Admission Details for Patient: Sarah Ann Byles (6549)
Gender: Female Age: 59
Marital Status: Married Religion: Church of England
Address: Bettws y Coed, Carnarvonshire
Date of Admission: March 27, 1905
Date of Death: August 1, 1907
Cause of Death: Cirrhosis of Liver/Haematemesis & Exhaustion certi
Supposed Cause: Intemperance
I. Delusions, wandering talk and evidence of new clothes torn, using filthy and obscene language and imputing actions and motives in relation to her husband and son which were obviously without any foundation whatever. II. Tearing, destroying and burning clothes, climbing through the window above the glass shelter over the Railway Station at the risk of falling through, secreting knives and forks, tearing up and destroying flowers etc in the garden. Wandering about the village aimlessly, leaving house early and staying out all day by the riverside or in the churchyard, using vile language on the Railway Station platform. Dated 25th March 1905. Signed Douglas Macdonagh, Bettws y Coed.
I. Condition of clothes, all torn and in rags. Believes her husband unfaithful, her daughters of being loose in morality and that one of them has gone away to be confined, accuses her son of having stolen her rings and her husband her money. Her language is really foul and obscene. II. Her husband informs that she takes no interest in her household duties, is out all day in all weather. Tears all her clothes and burns everything she can lay hands on. Her language in the house and the street is most obscene. She accuses him and her grown up family of all kinds of immorality and him in addition of having stolen all her money. Dated 24 March 1905. Hugh Williams, Llanrwst.
Approximate duration of present attack: 9 mths
Number of Previous Attacks: 0
Number of Previous Admissions: 0
Number of Subsequent Admissions: 0
Total Number of Admissions: 1
Clean Habit: Yes
Food Refusal: No
Sleep Habit: Fair
Destructive Habit: No
Physical/Mental State at Examination: Patient, the wife of the Station Master at Bettws y Coed, has been Intemperate for many years and about 9 months ago began to show symptoms of mental disorder, has gradually become worse, and latterly quite unmanageable at home.
Current Diagnosis: Unspecified dementia (F03)
Additional Diagnosis: 10
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