DEP/DUA/1/42/21 (Transcript version)

Isabel Angus

(1787-1788)

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N^o21. Isabel Angus. at 60.

In case of this patient a distin markd inst of Anasarc.

And here little doubt that to water effused in cellul. membr. all other sympt to be attrib.

For to water may I think with confid chiefly attrib both cough & dysp.

These sympt. indeed we are told preceded obv. swelling for some time

But from this would only infer that effus in cellul. membr. of lungs prior to other parts.

Must however admit that copious viscid expect shews a cert degree of catarrh.

And cold cause to which affect of pres patient ascribd well known to be a powerful cause of both

In pres inst disease neither of long standing nor to high degree.

May therfore hope for remov.

But occurs in a female far adv in life.

Hence great danger of return.

And not surp. if in end fatal.

Is here intent to attempt disch of water by urin pass.

And for this purp. after some [time] of Ipecae Cream of Tart. have now conj with it [Dig]

If by these means evac shall superad tonics.

Partic Bark & Chalyb.

For conj of these or at least early use a great improv in mod pract.

But of this reserve observat till again speak of case.