DEP/DUA/1/43/45 (Normalised version)

James Short

1788

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N^o34. February 12. 1788.

James Short, at 9, is frequently affected with an acute pain in the region of the right kidney, which when it attacks him is so excruciating as to compel him to draw his thigh & leg towards his abdomen

This pain commonly continues for three or four hours without intermission, but at other times it will last for half a day. It is in general somewhat relieved when a discharge of urine takes place. The urine discharged puts on various colours Sometimes it is quite white, at other times it is of a deep red colour & then it deposits a sandy kind of sediment. He has also at times much ardor urinae. When the pain in the right side is very severe he feels it also in the left. He has much wind at his stomach.

Pulse about 120. Belly rather costive. Appetite impaired. Sleeps ill. Strength diminished.

The pain attacked him first about four years ago. But the red colour in his urine was observed twelve months before; & he knows no probable cause to which his [condition] can be ascribed.

He has used many different medicines from which he derived transient relief.

Rx. Pulv. Crem Tart. ℥ p.

Cort. Cassiae ʒI M cap. coch parv. bis indies

23

Urine without any mixture of blood But his pain has been rather more severe. He sleeps well however during the night. Belly rather bound.

Cont. Pulv. Crem Tart. u. a

March. 1.

Had a very severe return of pain yesterday, which continued for about three hours, & was succeeded by the discharge of about four ounces of a fluid of a deep bloody tinge, most of which soon afterwards coagulated

Since that he has been [very] easy

Cont. Pulv. Crem Tart nec non sum. bis indies Pul. Fol. Uv. Urs. ℈i.

15

Is still affected with pain in the under part of his belly. But his urine has been for some time past free from any mixture of blood.

Cont. Med. u. a.