Elizabeth Pugh (6507)

Admission Details for Patient: Elizabeth Pugh (6507)

Gender: Female Age: 51
Marital Status: Married Religion: Calvinist Methodist
Occupation: Housewife
Address: Towyn, Merioneth

Date of Admission: February 17, 1905
Date of Discharge: February 15, 1906
Discharge Category: Recovered

Disease: Acute Mania
Supposed Cause: Religious excitement

Medical Certificate:
Talks incoherently, constantly muttering, turning and tossing about. Cath. Griffiths, sister, states that she refuses food, constantly talking and rambling about different subjects, has to be kept down to prevent her injuring herself and others. Dr. Hugh Pugh Rowlands, Towyn.

Approximate duration of present attack: 35 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: Yes

Food Refusal: Yes

Sleep Habit: Bad

Destructive Habit: -

Disposition: Respectable and hardworking


Physical/Mental State at Examination: Health moderate. Patient was quite well up to five weeks ago when in consequence of attendance upon revival meetings she showed much excitement which shows no sign of abatement.

Current Diagnosis: Acute transient psychosis (F23)

Case Notes

1905 Feb 22 - A woman of average height and build with brown hair and eyes and a sallow complexion. Fairly nourished and without obvious organic disease. She is suffering from Acute Confusional Insanity and is very rambling and incoherent and unintelligible.

She does not know where she is or when she came here. She has to be spoon fed and sleeps badly. Mar 2 - Excited and troublesome, esp. on alternate days and has to be fed. Not violent and sleeps fairly well. Apr 22 - Patient had her ulna (left) broken today by Mrs Owen, Menai Bridge, twisting her arm.

She is very restless, incoherent and excited and there is very little improvement.

May 3 - The same.

Aug 8 - Is now quiet and rather depressed.

Idle, uncommunicative and reticent.

Nov 4 - Has been in the Laundry for some time and is very much better. Quiet, strange, but manageable and inoffensive.

Might be tried at home.

1906 Feb 15 - Has been out on trial for two months and is today discharged.

Recovered February 15th 1906.


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