Robert Williams (6631)

Admission Details for Patient: Robert Williams (6631)

Gender: Male Age: 57
Marital Status: Widowed Religion: Church of England
Occupation: Slate quarryman
Address: Llanllechid, Carnarvonshire

Date of Admission: September 18, 1905
Date of Discharge: January 26, 1906
Discharge Category: Recovered

Disease: Mania
Supposed Cause: Heredity

Medical Certificate:
Highly excitable, very indefinite in his statements, suffers very badly from insomnia, get very depressed. He attempted to assault his housekeeper (Mary Thomas) with a stick - also threw his knife and fork at her. Swears very considerably and uses violent and threatening language. She has left his house in fear of the said Robert Williams, he gets up and dresses frequently at night. Dr. E. S. Mills Roberts, MB Penrhyn Quarry Hospital, Bethesda.

Approximate duration of present attack: 21 days

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Two uncles and one cousin

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: Steady habits

Education: Fair can read and write

Physical/Mental State at Examination: Poor health. Has rheumatism. This man has suffered from chronic rheumatism for a long time, and latterly some mental change has come on, but it only became pronounced three weeks ago. He has always been steady and there is nothing to account for it more than his strong family history of insanity.

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

Case Notes

1905 Sept 25 - A thin, pale, rather elderly man in poor condition. Dark hair and eyes, dark moustache, suffers from Sciatica. Mentally suffering from a mild form of Mania. Loss of control, excitability and rambling talk, and does not seem to know where he is. Sleeps badly. Oct 12 - Laid up in Sick Ward, suffering from Colitis. Nov 3 - Recovered from the Colitis and is now much better mentally, altho still rather "simple" he has improved in every way.

1906 Jan 17 - Is quite ready for discharge. As well as he probably ever has been. Discharged Jan 26th 1906.


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