Henry Jones (6603)

Admission Details for Patient: Henry Morris Jones (6603)

Gender: Male Age: 14
Marital Status: Single Religion: Church of England
Occupation: None
Address: Carnarvon, Carnarvonshire

Date of Admission: July 6, 1905
Date of Death: October 29, 1912
Cause of Death: see adm no. 6942 (1907)

Disease: Mania with epilepsy
Supposed Cause: Epilepsy

Medical Certificate:
Ignorant in answering simple questions, does not seem to realise what is said to him, I have seen most violent manifestations of post epileptic mania. Charlotte Jones, his mother, informs me that he is in the habit of stealing different articles viz:- matches, tobacco, pipes, etc. He is very violent before and after the Epileptic fits and threatens to injure his relatives. Dr. George E. Williams, Tryfan Hall.

Approximate duration of present attack: 336 days

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 1

Total Number of Admissions: 2

Relatives affected:

Epileptic: Yes

Suicidal: No

Dangerous: Yes

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: Inclined to mischief

Education: Good can read and write

Physical/Mental State at Examination: Health good. This boy is one of a family of 12 children, and is the only one affected in any way. He had some epilepsy when 4 years of age, for a year or so, the epilepsy appeared again at the age of 10 and for the last 12 months the fits have become very frequent, night and day and his mental condition has been gradually becoming affected. According to his mother the family history on both sides is free from any taint.

Current Diagnosis: Epilepsy

Additional Diagnosis: 07

Case Notes

1905 July 13 - A healthy looking boy rather short for 14 years. Dark hair and complexion. Body in good condition. General organs healthy. Mentally he is an epileptic becoming subject to mania.

He is wilful in habit, very restless and difficult to manage, already a heavy smoker. His fits have been frequent, both night and day. Has the usual confusion after a fit.

Eats and sleeps well.

July 30 - Now on Bromide and A. Fits much less frequent. Smoking habits being checked. Now in Ward 4.

Aug 26 - Fits have been more frequent lately but no manifestations of mania. Nov 8 - Improved in general health. Has a few nocturnal fits. Well behaved but smokes too much.

1906 Jan to Dec - No change. 1907 Mar - Has become a great masturbator. Is looking ill and thin. He burnt his left ear by falling in a fit against the hot pipes.

Is not improving with age.

Apr - Sent to the sick ward with cough and bronchitis. Fits more frequent.

Has intentionally cut himself in order to make a fuss. (Sent home on trial at the beginning of May but readmitted after 3 weeks - Admission No. 6942).

1907 July - Has been home on trial but returned in three weeks.

1908 Jan to 1909 Jan - No improvement.

June - Has had an attack of Pleurisy but is now about again. No mental improvement.

Oct - The same.

1910 Feb - Has had an abscess near his elbow which is now healing.

June - Very troublesome at times.

Nov - Has recurring abscesses about his body.

1911 Mar - Laid up with Tuberculous Knee Joint.

Suppuration not occurred.

Fits infrequent. Sept - Knee joint suppurating. Also one finger. Is in the Sick Ward.

1912 Mar - Knee much worse but general condition at present not fit to stand amputation. Sept - Keeps to bed as a rule. Knee painful at times. Fits not frequent. General condition poor.

Died 29 October 1912.

Medications/Treatments: Bromide and A. (Antipyrin?)

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