James Jones (6653)

Admission Details for Patient: James Jones (6653)

Gender: Male Age: 43
Marital Status: Married Religion: Church of England
Occupation: Joiner
Address: Conway, Carnarvonshire

Date of Admission: November 3, 1905
Date of Death: January 21, 1906
Cause of Death: GPI and Pneumonia certified COD

Disease: General Paralysis of the Insane
Supposed Cause: Used to drink some years ago

Medical Certificate:
That he lived in 2 houses and imagined that some people were upstairs going to take him out in a boat. Also that both his feet had turned quite round and that he could not walk. Margaret Ellis Jones, his wife, states that he sees persons on the bed and wants to wrap them up in the bed clothes and that people are coming towards him with guns waiting to shoot him. Dr. R. Arthur Pritchard, 5 High Street, Conway.

Approximate duration of present attack: 56 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: No

Sleep Habit: Poor

Destructive Habit: No

Disposition: Formerly intemperate

Education: Moderate can read and write

Physical/Mental State at Examination: Moderate health. Dilated pupils. Six months ago he complained of headache and weakness in the legs. This went on until 2 months ago when mental symptoms set in and have become gradually more marked. Some time ago he used to drink regluarly. He has 3 healthy children.

Current Diagnosis: Mental disorder due to brain damage and physical disease (F06.8)

Case Notes

1905 Nov 10 - A middle aged man of dark complexion and dark hair and moustache.

In poor condition. Dark brown irides, pupils dilated and unequal. Reflexes rather exaggerated. Mentally looks like a case of GPI.

Pupils are unequal and dilated. Reflexes exaggerated. General Paresis of limbs and a tremulous tongue. So far speech is not much affected.

He can converse rationally for a time but has some delusions and also visual hallucinations. His delusions are rather of fear and not of grandeur.

The history of the case points rather to some form of cerebral tumour.

(The dates of subsequent notes are obscured by the Death Certificate) - Speaking generally he is rather improved as regards his mental state.

- This man has had a marked relapse and obstinately refuses food. Is fed with the Tube and is confined to bed. Died today from Pneumonia.

Died Jan 21st 1905.

Medications/Treatments: Fed with tube.