This disbound, incomplete (pages 5-34 only, with some sheets missing portions) manuscript contains case histories by a medical
student or physician about several patients and notes from readings or lectures. The patient narratives include cases ranging
from 1785-1787 of fever, convulsions, childbirth, and one which "appears to me to have been genuine Puerperal fever" (p. 17).
The patient records are followed by notes from texts or lectures. the stages of "Hydrocephalus or dropsy of the brain" (p.27-29)
concludes, "As to medicine there is not any to be relied on, for all are ineffectual." "Quinsey" (p.30-32) is partly torn-away
in the a corner of the second sheet, as are "Extracts from Pott's Surgery : surgeries of the head" and "Injuries of the head"
(p.33-34). The donor included a twentieth-century note: "Found in cellar of house of harry Joelson of Paterson, New Jersey,