Ellen Owen (4237)

Admission Details for Patient: Ellen Owen (4237)

Gender: Female Age: 53
Marital Status: Married Religion: Independent
Occupation: Labourer's wife
Address: Trawsfynydd, Merioneth

Date of Admission: October 27, 1890
Date of Death: June 9, 1891
Cause of Death: Chronic Parenchy?/Nephritis/Uraemia

Disease: Mania
Supposed Cause: Hered.

Medical Certificate:
1. She talks incoherently and is very violent at times. 2. Facts communicated by Margaret Roberts, next door neighbour "That she does at times go about the fields and handes a piece of stick and threatens to murder her". October 25th 1890. (Signed) Griffith John Roberts, Festiniog.

Approximate duration of present attack: 3 months

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Uncle

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit: Yes

Food Refusal: At times

Sleep Habit: Bad

Destructive Habit: No

Disposition: -

Education: -

Physical/Mental State at Examination: Health good. Attack commenced 3 months ago and the cause would seem to be a quarrel with her next door neighbour. There is also an hered. predispositon her Uncle having been insane. Chief trouble wandering away from home.

Current Diagnosis: Delirium (F05.8)

Case Notes

1890 (Dates obscured by Death Certificate) - This person is a tall and well nourished woman with sandy hair and fresh complexion. Quiet and easily manageable but quite incoherent. Mistakes the writer for some person of her acquaintance and the asylum for her residence. Eats and sleeps well but cannot employ herself. - Easily manageable. Docile and affectionate. - Has had a slight attack of Pulm. Cong. is now well again. No mental change. - isq.x 3.

- Has just recovered from Acute Pneumonia, the left lung involved. Silly and incoherent. Incurable.

The symptoms she has lately manifested have led to an examination of her urine. The same had often been thought of before but owing to its persistent contamn. with faecal matter had not been done and the whole matter being rendered difficult by the mental condition of patient. Urine scanty and containing a considerable amt. of albumen and kidney mischief due to a contraction of kidney, whether due to true chronic change is not certain.

Frequent vomiting, headache etc. are now explainable.

June 9 - Patient died today from Uremic poisoning, well marked symptoms showing themselves 3 days previously, deepening into coma and ending in death.


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