Presentation
She presented to us with psychotic symptoms but also noted to have many catatonic features, which were also present on previous presentations. [ncbi.nlm.nih.gov]
Abstract: We are presenting a unique case of acute hypoglycemia presenting as acute psychosis with an unusual presentation creating a diagnostic dilemma. [priory.com]
Entire Body System
- Hypersomnia
Central Hypersomnia. Seminars in Pediatric Neurology, Vol. 22, Issue. 2, p. 93. CrossRef Google Scholar Rabeyron, Thomas and Loose, Tianna 2015. [doi.org]
Respiratoric
- Cough
[…] pimples filled with pus Eyes: pain, redness, swelling Bones or joints: joint pain and swelling; neck or back pain that lasts weeks Wounds: green pus or discharge that may have a fruity smell Digestive tract: headache, diarrhea Lungs: pneumonia; severe coughing [webmd.com]
The main thing you can do is follow good hygiene rules: regularly wash your hands with soap and water always cough into a tissue clean contaminated surfaces with a bleach-based cleaner wash contaminated clothes and sheets separately at the highest possible [blf.org.uk]
In the lungs : Pneumonia, coughing, and congestion. Soft tissue : Discharge of green pus and a sweet, fruity smell. In the blood : Joint pain and stiffness, fever, chills, and fatigue. [medicalnewstoday.com]
Symptoms include: chills fever cough with or without sputum production difficulty breathing Skin When this bacterium infects the skin, it most often affects the hair follicles. This is called folliculitis. [healthline.com]
Booklet / Leaflet Include in Print Get Well Soon Without Antibiotics leaflet Royal College of General Practitioners This leaflet, produced by the Department of Health, explains the need to get the right treatment for common illnesses such as colds and coughs [heron.nhs.uk]
Jaw & Teeth
- Aphthous Stomatitis
Manifestations Extra-intestinal manifestations Level of evidence Associated disorders Level of evidence General symptoms Tiredness 4 Aphthous stomatitis 4 Lack of wellbeing 4 Foggy mind 4 Joint or muscle pain 4 Arm/leg numbness 4 Neurologic manifestations [doi.org]
Skin
- Blister
My hand is raw and red and later starts to blister. But I ignore the pain, carrying on as though nothing has happened. Why would I do this to myself? Because I was in a state of delusion, and truly believed I was immune to danger and pain. [vice.com]
Pustular psoriasis, which causes pus-filled blisters. Attacks or flares can be caused by medications, infections, stress, or certain chemicals. [degguine.duckdns.org]
Psychiatrical
- Delusion
A person can experience both hallucinations and delusions or just one or the other. Hallucinations and delusions are most often caused by a disturbance or change in brain function. [britannica.com]
Positive symptoms are delusions, hallucinations, thought broadcasting and bizarre behaviors. [nmihi.com]
A delusion is where a person has an unshakeable belief in something untrue. [nhs.uk]
Two of the main symptoms are delusions and hallucinations. Delusions are false beliefs, such as thinking that someone is plotting against you or that the TV is sending you secret messages. [medlineplus.gov]
- Auditory Hallucination
A 27-year-old female presented with symptoms of oral dyskinesia, tachycardia, and altered mental status following a three-month history of depression, lethargy, catatonia, and auditory hallucinations. [ncbi.nlm.nih.gov]
Common examples of this category include: Psychoses with unusual features, e.g., monosymptomatic delusion of bodily change without accompanying impairment in functioning; persistent auditory hallucinations as the only disturbance; transient psychotic [dsm.wikia.com]
- Fear
Subjects were presented with a series of 10 different facial identities, each expressing either a 50% (mildly fearful) or 100% (prototypically fearful) intensity of fear, or a neutral expression. There were thus 30 different facial stimuli in total. [doi.org]
Remaining with a therapist is essential to avoid the fears from becoming debilitating. It may also be necessary to be able to return to regular life activities. [therapytribe.com]
I sighed deeply as reality returned and fear faded. God, I'd been so ridiculous. Of course it was Amy! That day wasn't anywhere in the world except in my memory. [creepypasta.wikia.com]
