E H (9452)

Admission Details for Patient: E H H (9452)

Gender: Male Age: 42
Marital Status: Married Religion: Not known
Occupation: Former soldier
Address: Colwyn Bay, Carnarvonshire

Date of Admission: June 1, 1920
Date of Death: October 22, 1923
Cause of Death:

Disease: (GPI)
Supposed Cause: (None stated)

Medical Certificate:
He is suffering from delusions of having unlimited wealth and offers to give every patient in hospital a thousand pounds a day, promises hundreds of thousands of pounds to everyone who speaks to him as well as other presents. States he is going to London to see the King. He is very loud and noisy. Dr. William Arthur McLeod, Ministry of Pensions Hospital, Bangor, 1st June 1920.

Approximate duration of present attack: Not stated

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:

Food Refusal:

Sleep Habit:

Destructive Habit:



Physical/Mental State at Examination: Moderate health and condition but suffers from partial paralysis of the lower limbs - Tabes Dorsalis. Had Syphilis 20 years ago. (Transferred from Pauper to Service Class July 17 1920, then re-transferred 1 October 1921 - presumably once it had been established that his condition was related to the earlier syphilis rather than to the War)

Current Diagnosis: General Paralysis of the Insane

Case Notes

1920 June 4 (copy) - Suffering from GPI.

He has an exaggerated sense of well being and exalted ideas about himself.

He also has delusions of great wealth, the marvellous exploits he performed in the War and the numerous decorations he received.

His pupils are markedly unequal and there are tremors of his tongue and fingers.

His patellar reflexes are absent.

He states that he had an attack of Syphilis about 20 years ago.

His habits are rather dirty and he was in a verminous condition when admitted.

10 - Still has very exalted ideas of riches and grandeur.

18 - Has a multitude of small abscesses which take a long time to heal.

Some of them require incising with a knife.

25 - Still has the septic sores all over him.

July 1 to Dec 1 - He is fastidious and somewhat depressed. Complains of pains in his stomach continually which, however, do not seem severe enough to be tabetic crises.

1921 Jan 1 - Fairly happy and contented now.

Free from his old delusions.

Lightning pains were the first symptom of his tabes and have been present for years.

Questioned about pains in the limbs he gave the usual 'no' but asked about rheumatism. He said he had had a shifting rheumatism for many years.

Mar 20 - Very happy and contented. Unable to walk due to ataxia. Complains of wind in the stomach. Gastric crises?

Apr 1 - Ataxia marked.

May 2 (copy) - Suffering from GPI, at present in a state of partial remission but he still has exalted ideas and delusions respecting achievements and capabilities.

July 1 - Mental condition very fair at present. Tabes very obvious.

He is suffering from gastric crises.

Oct 4 - Complains of shooting pains in the legs.

1922 Jan 1 - Mental condition fair now.

Suffers a good deal from gastric crises and lightning pains and gait is very unsteady and he can just walk with the aid of two men.

Apr 1 - Happy and contented.

Now able to walk around the airing court with the assistance of another patient.

May 11 (copy) He has had remission of the symptoms of GPI and is at present fairly rational in his statements and conduct.

Very helpless and recently slipped to the floor and sustained a fracture to the lower end of the fibula.

July to October - No change.

1923 Jan - Now very helpless and confined to the Sick Ward.

Apr - Recent apoplectic seizure.

Recovered but quite demented.

Helpless. Oct 20 - Died.


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