William Thomas (6521)

Admission Details for Patient: William Thomas (6521)

Gender: Male Age: 35
Marital Status: Single Religion: Baptist
Occupation: Labourer
Address: Colwyn Bay, Carnarvon

Date of Admission: March 1, 1905
Date of Death: June 15, 1910
Cause of Death: Acute Pneumonia certified COD.

Disease: Mania and Dementia with Epilepsy
Supposed Cause: Epilepsy

Medical Certificate:
This person has been an epileptic for 20 years, his memory is seriously affected, his sleep is bad and his appearance and manner and gait betoken an abnormal condition of his brain. Elizabeth Thomas, his mother, says that he has done nothing in the way of work for 12 months, at times he is inclined to be violent, having attacked his sister some time back. They are anxious (his family) for him to be removed away because they believe him to be dangerous. Dr. Price Morris, LRCPS, Old Colwyn.

Approximate duration of present attack: 1 year

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Epileptic: Yes

Suicidal: No

Dangerous: Yes

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Poor

Destructive Habit: -

Disposition: Stead

Education: Poor

Physical/Mental State at Examination: Health good. He became an epileptic at puberty and has had fits for 20 years, mental derangement set in 12 months ago. He has always been steady and there is no family history of insanity and epilepsy.

Current Diagnosis: Mental disorder due to brain damage and physical disease (F06.9)

Case Notes

1905 Mar 8 - Young man of average height, well developed and nourished. A scar over his nose said to be due to a fall in a fit. Blue irides, pupils equal and mobile. General bodily organs healthy. Mentally suffering from Dementia and Epilepsy and occasional attacks of Mania. His memory for recent events is very confused. He does not remember when or how he came here. His general account of himself is disconnected and rambling.

Conduct good and quiet so far.

No fit up to the present.

Mar 27 - Is beginning to realise his position. Memory more clear. Eats and sleeps well and so far he is well conducted. Apr 16 - Has had two fits.

May 30 - Nothing fresh to note. 1906 Feb - Fit occasionally.

Rather more demented.

June, Sept - The same. Dec - Becoming very demented. Very heavy fits.

1907 Mar - In the Sick Ward, losing weight and having heavy fits.

July - Better temporarily. Oct - No improvement.

1908 Jan to 1910 Feb - No change.

June 15 - Died today from Acute Pneumonia of six days duration.


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