[…] bipolar disorder (manic-depressive) or severe depression Some personality disorders A person with psychosis may have any of the following: Disorganized thought and speech False beliefs that are not based on reality (delusions), especially unfounded fear [nlm.nih.gov]
- Visual Hallucination
The patient spontaneously started to experience psychotic symptoms which included disorganized thinking, delusional thoughts, paranoia, auditory and visual hallucinations. [ncbi.nlm.nih.gov]
Hallucinations may be present, but auditory or visual hallucinations cannot be prominent. Olfactory or tactile hallucinations may be prominent, but only if they are related to the content of the delusion. [web.archive.org]
- Anxiety Disorder
In veterans with military-related PTSD, a familial vulnerability for bipolar disorder and anxiety disorders was associated with an increased risk of developing PTSD with psychotic features. [ncbi.nlm.nih.gov]
Hearing voices can also occur as part of developmental problems as well as mental health problems for instance relating to anxiety or anxiety disorders. [cinaps.co.uk]
A second change is the new evidence regarding the benefit of quetiapine for treating generalized anxiety disorder. [doi.org]
Daniel's diagnoses include: schizoaffective disorder, borderline personality disorder, CPTSD, depression, anxiety disorder and traumatic brain injury. [youtube.com]
He is a member of the editorial board of five national and international journals and member of the Expert Working Group on Mood and Anxiety Disorders for the Revision of ICD-10 Mental and Behavioural Disorders, WHO, Department of Mental Health and Substance [books.google.com]
Neurologic
- Stroke
Psychosis is a relatively rare complication after stroke. To our knowledge, no cases of post-stroke psychosis that apparently require continuous low-dose antipsychotic treatment have been reported to date. [ncbi.nlm.nih.gov]
Current Psychiatry. 2018 August;17(8):6-8 Psychosis and stroke are arguably the most serious acute threats to the integrity of the brain, and consequently the mind. [mdedge.com]
Other problems that can cause psychosis include alcohol and some drugs, brain tumors, brain infections, and stroke. Treatment depends on the cause of the psychosis. It might involve drugs to control symptoms and talk therapy. [medlineplus.gov]
Brain diseases, such as Parkinson disease, Huntington disease Brain tumors or cysts Dementia (including Alzheimer disease ) HIV and other infections that affect the brain Some prescription drugs, such as steroids and stimulants Some types of epilepsy Stroke [nlm.nih.gov]
- Insomnia
Usually, the first symptom is insomnia. [epilepsy.com]
[…] control disorders and compulsions such as binge eating, compulsive shopping, hypersexuality and pathological gambling; confusion, constipation, delusion, dizziness, dyskinesia, fatigue, hallucinations, headache, hyperkinesias, hyperphagia, hypotension, insomnia [mt.glosbe.com]
Through English - Ailments and Body Conditions Ringworm दाद daad Psychosis मनोविक्षिप्ति manovikShipti Wart मस्सा massa One Eyed काना kanaa Long Sightedness दूरदृष्टि dooradrishti Sprain मोच, मोच आना moch, moch Ana Sinus साइनस sainas Sleep नींद ninad Insomnia [indiadict.com]
‘Chronic use of GHB may produce dependence and a withdrawal syndrome that includes anxiety, insomnia, tremor, and in severe cases, treatment-resistant psychoses.’ [en.oxforddictionaries.com]
- Headache
After he developed nausea and headache later that evening, the CT scan revealed a temporal bone fracture, pneumocephalus, intraparenchymal haemorrhage and the presence of a metal pen tip lodged in the brain parenchyma. [ncbi.nlm.nih.gov]
[…] dreams, amnesia, behavioural symptoms of impulse control disorders and compulsions such as binge eating, compulsive shopping, hypersexuality and pathological gambling; confusion, constipation, delusion, dizziness, dyskinesia, fatigue, hallucinations, headache [mt.glosbe.com]
Since the age of 35, the patient had experienced headaches, oculomotor symptoms like blurred vision and diplopia, tinnitus and vertigo. [f1000research.com]
