The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:887] Cover Letter and Case Note / Regarding: Anonymous (Patient) / 10 March 1774 / (Incoming)
Letter from John Alves regarding an unnamed male patient - who had a military career - 'troubled with gouty complaints' and who is 'subject to Strangury the Consequence of Gonorrhea virulenta'. Case note is enclosed.
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- Normalized Text
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Facsimile
There are 6 images for this document.
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Metadata
| Field | Data |
|---|---|
| DOC ID | 887 |
| RCPE Catalogue Number | CUL/1/2/152 |
| Main Language | English |
| Document Direction | Incoming |
| Date | 10 March 1774 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | Enclosure(s) present |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Letter from John Alves regarding an unnamed male patient - who had a military career - 'troubled with gouty complaints' and who is 'subject to Strangury the Consequence of Gonorrhea virulenta'. Case note is enclosed. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:188] |
Case of an unnamed male patient aged sixty - who had a career in the military - 'troubled with gouty complaints' and 'subject to Strangury the Consequence of Gonorrhea Viruleuta...'. |
2 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:148] | Author | Dr John Alves |
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:559] | Patient | |
| [PERS ID:148] | Patient's Physician / Surgeon / Apothecary | Dr John Alves |
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 | certain | |
| Mentioned / Other | Holland | Europe | certain |
Normalized Text
Inclos'd is the Case of a Gentleman
a Patient of mine which I hope you will consider with
your usual attention and send me your opinion and
advice without delay. It was written upon Thursday
evening so as to go by last post, but a change of Circum¬
stances taking place that night, it was defer'd till now.
About 9 o'clock Thursday night a coldshivering fit
came on, which after continuing an hour and a half was
succeeded by a hot fit which towards morning went off
without any sweat, and his pulse, which had been frequent
during the feverish paroxysim, again became moderate
and continued so all day, but his tongue & skin remaind
dry. About 7 o'clock in the evening another cold cold fit came
on succeeded by a hot fit as before without any sweat.
The paroxysm was less considerable than the former.
The quantity of mucous sediment in his Urine is
[Page 2]
diminished and there is no other kind of sediment.
This day the frequency of his pulse has not abated so
much as yesterday. His tongue dry & rough. Being
allowed a little weak warm negus during the first cold
fit, he obliged his servant in the night time to repeat it
so often & to make it so strong that in twelve hours
he had drunk a Bottle of white wine. Last night he
would not take any other drink than negus, but did not
get half a Bottle. Many years ago when in Holland
he was for several months distressed with an Aguish
Disorder.
The inclos'd case with what is mention'd above
contains all that I think necessary for your in¬
formation. I shall expect your answer in course
and I am with particular regard
Dear Sir
Your most obedient servant
P.s. It is now past ten at night and no cold fit. He
had a slight threatning of it about eight, but hardly
perceptible.
[Page 3]
To
Dr William Cullen
Physician
in Edinburgh
Alves of Inverness
about
Mr -------
March --- 74
[Page 4]
A gentleman aged 60 of a full habit of Body, and
strong healthy constitution except that for several years
past he has been troubled with gouty complaints,
has for many years been subject to strangury the
Consequence of Gonorrhea viruleuta with which he
had been frequently affected. This Complaint was
generally removed by Bougies; it was sometimes slight
and soon cured; at other times, it was more obstinate
and required a longer use of the Bougie which was
particularly the case about five years ago when
he was six weeks under cure at London. From
that time the returns have been but inconsiderable
till about six weeks ago that the complaint became
more troublesome once attended with thirst, loss of appetite,
low spirits, and frequent pain about the os pubis.
The calls to make Urine being frequent obliged him
to get up in the night time and by that means pre¬
vented a Copious Perspiration which he us'd to have
[Page 5]
in his ordinary healthy. The above complaints still
continue with pains in the lower part of his Belly
and in the small of his Back & Loins. His Urine
was at first turbid & whiteish, after he had used
the Bougie ten days, it became less turbid, but lets
fall a considerable quantity of mucous viscid sedi¬
ment very tenacious & of a yellow Colour. At first
the urine came away in a divided stream, but since
the appearance of this sediment it has not done so
nore has the strangury been quite so severe. His skin
is always dry, sometimes hot with a dry tongue and
frequent pulse. He has a tendency to Costiveness,
but his belly is kept open by Injections.
