DEP/DUA/1/27/07 (Normalised version)

Ann McLean

(1781-1782)

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Ann McLean.

When selected this case as subject of lecture appeared to me in many respects singular.

Exhibits a combination of symptoms which do not recollect that have before met with in practice.

And with regard to cause of which was unable to form what seemed to me to be probable conjecture

Was however in hopes that from opportunity of marking changes in disease & progression either to recovery or contrary should be able to form more certain judgement of it.

From this however entirely precluded from want of attendance on part of patient

So that still as much in dark with regard to it as ever.

Reckon it now therefore unnecessary to hazard any conjecture on the subject.

Especially as patient herself an infant who could give us no account of her complaint.

And am inclined to suspect that [mother] if had even no intention of deceiving us may in some particulars have been deceived herself.

May however remark that much greater variety & more extraordinary collection of symptoms than here occurred has often arisen from worms.

And many of the symptoms here were such as frequently attend their presence in alimentary canal.

This therefore what appeared to me from first view of the case to be most probable conjecture.

At same time was not without difficulty

And as most urgent symptom consists dry cough with affection of Respiration began by prescribing a vomit.

Since that however has never attended us here. And as probably no more farther remarks unnecessary