Consider a scan when psychosis is comorbid with: age >40 neurologic complaints (such as headache, numbness, vertigo, seizures) focal neurologic findings (such as weakness, gait abnormality, clonus, or spasticity) confusion, cognitive deficit, history [mdedge.com]
- Difficulty Concentrating
The person may have difficulty concentrating, following a conversation or remembering things. His or her mind may race or appear to be processing information in slow motion. False Beliefs: False beliefs, known as delusions, are common. [medicine.yale.edu]
Characteristic symptoms are: Hallucinations: hearing voices or seeing visions Delusions: false beliefs or marked irrational suspicions of others Confused thinking: disorganized thoughts or speech, difficulty concentrating or understanding others People [nasmhpd.org]
concentrating a feeling that you're being controlled by something outside yourself feeling like time speeds up or slows down Just because you experience one or more of these symptoms, it doesn’t mean you’re definitely affected by psychosis. [youngminds.org.uk]
concentrating Depending on the cause, psychosis can come on quickly or slowly. [mind-diagnostics.org]
- Personality Change
A condition in which a person loses the ability to think, remember, learn, make decisions, and solve problems. Symptoms may also include personality changes and emotional problems. [icd9data.com]
Group 3 is characterized by mild mental retardation and late‐onset behavioural or personality changes. [doi.org]
An elderly person with this disease experiences chronic confusion and loss of memory and may experience paranoia or other personality changes. [britannica.com]
[…] and behavioral disorders due to known physiological condition F07.0 Personality change due to known physiological condition Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. [icd10data.com]
The symptoms of a single person do tend to be similar from episode to episode. [priory.com]
Workup
Psychiatric workup. If the history and physical exam reveal no organic basis, the next step is to determine the nature of this patient’s psychosis. [mdedge.com]
Comprehensive laboratory workup, drug screening, and diagnostic imaging were negative. Vital signs were stable. Other than the amputated finger tips, the remainder of her physical examination was unremarkable. [ncbi.nlm.nih.gov]
Endocrinology workup was negative for any obvious cause of hypoglycemia including insulinoma and extra pancreatic neoplasms. [priory.com]
Besides, other diagnostic workups failed to show any other reason for hepatitis. It is noteworthy that hepatitis with mildly elevated transaminase level is also a common finding in brucellosis [ 1 ]. [karger.com]
Treatment
All had undergone GA treatment with a minimum follow-up of 3 years. [ncbi.nlm.nih.gov]
PHASE‐SPECIFIC TREATMENT (ACE) + ANTIPSYCHOTICS vs TREATMENT AS USUAL Comparison 14. [doi.org]
Prognosis
Any effective early intervention is therefore likely to improve the long-term prognosis. [ 23 ] [patient.info]
Prompt recognition of the etiology of psychosis may improve treatment, consultation, and prognosis. [ncbi.nlm.nih.gov]
Abstract Objective : The objective is to provide an overview of the clinical features, prognosis, differential diagnosis, evaluation, and treatment of postpartum psychosis. [doi.org]
Etiology
Psychosis can be attributable to a combination of factors and etiologies, and all possible causes must be systematically examined. [ncbi.nlm.nih.gov]
Epidemiology
OBJECTIVE: To explore detailed epidemiologic information about PEs in a large multinational sample. [ncbi.nlm.nih.gov]
Pathophysiology
Current research is dealing with the delineation from "normality", the genetic underpinnings, and the causes and pathophysiology of the symptoms of psychosis. [ncbi.nlm.nih.gov]
The review outlines the role of endogenous NAAG at NMDAR neurotransmission and its putative role in the pathophysiology of schizophrenia. [doi.org]
Prevention
Needs-based intervention was compared with specific preventive intervention comprising low-dose risperidone therapy (mean dosage, 1.3 mg/d) and cognitive behavior therapy. [ncbi.nlm.nih.gov]
Prevention depends on the cause. For example, avoiding alcohol prevents psychosis caused by alcohol use. American Psychiatric Association. Schizophrenia spectrum and other psychotic disorders. In: American Psychiatric Association. [nlm.nih.gov]