Fanny Lloyd (4140)

Admission Details for Patient: Fanny Lloyd (4140)

Gender: Female Age: 50
Marital Status: Single Religion: Calvinist Methodist
Occupation: None
Address: Talsarnau, Merioneth

Date of Admission: January 9, 1890
Date of Death: August 26, 1898
Cause of Death: Chronic brain disease/exhaustion

Disease: Chronic Mania
Supposed Cause: Heredity

Medical Certificate:
I. (i) Perfectly incoherent in her talk and very excitable, in fact a perfect lunatic. (ii) Her brother Richard Lloyd: Subject to low spirits since very young. Confined to her bedroom for about twenty years. For some years now subject to a month of great sleep and quietness, and a month of uneasiness follows, which ends wild and noisy. Before sleep comes on, she is subject to great pain in her feet and arms. Eats well at times, when awake she is very fond of dabbling with water and going about the bedroom. January 7th 1890. L. Roberts, MRCS and LSA, London. Portmadoc.

Approximate duration of present attack: 20 years

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Mother and brother

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit: Yes

Food Refusal: No

Sleep Habit: -

Destructive Habit: No

Disposition: -

Education: -

Physical/Mental State at Examination: Health feeble. Patient is the sister of Captain Lloyd W6. Became insane 20 years ago and has been looked after by her brother and sister both single persons. Has of late become more troublesome owing it is supposed to having just passed her Climacteric.

Current Diagnosis: Schizophrenia (F20.2)

Case Notes

1890 Mar 20 - No notes of patient's condition were made at the time of her admission owing to the pressure of work consequent upon the epidemic of Pneumonia then raging.

Consequently in this and most of the cases admitted during the last 3 months but very meagre notes will be found tho' they were examined and treated as usual.

There was no time to record the same.(Subsequent notes are undated, a death certificate having been pasted over the page margin)

- This patient's condition is somewhat peculiar.

During a period of some weeks she will lie in a condition of partial stupor and has to be roused to be fed and dressed, and then this will gradually pass into a state of ordinary mania, during which she is very troublesome owing to her monkeylike tricks and dirty behaviour.

Completely demented and incoherent. Very noisy and sleepless.

This gradually passes into that of stupor during which she sleeps the greater part of time. Very feeble health.

A great nuisance.

- Has had several fainting fits lately and heart's action is feeble.

(Notes from December 1892 to January 1898 indicate no further change)

1898 Aug 26 - Patient died today of no apparent organic disease tho' she had slight diarrhoea during the last few days of her life. There had been no change since last entry.

Medications/Treatments: