The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:4196] From: Dr William Cullen (Professor Cullen) / To: Dr Thomas Livingston / Regarding: Earl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol) (Patient) / December? 1777? / (Outgoing)
Reply 'To Dr Livinstone C[oncerning] Lord Erroll'. Cullen states that, since the abdominal swelling has been reduced and there is no sign of liver ailments, Lord Erroll's ailments stem from what he calls 'internall piles', but later describes as rectal 'tumours'. He describes the symptoms and says that he has applied a bandage and compress.
- 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 | 4196 |
| RCPE Catalogue Number | CUL/1/1/10/53 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | December? 1777? |
| 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 'To Dr Livinstone C[oncerning] Lord Erroll'. Cullen states that, since the abdominal swelling has been reduced and there is no sign of liver ailments, Lord Erroll's ailments stem from what he calls 'internall piles', but later describes as rectal 'tumours'. He describes the symptoms and says that he has applied a bandage and compress. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:136] |
Case of James Hay, 15th Earl of Erroll who is thought to have a gouty knee and stomach. |
13 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:852] | Addressee | Dr Thomas Livingston |
| [PERS ID:22] | Patient | Earl James Boyd Hay (15th Earl of Erroll, Lord Erroll, Lord Errol) |
| [PERS ID:852] | Patient's Physician / Surgeon / Apothecary | Dr Thomas Livingston |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
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 | Aberdeen | East Highlands | Scotland | Europe | inferred |
Normalized Text
To Dr Livingstone Concerning Lord Erroll.
His Lordship is now entirely free from
the swelling of his Belly makes Urine
in sufficient quantity and I can find no
Symptoms that shew any affection of the
Liver. It appears to me that his ailments
now entirely depend upon internall piles
–– The Anus in its best state is not with↑out↑
some little protuberances, and when He
goes to stool the piles come down in
considerable bulk, and the finger perceives
considerable swellings in the Rectum. His cheif
uneasiness is at going to stool, but when He
has a proper discharge his pain does not
continue long & at most other times He is
very easy. He is always quite easy during
the night & sleeps well. When He is long
in an erect posture, He is liable to be uneasy
from feeling a pressure upon the anus which
is very soon releived by lying down in a
horizontall posture ––––
The most singular
circumstance in the Case is that at dinner
as soon as He begins to Eat He has some
pain raised shooting down to the bottom
of his belly with some pressure on the
fundament
[Page 2]
and this is often attended with a
Sickness which prevents his eating
so much as He otherwise could some
degree of uneasiness continues till towards
5 or 6 in the Evening when He commonly
has a regular stool with the consequences
I mentioned above. I could mention some
other circumstances which tho they
are not easily accounted for all concurr
in perswading me that Lord Errolls
that his cheif & only ailment are the
internal Tumours in the rectum
I am at a loss to find a means of reme¬
dying these & except ordering a regimen
I have done little else to which he is extremely
observant. – We have applied a bandage &
Compress to the Rectum –
Diplomatic Text
To Dr Livingstone C Lord Erroll.
His Lordship is now entirely free from
the swelling of his Belly makes Urine
in sufficient quantity and I can find no
Symptoms that shew any affection of the
Liver. It appears to me that his ailments
now entirely depend upon internall piles
–– The Anus in its best state is not with↑out↑
some little protuberances, and when He
goes to stool the piles come down in
considerable bulk, and the finger perceives
considerable swellings in the Rectum. His cheif
uneasiness is at going to stool, but when He
has a proper dischge his pain does not
continue long & at most other times He is
very easy. He is always quite easy during
the night & sleeps well. When He is long
in an erect posture, He is liable to be uneasy
from feeling a pressure upon the anus which
is very soon releived by lying down in a
horizontall posture ––––
The most singular
circumstance in the Case is that at dinner
as soon as He begins to Eat He has some
pain raised shooting down to the bottom
of his belly with some pressure on the
fundament
[Page 2]
and this is often attended with a
Sickness which prevents his eating
so much as He otherwise could some
degree of uneasiness continues till towards
5 or 6 in the Eveng when He commonly
has a regular stool with the consequences
I mentd above. I could mention some
other circumstances which tho they
are not easily accounted for all concurr
in perswading me that Lord Errolls
that his cheif & only ailmt. are the
internal Tumours in the rectum
I am at a loss to find a means of reme¬
dying these & except ordering a regimen
I have done little else to which he is extremely
observant. – We have applied a bandage &
Compress to the Rectum –
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