James Fairhurst (6483)

Admission Details for Patient: James Fairhurst (6483)

Gender: Male Age: 51
Marital Status: Married Religion: Churchman
Occupation: Cashier
Address: Colwyn Bay, Carnarvon

Date of Admission: January 10, 1905
Date of Discharge: March 8, 1905
Discharge Category: Relieved

Disease: General Paralysis of the Insane
Supposed Cause: Overwork

Medical Certificate:
He is excited, sleepless and perfectly incoherent in his speech, continually talking but without much meaning in what he says, he does not know where he is at present. Sarah Fairhurst, his wife, says that this has been coming on for a fortnight, that he is getting daily worse and difficult to manage, if left alone he would be wandering about the streets. Dr. Price Morris, Old Colwyn.

Approximate duration of present attack: 14 days

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: Steady and industrious

Education: Can read and write

Physical/Mental State at Examination: Health moderate. The son says that his father became affected in his speech about 4 months ago, mental change occured but 2 weeks ago. He says his father was always steady and attributes his illness to overwork. (There are coppery stains on the legs and it looks like a case of GPI - FGJ). He was sent to Colwyn Bay from Wigan for a change of air.

Current Diagnosis: Mental disorder due to brain damage and physical disease (F06.8)

Case Notes

1905 Jan16 - A tall man, rather beyond middle age. Hair dark but turning grey and the same with his beard and moustache. Fairly well nourished condition, oedema of both feet and legs and "coppery scars" on his right shin.

Pupils slightly unequal, the left being the larger, irides blue. There is a general tremulous condition of his hands and legs and his gait is uncertain. Speech slow and very hesitating. Does not swallow with ease. Mentally, it looks like a case of GPI. Since admission he has been rather helpless and has had a seizure which produced temporary hemiplegia, aphasia and dysphagia and is now in bed in the Infirmary. Memory partially gone and he does not know where he is.

Patellar reflexes exaggerated.

Maybe is rather better from the effects of his seizure.

Jan 23 - In bed in the sick ward, condition very variable, generally very confused. Mar 8 - Transferred today to the Wigan Union Workhouse.

Medications/Treatments: