DEP/DUA/1/47/07 (Normalised version)

Alexander Kerr

(1789)

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No20 Alexander Kerr. at 43.

Case of this patient not altogether [without] doubt.

At least can hardly be said to be a distinctly marked instance of Phthisis.

At same time many circumstances giving strong suspicion of it.

For although hectic fever cannot be said to be very considerable, yet some other symptoms even of alarming nature.

Such for example as exhaustion & colliquative [sweats].

When these superadded to cough dyspnoea pain of breast & loss of strength renders case very alarming.

And upon whole, little doubt that not only an instance of Phthisis, but that will in no long time even prove fatal to patient.

For recovery even from most favourable cases are very rare.

And as such cannot represent present instance.

Still however not to be looked upon as desperate.

And some circumstances even rather favourable than otherwise.

Pulse for example at 80, shows that hectic fever not [exquisite].

And whiteness of tongue an indication that little if any purulent expectoration.

Hence grounds at least for some attempt

In this case was intention to have given trial to issue & Gum Myrrh.

But former have been obliged to abandon.

And since directed mixture of Vitriolic Acid & Thebaic Tincture

But of practice afterwards