment, and small in quantity. No thirst or any
other symptom of Fever. He seldom got any sleep except when in an
erect posture, as the asthma always was most severe in the night time
I prescribed for him a vomit, and after the operation of it at bed time
an opiate, from which he had a tollerable good night, and the
day following he took a dose of Castor oil which operated well,
but still the asthma, and affection of the Stomach continued to be
very severe, before I left him which was upon the day following
I recommended for him a succession of Blisters betwixt the shoul¬
ders, with opiates & laxatives properly alternated. I also ordered for
him some squill pills to be taken evening & morning, and to be conti¬
nued unless he found that they affected his Stomach. In this si¬
tuation I left him, and had no opportunity of seeing him since
the distance being upwards of 40 miles from here. About ten days
ago I received a letter which I now send herewith, being the only
account I can give of Mr. Mackenzie's present situation, and for
the symptoms' therein mentioned I sent him diuretic medicines, with
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purgatives & opiates, and ordered a small quantity of blood to be
taken from his arm if his pulse could bear it. --
Answers to the queries --
Mr. Mackenzie had not been liable to any difficulty of breathing, cough
or spitting before the above period, nor had he been troubled with
any Eruption upon his skin --
He never was liable to any swelling of his ankles at night.
About 8 or 10 years ago he had been confined to his room for
8 days with a painfull Inflammation & swelling of his right
foot which his Surgeon told him was of a Gouty nature, but
since that period he never has had any return, or any sym¬
ptom of Gout
James MacLeod
Inverness 2 August
1783
Diplomatic Text
Mr. Mackenzie aged 45 naturally of a very healthy good Constitution.
About seven weeks ago (without being able to assign any cause for it)
began to be affected with a difficulty of breathing and Cough, with¬
out any expectoration, for which he lost about fourteen ounces of blood
& took a vomit from which he received some relief, but soon after
the Cough & difficulty of breathing became more severe, and conti¬
nued to increase till about the ninth of July when I was called
to visit him. I found him labouring under a violent asthma
and Cough with very little expectoration, and a flatulent spas¬
modic affection of the Stomach with a total loss of appetite;
Pulse about 76 soft and regular. Belly costive, Urine high coloured
without any sediment, and small in quantity. No thirst or any
other symptom of Fever. He seldom got any sleep except when in an
erect posture, as the asthma always was most severe in the night time
I prescribed for him a vomit, and after the operation of it at bed time
an opiate, from which he had a tollerable good night, and the
day following he took a dose of Castor oil which operated well,
but still the asthma, and affection of the Stomach continued to be
very severe, before I left him which was upon the day following
I recommended for him a succession of Blisters betwixt the shoul¬
ders, with opiates & laxatives properly alternated. I also ordered for
him some squill pills to be taken evening & morning, and to be conti¬
nued unless he found that they affected his Stomach. In this si¬
tuation I left him, and had no opportunity of seeing him since
the distance being upwards of 40 miles from here. About ten days
ago I received a letter which I now send herewith, being the only
account I can give of Mr. Mackenzie's present situation, and for
the symptoms' therein mentioned I sent him diuretic medicines, with
[Page 2]
purgatives & opiates, and ordered a small quantity of blood to be
taken from his arm if his pulse could bear it. --
Answers to the queries --
Mr. Mackenzie had not been liable to any difficulty of breathing, cough
or spitting before the above period, nor had he been troubled with
any Eruption upon his skin --
He never was liable to any swelling of his ankles at night.
About 8 or 10 years ago he had been confined to his room for
8 days with a painfull Inflammation & swelling of his right
foot which his Surgeon told him was of a Gouty nature, but
since that period he never has had any return, or any sym¬
ptom of Gout
James MacLeod
Inverness 2 Augt.
1783
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