DEP/DUA/1/31/25 (Transcript version)

Jean Duff

1782

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Decr 27^th 1782 N^o26

Jean Duff at 21 a widow complains of short cough with expectoration of white viscid matter of no ill taste or smell. Her breast feels sore when she coughs but not at any other time. Her voice is somewhat hoarse, her respiration when she goes up or down hill quick & laborious Pulse about 90 quick & strong. Habit apparently plethoric. Tongue natural belly at present loose but she has lately been costive. The Catamenia are regular in their periods, but are in very small quantity, were formerly profuse. She never had any children, her appetite is not impaired, but she is very thirsty especially in the night time, during which she sleeps very little.

She has a very disagreeable taste in her mouth in the morning.

About six weeks ago after exposure to cold she was seized with cough & hoarseness succeeded by throwing up of pure blood of a florid red colour attended with soreness in the throat, & fauces. She is not sure whether she rejected it by coughing or vomiting, as both symptoms occurrd at the same time. But she fancies the quantity thrown up was too large to come from her lungs.

After this she was for some time feverish & confined to her bed for about five days, during which she was affected with pneumonia symptom & haemoptoe. She was much relievd by the loss of about ℥VIII of blood from the arm which was very [sizy], had a firm black coagulum & much serum. But though she receivd instant benefite from the operation, a spitting of blood which was frequently grumous continued till the 20^th inst, when she got powders at the Dispensary with nitre & Gum Arabic each ℥p after taking two doses of which she found considerable relief. She has continued them twice a day for a week, since which she has had no haemoptoe. Her breast which was constantly sore now only feels sore on coughing & her breathing has been much relievd. Her belly before taking the powders was costive but since that rather loose. She felt no sense of cold nor sickness from the powders. She has for some days had an eruption of small itchy pimples on her arms & wrists & between her fingers. The itching is intolerable when she is warm in bed. A child which lies with her is similarly affected. She has lately changed her lodging.

28 Hab. Pulv. Sal. Nitri. G. Arab. aa ℥p M cap. dos bis indies & sumat bis indies Mist. Oleos. ℥p

Janr 4. Took the nitrous powders withou any inconveniece. She has had no bloody expectoration since the last report, & her hoarseness is much diminishd. Belly very bound. Catam now absent for about five weeks

Interm Med & Rx. Pulv. Crem Tart ℥ii

Pulv. G. Arab. ℥p. M cap. dos. om m.