John Jones (4235)

Admission Details for Patient: John Jones (4235)

Name Mismatch: 4235 , 2456, 2465, 2485, 6487

Gender: Male Age: 33
Marital Status: Single Religion: Church of England
Occupation: Seaman
Address: Bala, Merioneth

Date of Admission: October 23, 1890
Date of Death: February 25, 1891
Cause of Death: Multiple cerebro-spinal sclerosis/pneumonia

Disease: Dementia
Supposed Cause: Sunstroke

Medical Certificate:
1. Loss of memory. From being a sharp intelligent young man he has become mentally a wreck. Cannot answer most simple questions. Cannot find words to express himself. 2. Facts communicated by Margaret Williams, his sister, 26 Mount Street, Bala. Throwing articles into the fire, such as shawls, handkerchiefs etc. Tying a small chain tightly round the baby's neck. Restlessness and sleeplessness. Wandering about without any object. October 22nd 1890. Roger Hughes, Bala.

Approximate duration of present attack: 9 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: No

Dangerous: No

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: Not very temperate in habits

Education: fair, reads and writes

Physical/Mental State at Examination: Health feeble. Bs confined. Always in good bodily health prior to sunstroke. During a voyage to Calcutta 9 months ago patient had an attack of sunstroke. He returned to Liverpool and was treated at one of the hospitals for mental infirmity. About 4 months ago was sent home to Bala to live with his sister, has never been able to do any work and his mental faculties have been gradually becoming more enfeebled. Latterly his conduct has been restless at night and unmanageable by day.

Current Diagnosis: Dementia in Huntingdon's Disease (F02.2)

Case Notes

1890 (Dates obscured by Death Certificate).

- This patient is a man of ordinary build and is well nourished. Dark hair and irides. Mentally he is in a state of Dementia and can hardly comprehend the simplest question put him and can give little account of his former life. Physically the symptoms are at a glance to be recognised as those indicative of "Multiple Sclerosis" of brain and cord. The jerky tumultuous movements of arms and legs - worse upon excitement. The jerky tongue and staccato speech. The only symptom absent is Nystagmus.

Is located in Hospital Ward and fed on fluids only. As yet he has control over bladder and rectum.

- Is rapidly becoming feebler and has to be looked after like a child.

Very wet and dirty and his symptoms are in every way worse.

- Quite helpless. Any voluntary movement and he becomes quite stiff.

Has had one attack of what seemed to be Cerebral Haem. but consciousness soon returned and he is now much the same as before. - May die at any moment. - Died today after a few days illness of Pneumonia.


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