M O (9440)

Admission Details for Patient: M E O (9440)

Gender: Female Age: 31
Marital Status: Married Religion: Calvinist Methodist
Occupation: Housewife
Address: Menai Bridge, Anglesey

Date of Admission: May 22, 1920
Date of Discharge: July 22, 1920
Discharge Category: Recovered

Disease: Mania
Supposed Cause: Pregnancy

Medical Certificate:
Patient wanders in her mind, does not sleep for last 7 days, talks incessantly and quite incoherently. She is pregnant and her time is expected about June 22nd 1920. By G O O, husband: She rambles in her mind, been walking about aimlessly. She is quite different in her manners to what she used to be, swears and curses. Dr. John Meredith Thomas, Menai Bridge, 22nd May 1920.

Approximate duration of present attack: 1 month

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 1

Total Number of Admissions: 2

Relatives affected:

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Moderate health and condition. She is 7-8 months pregnant. She is very noisy, shouting and singing at the top of her voice, restless and difficult to control. Quite unable to give any account of herself and completely disorientated.

Current Diagnosis: Severe disorder associated with childbirth (F53.1)

Additional Diagnosis: 09

Case Notes

1920 May 26 (copy) - Suffering from Mania. On admission she was very excited, singing and shouting and talking about religious matters in a very rambling way. She was very restless and it was with difficulty that she could be kept in bed.

She was pregnant on admission and was confined of a daughter yesterday.

May 25th.

The child was born rather prematurely but is doing well. The patient is much calmer and more rational since the child's birth.

(The child was born at 8.15 am, normal presentation, placenta in about 15 minutes. Total labour about 1 and a half hours. Child about 8 mths gestation).

June 2 - Her mental condition has improved since the birth of the child but she is very confused.

10 - Improving mentally.

During the preceding week she has had some irregular rises of temperature without any apparent cause.

25 - Much better mentally and physically.

July 2 (copy) - She is very much improved and now convalescent. Her conduct and conversation have become rational and I propose recommending her for discharge at our Committee Meeting on the 19th inst.

22 - Discharged recovered.

Medications/Treatments:

Additional Notes

Readmission:

15th July 1924 (No. 10327) with Mania after being ill for the previous 2 years. The Medical Certificate reads: She is dangerous and attacks her husband and is also unfit to take charge of her children.

G O O, husband states that she tried to strangulate him yesterday. She throws the furniture, crockery about the house so that there is hardly anything remaining within the house.

On this occasion the patient was retrospectively diagnosed with Schizophrenia (F20.0).

Clinical records indicate she was continually troubled by e aural hallucinations and they also note that she was identified in 1936 as a carrier of Salmonella Paratyphi B. Treated at various times with Paraldehyde, Sodium Amytal, Disipal, Fentazin and Medinal, M E O died from a heart attack on 19th June 1967.