Admission Details for Patient: Jane Owen (2464)
Gender: Female Age: 46
Marital Status: Married Religion: Wesleyan Methodist
Occupation: Farmer's wife
Address: Llangoed, Anglesey
Date of Admission: June 11, 1875
Date of Discharge: December 11, 1875
Discharge Category: Relieved
Disease: Mania
Supposed Cause: Heredity and ‘marrying an old man’
Medical Certificate:
Insane delusions. Imagines herself to be all over on fire or burning her throat more particularly. She has a wound on the throat which is represented to have been produced by her capstring which she is in the habit of tying extremely tight. Insists on keeping herself extremely filthy in every particular. Robert and Edward Owen, MRCS, FLSA Eng Bulkeley Place, Beaumaris.
Approximate duration of present attack: About 3 years
Number of Previous Attacks: 1
Number of Previous Admissions: 1
Number of Subsequent Admissions: 0
Total Number of Admissions: 2
Relatives affected: Cousin has been here and left about 6 months ago
Number of Previous Attacks: 1
Epileptic: No
Suicidal: Doubtful
Dangerous: No
Clean Habit: Yes
Food Refusal: Very frequently
Sleep Habit: Bad
Destructive Habit: No
Disposition: Sober and industrious
Education: Bad
Physical/Mental State at Examination: Somewhat feeble, middle sized to spare, nervous temperament. Emaciated slightly with high cheek bones. Partakes fairly of nourishment. Tongue is clean, bowels open. Urine very copious, specific gravity about 1016 - absence of albumen and sugar. Appears to walk with difficulty requiring support. Nothing abnormal to be found with lower extremities and probably exaggerated. Has been here before as a private patient for a period of four months.* Was quite coherent on admission and her memory did not seem impaired. She was very loath to enter the ward but did not get excited. Sister states that she has never been perfectly sane since her marriage - her husband being 25 years older than herself. Has not been violent but continually tying her dresses fast around her legs and not taking them off until they become very dirty. Would not readily go to bed. She herself states that she "threw herself away when she got married". She was obliged to be fed with the stomach pump during her previous stay. Said that she was being burnt all over and that she was wasting down to nothing. There is no refusal of food this time. Pupils are not equal but she has a slight convergent strabismus of left eye.
Current Diagnosis: Delusional Disorder (F22.0)
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