Elizabeth Edwards (4216)

Admission Details for Patient: Elizabeth Edwards (4216)

Gender: Female Age: 50
Marital Status: Married Religion: Calvinist Methodist
Occupation: Wife of a grocer's assistant
Address: Corris, Merioneth

Date of Admission: August 14, 1890
Date of Discharge: October 25, 1890
Discharge Category: Recovered

Disease: Acute Mania
Supposed Cause: Climacteric

Medical Certificate:
1. Wild expression, incoherent talk. Strange hallucinations. Suspicion of relatives and attendants. 2. Facts communicated by others. Takes no interest in anything, always talking about things that have happened years ago and of people who have died long ago. She also declines solid food. Informants: Her husband and Mrs. Rowlands, Bryn Edwyn, Corris. August 12th 1890. Signed John Thomas Jones, Corris, RSO.

Approximate duration of present attack: 2 months

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Epileptic: No

Suicidal: Not known

Dangerous: No

Clean Habit: Yes

Food Refusal: Yes

Sleep Habit: None

Destructive Habit: No

Disposition: -

Education: -

Physical/Mental State at Examination: Health moderate. Patient showed symptoms of insanity 2 months ago and was brought down to stay with her sister at Corris. Her husband has been much better off than he is at present and this seems to have had an unfav. effect upon her.

Current Diagnosis: Acute Transient Psychosis (F23.9)

Case Notes

1890 Aug 16 - Patient is of medium height, dark hair and eyes, complexion muddy and sallow.

Is fairly nourished and organs seem healthy but is too restless to allow a reliable examination.

Her intest. tract is evidently much disturbed. Tongue dry and coated with sticky mucous and there is apparently from this cause some difficulty in swallowing.

Her speech is rambling and quite unintelligible and she pays no heed to anything said to her. Sleeps well but is very restless when awake. Refuses food and has to be fed.

26 - Has made much improvement. Tongue now moist and clean.

Is more coherent and understands and answers many simple questions put to her. Goes out daily.

Sept 15 - Picking up steadily. Have sent her to workroom for a change. Complains of dyspepsia etc for which she is treated.

Oct 13 - May now be said to have recovered and she is in every way quite sensible and looking forward to her discharge.


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