Schizophreniform disorder - Revision history

ClaireLewis at 15:02, 11 October 2019

2019-10-11T15:02:26Z

← Older revision		Revision as of 15:02, 11 October 2019
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	==Background==		==Background==
	*A mental disorder with characteristic symptoms identical to [[schizophrenia]], distinguished by the total duration of illness of at least 1 month but less than 6 months		*A mental disorder with characteristic symptoms identical to [[schizophrenia]], distinguished by the total duration of illness of at least 1 month but less than 6 months
			**Be wary of diagnostic overshadowing (e.g. erroneously attributing symptoms to psychiatric disorder when etiology is in fact organic)
			**Patients with serious mental illness have significantly higher rates of stroke<ref>Leucht S, Burkand T, Henderson J, Maj M, Sartorius N (2007) Physical illness and schizophrenia: a review of the literature. Acta Psychiatr Scand 116: 317– 333</ref>, CAD<ref>Leucht S, Burkand T, Henderson J, Maj M, Sartorius N (2007) Physical illness and schizophrenia: a review of the literature. Acta Psychiatr Scand 116: 317– 333. </ref>, DM<ref>Mai Q, D’Arcy C, Holman J, Sanfilippo FM, Emery JD, et al. (2011) Mental illness related disparities in diabetes prevalence, quality of care and outcomes: a population-based longitudinal study. BMC Med 9: 118.
			</ref>, cancer<ref>https://www.cdc.gov/mentalhealth/data_stats/mental-illness.htm</ref>, HIV, HCV<ref>Disability Rights Commission (2006) Equal Treatment: Closing the Gap. A Formal Investigation into Physical Health Inequalities Experienced by People with Learning Disabilities and/or Mental Health Problems. Disability Rights Commission. London.</ref>

	==Clinical Features==		==Clinical Features==
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	*[[Encephalitis]]		*[[Encephalitis]]
	*[[Thyroid (Main)]]		*[[Thyroid (Main)]]
	*Toxin ingestion		*[[Toxicology (main)\|Toxin ingestion]]
	*Medication effect		*Medication effect

	==Evaluation==		==Evaluation==
	*Rule out other organic causes including substance abuse, medication effect or other medical conditions. Consider emergency psychiatric evaluation in addition to medical evaluation.		*Rule out other organic causes/exacerbating factors including substance abuse, medication effect or other medical conditions.
			*Consider emergency psychiatric evaluation in addition to medical evaluation.

	{{General ED Psychiatric Workup}}		{{General ED Psychiatric Workup}}

Mholtz at 22:17, 21 October 2017

2017-10-21T22:17:28Z

← Older revision		Revision as of 22:17, 21 October 2017
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	==Background==		==Background==
	A mental disorder with characteristic symptoms identical to [[schizophrenia]], distinguished by the total duration of illness of at least 1 month but less than 6 months		*A mental disorder with characteristic symptoms identical to [[schizophrenia]], distinguished by the total duration of illness of at least 1 month but less than 6 months

	==Clinical Features==		==Clinical Features==
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	==Evaluation==		==Evaluation==
	Rule out other organic causes including substance abuse, medication effect or other medical conditions. Consider emergency psychiatric evaluation in addition to medical evaluation.		*Rule out other organic causes including substance abuse, medication effect or other medical conditions. Consider emergency psychiatric evaluation in addition to medical evaluation.

	{{General ED Psychiatric Workup}}		{{General ED Psychiatric Workup}}
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	==Disposition==		==Disposition==
	*~~Home with outpatient psychiatric services~~ if ~~stable, versus inpatient~~ psychiatric ~~admission if unstable~~		*Generally may be discharged
			*May require admission if unable to care for self or other indication for psychiatric hold

	==See Also==		==See Also==
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	==External Links==		==External Links==


	==References==		==References==

Rossdonaldson1: /* Clinical Features */

2016-11-13T19:33:55Z

Clinical Features

← Older revision		Revision as of 19:33, 13 November 2016
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	**4. Grossly disorganized or catatonic behavior		**4. Grossly disorganized or catatonic behavior
	**5. Negative symptoms (i.e., diminished emotional expression or avolition)		**5. Negative symptoms (i.e., diminished emotional expression or avolition)
	*B. An episode of the disorder lasts at least 1 month but less than 6 months. When the diagnosis must be made without waiting for recovery, it should be qualified as ~~“provisional~~.”		*B. An episode of the disorder lasts at least 1 month but less than 6 months. When the diagnosis must be made without waiting for recovery, it should be qualified as “provisional.”
	*C. [[Schizoaffective disorder]] and depressive or bipolar disorder with psychotic features have been ruled out because either 1) no major depressive or manic episodes have occurred concurrently with the active-phase symptoms, or 2) if mood episodes have occurred during active-phase symptoms, they have been present for a minority of the total duration of the active and residual periods of the illness.		*C. [[Schizoaffective disorder]] and depressive or bipolar disorder with psychotic features have been ruled out because either:
			**1) no major depressive or manic episodes have occurred concurrently with the active-phase symptoms, or
			**2) if mood episodes have occurred during active-phase symptoms, they have been present for a minority of the total duration of the active and residual periods of the illness.
	*D. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.		*D. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

Rossdonaldson1: /* Differential Diagnosis */

2016-11-13T19:32:36Z

Differential Diagnosis

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	*Toxin ingestion		*Toxin ingestion
	*Medication effect		*Medication effect

	~~===Nonorganic Causes===~~
	*Mood Disorder

	==Evaluation==		==Evaluation==

Humanguy: Created Page

2016-11-11T01:31:11Z

Created Page

New page

==Background==
A mental disorder with characteristic symptoms identical to [[schizophrenia]], distinguished by the total duration of illness of at least 1 month but less than 6 months

==Clinical Features==
*A. Two (or more) of the following, each present for a significant portion of time during a 1 month period (or less if successfully treated). At least one of these must be (1), (2), or (3):<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>
**1. Delusions
**2. Hallucinations
**3. Disorganized speech (e.g., frequent derailment or incoherence)
**4. Grossly disorganized or catatonic behavior
**5. Negative symptoms (i.e., diminished emotional expression or avolition)
*B. An episode of the disorder lasts at least 1 month but less than 6 months. When the diagnosis must be made without waiting for recovery, it should be qualified as “provisional.”
*C. [[Schizoaffective disorder]] and depressive or bipolar disorder with psychotic features have been ruled out because either 1) no major depressive or manic episodes have occurred concurrently with the active-phase symptoms, or 2) if mood episodes have occurred during active-phase symptoms, they have been present for a minority of the total duration of the active and residual periods of the illness.
*D. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

==Differential Diagnosis==
{{Psychiatric Disorders with Psychotic Symptoms DDX}}

===Organic Causes===
*[[Meningitis]]
*[[Encephalitis]]
*[[Thyroid (Main)]]
*Toxin ingestion
*Medication effect

===Nonorganic Causes===
*Mood Disorder

==Evaluation==
Rule out other organic causes including substance abuse, medication effect or other medical conditions. Consider emergency psychiatric evaluation in addition to medical evaluation.

{{General ED Psychiatric Workup}}

==Management==
{{General ED Psychiatric Management}}

==Disposition==
*Home with outpatient psychiatric services if stable, versus inpatient psychiatric admission if unstable

==See Also==
*[[Acute psychosis]]
*[[Schizophrenia]]
*[[Meningitis]]
*[[Encephalitis]]
*[[Schizoaffective disorder]]

==External Links==

==References==
<references/>

[[Category:Psychiatry]]