Jane (Siani bob mawr) Davies (2501)

Admission Details for Patient: Jane (Siani bob mawr) Davies (2501)

Gender: Female Age: 19
Marital Status: Single Religion: Calvinist Methodist
Occupation: Domestic servant
Address: Lllanymawddwy, Merioneth

Date of Admission: October 12, 1875
Date of Death: June 7, 1882
Cause of Death: Erysipelas/Chronic disease of the brain

Disease: Imbecility
Supposed Cause: Heredity/Supposed fright

Medical Certificate:
Her talk is incoherent and she is subject to delusions. She believes that she never sleeps. From mother Elizabeth Davies: She is very violent at times. Has often threatened suicide and has once attempted to do so. Edward Jones, Caerffynon, D

Approximate duration of present attack: 3 years

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Paternal grandfather

Epileptic: No

Suicidal: Yes, threatened at times

Dangerous: Yes, threatened to strike, never did so

Clean Habit: Yes

Food Refusal: Not from relations but refuses from friends

Sleep Habit: Well by day, little at night

Destructive Habit: Has broken one window

Disposition: Never like other children could not learn well

Education: Reads Welsh

Physical/Mental State at Examination: One of 4 children. Makes use of bad language occasionally. Easily led. Three years ago had often spoken of the river and one day was seen going towards it and, being followed and allowed to go, threw herself in over her head. The water carried her down. She came out of her own accord and since then has never said anything more about a river nor made any attempt at suicide.

Current Diagnosis: Schizophrenia (F20.1)

Case Notes

1875(undated) - Dirty in habits. Not enough intelligence to converse on anything. Quiet, untidy. Eats and sleeps well.

Jan 1876 - Continues very much the same. Her health is good but she is still very dirty and stupid. (Notes March 1877 onwards continue the same 'no change', 'dirty')

1882 May 28 - Today she complains of feeling ill and is found to have quinsy.

Is sent to bed in Hospital Ward single room. Gargle sent but too idiotic to gargle it.

Wine given with full extra diet.

May 29 - Erysipelas of face has today appeared.

May 31 - Forehead much swelled with erysipelas.

Pulse feeble.

Poultices applied to forehead.

Milk given through night.

June 3 - Appetite failing.

Brandy 4g given instead of wine.

Left eyelid tense and suppurating. Lanced. Poultices continued.

June 4 - Left eyelid sloughing. Right eyelid very tense.

Pulse very feeble.

Difficulty of breathing from extension of inflammation into nose.

June 6 - Becoming worse. Eyelids sloughing more extensively.

Pea soup stools have appeared with frequent motions for two days.

Medications/Treatments: Gargle, Wine, Full extra diet, Brandy, Poultices

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