1/5. Evaluation and treatment of mental disorders in patients with AIDS.Mental symptoms are common in patients with AIDS. Optimal management involves the identification and treatment of underlying mental disorders rather than symptomatic treatment alone. Organic mental disorders are very frequent in AIDS, particularly with seriously ill patients who are medical inpatients. There is a high priori probability that such common symptoms as agitation, irritability, and insomnia will be caused by an organic mental disorder. psychopharmacology in the patient with AIDS requires considerable caution. Lower doses and careful surveillance for subtle neuropsychiatric side effects are necessary. Routine medical contact with a compassionate physician may be of inestimable value to the patient in coping with the fear and dread that surround the illness.- - - - - - - - - - ranking = 1keywords = mental disorder (Clic here for more details about this article) |
2/5. delirium: masquerades and misdiagnosis in elderly inpatients.delirium is an organic mental disorder defined as transient, fluctuating global dysfunction of cognition. It is common in elderly medical inpatients, yet its varied presentation is often missed or misdiagnosed.- - - - - - - - - - ranking = 0.14285714285714keywords = mental disorder (Clic here for more details about this article) |
3/5. A patient with insulinoma presenting for psychiatric assessment.A case of insulinoma referred for psychiatric assessment illustrates the need for a high index of suspicion of organic mental disorder even in patients who have undergone previous extensive medical investigation. The diagnostic difficulties illustrate the need for persistence and cooperation between specialists in such cases.- - - - - - - - - - ranking = 0.14285714285714keywords = mental disorder (Clic here for more details about this article) |
4/5. Psychotic states associated with disorders of thyroid function.Thyroid-related psychoses continue to pose diagnostic and treatment challenges for clinicians. Two case histories illustrate diverse clinical states associated with hyper- and hypo-thyroidism respectively and highlight the need to consider the possibility of thyroid disorder in all patients presenting with acute psychotic mental disorder. They also demonstrate treatment methods directed at control of psychotic symptoms and restoration of an euthyroid state.- - - - - - - - - - ranking = 0.14285714285714keywords = mental disorder (Clic here for more details about this article) |
5/5. pellagra: unusual cause of paranoid delirium in dialysis.A 60-year-old woman treated by maintenance haemodialysis refused to take part of the usual vitamin supplements for many years. After an intercurrent illness with profound malnutrition, she developed a paranoid delirium and some behavioural disorders; concomitant diarrhoea and a skin rash were noted. Parenteral nicotinamide (500 mg/day) resulted in a complete recovery from the mental disorders after five days. Other causes of mental disturbance as a result of dialysis could be ruled out. However an asymptomatic underlying hypothyroidism may have been one of the conditioning factors as well as the failure to administer nicotinamide supplements during an acute illness. Neurological pellagra could thus be considered as a rare but reversible cause of mental disorders in patients on maintenance haemodialysis.- - - - - - - - - - ranking = 0.28571428571429keywords = mental disorder (Clic here for more details about this article) |