The fjenctic (jrij^in of Dementia Praccox 8i 



ot' the examination was rather excited and had to be accompanied by his 

 sister to South Kensington. He passed the examination. 



He was then taken to seaside for three weeks and the first week was 

 very depressed and refused food, but subsequently improved and return- 

 ed home comparatively normal. He relapsed on returning home, his 

 relatives believing the shock of his sister being certified again being the 

 determining cause. Pie was deeply depressed and stated that he had 

 been guilty of a great sin. Pie asked for poison. 



He was sent to the Infirmary about November 4th, and while there 

 appeared to the Superintendent, to be a case of profound melancholia. 

 He had a number of sores and picked himself while at the Infirmary. 



The certifícate states: 



He is acutely melancholic, agitated, at ¡ntervals, and constantly pick- 

 ing at the skin of his face. Speaks reluctantly and only in a whisper. 

 Tells me he is done in for robbing people. When addressed he hangs 

 his head down and closes his eyes. 



Physical STATE ON ADMissiON. — Healing and dry sores on body, prin- 

 cipally on legs. 



Breath sounds clear as far as heard. 



Heart action very rapid Pulse 140, no murmur heard. 



Tongue dry and furred. 



Abdomen retracted but normal on palpation. Constipated bowels 

 at any time open with enemata. 



Nervous. — Reflexes normal but knee jerks somewhat exaggerated. 

 General hyperaesthesia — He apparently was particularly hyperaesthetic 

 over abdomen and spine. 



Pupils equal, react to light and accommodation. 



No ocular paralysis (transient external rotation of his left eye was 

 once observed.) 



Mental. — He varied between a dull semi-conscious resistance to all 

 interference, to a period of partial consciousness when he recognised his 

 relatives and spoke in a low indistinct undertone. He had no control of 

 his organic sphincters and was continuously wet. 



Course. — The temperature was normal on admission but rose to 1 00 

 and later to 1 02, it was normal or subnormal for two days betore 

 death. 



A condition of erysipelas ot the left side of upper face became evident 



lí om e na ¡ e a C aj a l O 



