DEP/DUA/1/47/16 (Transcript version)

James Keir

(1789)

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No 28 Jas Keir at 63.

In case of this patient a distinctly markd inst of jaund.

And although circum not altog. unfav. yet much less so, than in case of Jean McKenzie lately spoken of.

In that sever circum leading to suppos. that depend on schirros.

Here again, though no circum giving cert. think it more probab. that effect of Calcul.

For from contin can hardly I think suppose a more transit cause.

No evid of spasm from any other circum in case.

And cannot imagine that mucus or other viscid matter would give disease of such contin