DEP/DUA/1/43/20 (Normalised version)

Isabel Angus

(1787-1788)

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Isabel Angus. at 60. N^o21

Of the case of this patient is almost unnecessary now to say anything.

For since began practice have never seen anything more of her at this place.

And need hardly repeat, that exhibited a distinctly marked instance of Anasarca.

And that too by no means in favourable circumstance

For with a female at 60^th year of age even allowing that removal could have been effected still reason to look for return.

Removal however of effected [illegible] was first objective in case.

And in interest of our patient had no doubt that this to be attempted by natural [outlet]

Particularly by urine from which less to be dreaded in way of debilitation [illegible] than by equal discharge from any other [illegible].

Was therefore as [a] diuretic that had here recourse to Cream of Tartar.

An article which while powerful in this way has often also considerable effect as a laxative.

An affect which if induced to inordinate degree might here also be of service.

But from quantity directed for our patient unless with very irritated state of bowels could hardly be expected.

And even with that effect at first had reason to think that would soon cease.

Was then chiefly as a diuretic that here directed it.

But with intention of producing a discharge in this way thought it necessary also to do something [father].

Accordingly here also as in another case of which have already treated had recourse to Digitalis.

An article which although sometimes violent & precarious in operation yet unquestionably very powerful

Here directed it as in general do at commencement to extent only of grain i at bed time

And from this quantity under form of pills, though sometimes product of very great advantage little, as far as I can judge from experience, to be dreaded.

What however effect in present case as patient never returned have not been able to learn.