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
- Epilepsy
KEYWORDS: Alternative psychosis; interictal psychosis; neuroleptic drugs; postictal psychosis; temporal lobe epilepsy; treatment-resistant epilepsy [ncbi.nlm.nih.gov]
The Psychoses of Epilepsy. New York : Raven Press ; 1991. 2. Hill, D. Psychiatric disorders of epilepsy. Med Press. 1953 ; 229 : 473 – 475. 3. Slater, E, Beard, AW, Glithero, E. The schizophrenia-like psychosis of epilepsy. [dx.doi.org]
The schizophrenia-like psychosis of epilepsy, which is believed to affect between 2% and 8% of patients with long-standing complex partial seizures, has been associated primarily with temporal lobe epilepsy (TLE). [epilepsy.com]
- Asymptomatic
Psychiatric Symptoms in Asymptomatic HIV-1 Infection Several controlled studies have shown that asymptomatic HIV-1 infection is not associated with increased depression or anxiety symptoms. [acnp.org]
Abstract To the editor: Fatal or life-threatening infections in asymptomatic and symptomatic splenectomised patients with Hodgkin's disease have been reported (1-4). [annals.org]
Many reports exist of asymptomatic individuals with plasma glucose levels of 35 mg/dL or lower and of individuals who are symptomatic with glucose levels in the normal range. [priory.com]
Pratt DS, Kaplan MM: Evaluation of abnormal liver-enzyme results in asymptomatic patients. N Engl J Med 2000;342:1266-1271. Kaplowitz N: Drug-induced liver injury. Clin Infect Dis 2004;38(suppl 2):S44-S48. [karger.com]
Conclusions In our asymptomatic patients the use of Ecstasy is followed by psychosis and increasing impulsive and violent behaviors. [ncbi.nlm.nih.gov]
- Swelling
Places where infection occurs -- and their signs -- may include: Ears: pain and discharge Skin: rash, which can include pimples filled with pus Eyes: pain, redness, swelling Bones or joints: joint pain and swelling; neck or back pain that lasts weeks [webmd.com]
Rash, urticaria, and reactions consistent with angioedema (e.g., tongue swelling, circumoral edema, throat tightness, and dyspnea) have been reported. QT Interval Prolongation: NUPLAZID prolongs the QT interval. [acadia-pharm.com]
Symptoms may include: swelling ear pain itching inside the ear discharge from the ear difficulty hearing Eye Symptoms of an eye infection may include: inflammation pus pain swelling redness impaired vision Pseudomonas infections can be very aggressive [healthline.com]
Smoking marijuana can lead to more than a euphoric high, and has been linked to long-lasting delusions, mouth swelling and several other surprising effects, according to a new review of research on the recreational use of the drug. [livescience.com]
This is the most common form of Pseudomonas infection of the ear and is most commonly found in the tropics: patients present with pain, swelling and redness of the external portions of the ear as well as purulent discharge. [dermnetnz.org]
- Camping
Echeguren fled the soccer camp and ran home, terrified the police were on his heels. He tried to explain to his mom what was happening, but the words wouldn’t come out right. [blackvoicenews.com]
Director: Jeffery Scott Lando Stars: Charisma Carpenter, Marcus Lyle Brown, Ricky Wayne Edit Storyline In 1992 a group of young Anarchists braved the snow covered wilderness to set up camp against the construction of a motorway by-pass. [imdb.com]
It is important to note that DA-R subtypes have opposite effects on synaptic gain: D 1 R activation stimulates cAMP production and increases the excitability of depolarized neurons, whereas D 2 R activation inhibits cAMP production and reduces gain (reviewed [doi.org]
Pyrroloquinoline quinone stimulates mitochondrial biogenesis through cAMP response element-binding protein phosphorylation and increased PGC-1alpha expression. [ncbi.nlm.nih.gov]
Impaired magnesium-dependent adenyl cyclase generation of cyclic adenosine monophosphate (cAMP) mediates the decreased release of PTH. [39] Skeletal resistance to this hormone in magnesium deficiency has also been implicated. [emedicine.com]
- Hypersomnia
Central Hypersomnia. Seminars in Pediatric Neurology, Vol. 22, Issue. 2, p. 93. CrossRef Google Scholar Rabeyron, Thomas and Loose, Tianna 2015. [doi.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]
- Persecutory Delusion
Persecutory delusions and auditory hallucinations are the most consistent symptoms of METH-associated psychosis (MAP). MAP has largely been studied in Asian populations and risk factors have varied across studies. [ncbi.nlm.nih.gov]
For example, a person with bipolar disorder is more likely to have grandiose delusions. Someone with depression or schizophrenia is more likely to develop persecutory delusions. [nhs.uk]
"[9] In the DSM-IV-TR, persecutory delusions are the main feature of the persecutory type of delusional disorder. [en.wikipedia.org]
Psychosis from cocaine or amphetamine use typically produces persecutory delusions. Hallucinogens can, of course, cause visual, auditory, and tactile hallucinations, but this is not the same as psychosis. [americanaddictioncenters.org]
Neurologic
- Agitation
Approximately 50% to 80% of persons diagnosed with Alzheimer's disease (AD) have some type of behavioral or psychiatric condition (eg, agitation, psychosis, and/or disinhibition). [ncbi.nlm.nih.gov]
Because of severe agitation patient was given 6 mg of ativan in divided doses, which controlled his agitation for only a brief period of time before he became combative again. Stat neurological and medical consultations were sought. [priory.com]
- 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]
- Irritability
Agitation is defined in the context of restlessness, irritability, and resistiveness. Psychosis is recognized as a disturbance in the perception of objective reality. Disinhibition means a chronic loss of social restraint. [ncbi.nlm.nih.gov]
Finally, a link with functional disorders (irritable bowel syndrome and fibromyalgia) is a topic under discussion. [doi.org]
[…] the person may think that others are against him or talking about him think that he is receiving personal messages from the TV or radio experience heightened senses hear voices think that they have special powers Feeling – the person may feel sad and irritable [imh.com.sg]
[…] that is evinced by accelerated, loud, and voluble speech; heightened enthusiasm, confidence, and optimism; rapid and disconnected ideas and associations; rapid or continuous motor activity; impulsive, gregarious, and overbearing behaviour; heightened irritability [britannica.com]
This is especially important if they are in a manic episode or having hallucinations, because they may also become, in rare circumstances, irritable and/or aggressive. [metro.co.uk]
- 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]
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]