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

    Ann McLean

    (1781-1782)


    Ann McLean.

    When selected this case as subj of lect. appeard to me in many resp singul.

    Exhib a combin of sympt which do not recollect that have before met with in pract.

    And with regard to cause of which was unable to form what seemd to me to be probab. conject

    Was however in hopes that from opport of marking changes in disease & progr. either to recov or contr. should be able to form more cert judgem of it.

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

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

    Reckon it now therfore unnecess. to hazard any conject on the subject.

    Especially as patient herself an infant who could give us no acct of her comp.

    And am inclind to susp. that [mother] if had even no intent of deciev us may in some partic have been deceivd herself.

    May however remark that much greatr variety & more extraord. collect of sympt. than here occurred has often arisen from worms.

    And many of the sympt here were such as freq attend their pres. in alim canal.

    This therefore what appeared to me from first view of the case to be most probab conject.

    At same time was not without diffic

    And as most urgent sympt const dry cough with affect of Respirat began by prescr. a vomit.

    Since that however has never attend us here. And as prob no more farther remark unnecess

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