Admitted. Discharged recovered. Emotionally unstable, weeping and laughing without adequate cause. Speech disconnected, waves arms about, disorientated, hallucinations of sight, dirty in habit. DIAGNOSIS: Confusion. Chronic nephrititis. Has failed gradually in physical health since last July. Has never had any definite symptoms, has just lost weight and strength. Refused to have Doctor until two weeks ago when her weakness caused her to have a stay in bed for the first time. Whilst in bed she became restless and confused. Was disconnected in speech, disorientated as to time and place. Habits became dirty, passing urine and faeces in bed. For the last two days had hallucinations of sight, describing people dancing at the foot of the bed. P.C. - she still lives there, you never see her. Her husband, a retired surfacemen, looks after her. No children.

Aditted to C.R.I. Died (suddenly). Diagnosis: Acute recurrent Mania. This patient has been in and out on several occassions. Since coming she has caused a great deal of trouble - so was confined to bed in a single room. When she improved she worked in the laundry. Relapses into acute recurrent manic at intervals of several years. During these attacks she is very restless and abusive. She is extra-ordinarily cunning, knows everything that goes on in the Institution and when her attacks occur she throws back all the secrets and gossip collected during her periods of being well.