He never passes any sand, remembered any gra¬
velish symptoms but the strangury, nor has he
any hereditary right to that Disease. It is above
a twelve month since he had any fit of the Gout.
Having passed many years in the army, he lived
very freely, & still continued to eat & Drink plenti¬
[Page 6]
fully till this last attack.
Diplomatic Text
Inclos'd is the Case of a Gentleman
a Patient of mine which I hope you will consider with
your usual attention and send me your opinion and
advice without delay. It was written upon Thursday
evening so as to go by last post, but a change of Circum¬
stances taking place that night, it was defer'd till now.
About 9 o'clock Thursday night a coldshivering fit
came on, which after continuing an hour and a half was
succeeded by a hot fit which towards morning went off
without any sweat, and his pulse, which had been frequent
during the feverish paroxysim, again became moderate
and continued so all day, but his tongue & skin remaind
dry. About 7 o'clock in the evening another cold cold fit came
on succeeded by a hot fit as before without any sweat.
The paroxysm was less considerable than the former.
The quantity of mucous sediment in his Urine is
[Page 2]
diminished and there is no other kind of sediment.
This day the frequency of his pulse has not abated so
much as yesterday. His tongue dry & rough. Being
allowed a little weak warm negus during the first cold
fit, he obliged his servant in the night time to repeat it
so often & to make it so strong that in twelve hours
he had drunk a Bottle of white wine. Last night he
would not take any other drink than negus, but did not
get half a Bottle. Many years ago when in Holland
he was for several months distressed with an Aguish
Disorder.
The inclos'd case with what is mention'd above
contains all that I think necessary for your in¬
formation. I shall expect your answer in course
and I am with particular regard
Dr Sir
Your most obtt sert
P.s. It is now past ten at night and no cold fit. He
had a slight threatning of it about eight, but hardly
perceptible.
[Page 3]
To
Dr William Cullen
Physician
in Edinburgh
Alves of Inverness
about
Mr -------
March --- 74
[Page 4]
A gentleman aged 60 of a full habit of Body, and
strong healthy constitution except that for several years
past he has been troubled with gouty complaints,
has for many years been subject to strangury the
Consequence of Gonorrhea viruleuta with which he
had been frequently affected. This Complaint was
generally removed by Bougies; it was sometimes slight
and soon cured; at other times, it was more obstinate
and required a longer use of the Bougie which was
particularly the case about five years ago when
he was six weeks under cure at London. From
that time the returns have been but inconsiderable
till about six weeks ago that the complaint became
more troublesome once attended with thirst, loss of appetite,
low spirits, and frequent pain about the os pubis.
The calls to make Urine being frequent obliged him
to get up in the night time and by that means pre¬
vented a Copious Perspiration which he us'd to have
[Page 5]
in his ordinary healthy. The above complaints still
continue with pains in the lower part of his Belly
and in the small of his Back & Loins. His Urine
was at first turbid & whiteish, after he had used
the Bougie ten days, it became less turbid, but lets
fall a considerable quantity of mucous viscid sedi¬
ment very tenacious & of a yellow Colour. At first
the urine came away in a divided stream, but since
the appearance of this sediment it has not done so
nore has the strangury been quite so severe. His skin
is always dry, sometimes hot with a dry tongue and
frequent pulse. He has a tendency to Costiveness,
but his belly is kept open by Injections.
He never passes any sand, remembered any gra¬
velish symptoms but the strangury, nor has he
any hereditary right to that Disease. It is above
a twelve month since he had any fit of the Gout.
Having passed many years in the army, he lived
very freely, & still continued to eat & Drink plenti¬
[Page 6]
fully till this last attack.
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