John Williams (4222)

Admission Details for Patient: John Williams (4222)

Name Mismatch: 4222 , 2428

Gender: Male Age: 33
Marital Status: Married Religion: Calvinist Methodist
Occupation: Labourer
Address: Llangefni, Anglesey

Date of Admission: August 29, 1890
Date of Discharge: November 25, 1890
Discharge Category: Recovered

Disease: Acute Mania
Supposed Cause: Not known

Medical Certificate:
1. He is perfectly maniacal, refuses to answer any question asked of him. I had to dress his wrist this morning for a cut after he had put his hand through the window, the other hand for a burn after he had put his hand in the fire. 2. Facts communicated by William Williams, Grocer, Rhostrehwfa, Cerrigceinwen: Yesterday he was walking along the road stark naked. August 28th 1890. Hugh Parry Jones, Gwalchmai.

Approximate duration of present attack: 1 week

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Family 'all more or less of unsound mind'

Epileptic: No

Suicidal: Not known

Dangerous: Yes

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health good. This man is said to be a member of a family who are all more or less of unsound mind. It is also stated that until 3 years ago he was of intemperate habits. He became suddenly Insane a week ago and altho' watched by four men he yesterday dashed his hand thro the window cutting it severely. And he also burnt the other by putting it in the fire.

Current Diagnosis: Schizophrenia (F20.2)

Additional Diagnosis: 06.1

Case Notes

1890 Aug 29 - Patient quiet upon admission.

Is a man of about 5 ft 5 inches. Well built and hard and muscular.

No evidence of injuries or bruises beyond (1) a long clean cut wound running parallel to arm and extending from about 4 inches above wrist along the ulnar border and curving forward over ball of thumb.

(2) severe burn of left hand, skin being burnt off palm and fingers.

Both injuries being dressed with Plaster and other foul smelling dressings, removed the same. Cleansed and made all as antiseptic as possible using Sublimate Wool for dressing, and as he is evidently a very untrustworthy patient, put him into a straight waistcoat and placed him in padded room where he seems quite comfortable.

30 - Slept well after Sulph.

Very quiet and reserved but at times will say a few words.

Sept 2 - Injuries doing well. Goes out daily into Airing Court and takes everything given to him. As he has shown no violence removed his restraint (total 96 hours) and put him to sleep in Special Dormitory.

Organs sound and his skin is losing its dull and greasy appearance.

9 - Doing as well as I could wish. Injuries almost well. Is still very taciturn, says he thinks he is in an infirmary.

21 - Injuries healed. Have sent him out to work. Still slightly demented and very sluggish in his mind.

Oct 10 - Doing well. Sharper and brighter.

Much room for improvement. Nov 12 - Has improved very much during the last month and appears to have fully regained his ordinary state of mind, never perhaps of a very high standard. Looking strong and well and is looking forward to his return home. Discharged November 25th 1890.

Medications/Treatments: Padded Room. Straight waistcoat (96 hours) Sulphanol. Sublimate dressing.

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