1/5. Withdrawal psychosis: a study of 30 consecutive cases.A study was carried out of 30 consecutive patients with withdrawal psychosis who in the period 1972 to 1975 were admitted to a psychiatric department or were attended by the department while hospitalized in a somatic department. There was a clear majority of women among cases of psychosis following drug withdrawal (15 as against four) and a clear majority of men among cases of psychosis following alcohol withdrawal (nine as against two). Competing pathogenetic factors could be considered present in most cases in the last mentioned group. In most cases the abrupt cessation took place in conjunction with admission to hospital, most frequently surgical cases or cases of acute drug toxication. In other cases abrupt cessation was decided upon by the patient himself. Frequently predelirium treatment was either omitted or was given in the form of neuroleptics. Approximately a quarter of the patients initially denied their abuse. The study indicates that withdrawal psychosis can make its debut or become manifest at so late a stage as about the 14th day of the withdrawal phase following use of benzodiazepines and d-propoxiphene. It is further indicated that abrupt cessation of benzodiazepines taken in "therapeutic" doses for several years in some instances can give rise to a withdrawal psychosis.- - - - - - - - - - ranking = 1keywords = psychosis (Clic here for more details about this article) |
2/5. Massive doses of midazolam infusion for delirium tremens without respiratory depression.After undergoing replantation and revascularization surgery for a complex hand injury, a 25-yr-old male developed florid delirium tremens. Over a 5-day period, he received 2850 mg of midazolam as a constant infusion of varying rates. The midazolam controlled his severe agitation without respiratory depression and the hand reconstruction survived undamaged.- - - - - - - - - - ranking = 0.00028238989954863keywords = depression (Clic here for more details about this article) |
3/5. beer potomania: an unusual cause of symptomatic hyponatremia.A 43-year-old woman presented to the emergency department with acute agitation, confusion, and tonic seizures. She had a history of drug abuse, most notably beer, which constituted her major dietary intake. The patient's seizures were at first thought to be factitious in association with an acute psychosis; however, her serum sodium concentration was 110 mEq/L and urine sodium was 14 mEq/L. The patient responded to IV hypertonic saline and subsequently recovered completely. beer potomania, the most likely etiology for this patient's hyponatremia, is a rare disorder in which dietary sodium and protein insufficiency lead to dilutional hyponatremia.- - - - - - - - - - ranking = 0.11111111111111keywords = psychosis (Clic here for more details about this article) |
4/5. Fat embolism syndrome in delirium tremens.delirium tremens in a common feature in the alcoholic population. The Fat embolism Syndrome (FES) is characterized by fever, encephalopathy, respiratory failure and skin petechiae. Fat embolism has been associated with alcoholics but the diagnosis was apparent only at autopsy. We present an alcoholic male who developed delirium tremens unresponsive to therapy, followed by features of the FES. Asterixis and Korsakoff's psychosis are newly described features of this syndrome. Corticosteroids were a definitive therapy in this case.- - - - - - - - - - ranking = 0.11111111111111keywords = psychosis (Clic here for more details about this article) |
5/5. Twenty psychotic males with Klinefelter's syndrome.Twenty males with Klinefelter's syndrome discharged from psychiatric hospitals with diagnoses classified as psychosis are presented. It is concluded that the higher frequency of psychoses in males with the klinefelter syndrome most probably is due to reactive psychosis. personality traits commonly found in these males may explain this. The importance of early diagnosis of the klinefelter syndrome is stressed, as it is believed that treatment and advice in due time may prevent most of the reactive psychoses.- - - - - - - - - - ranking = 0.22222222222222keywords = psychosis (Clic here for more details about this article) |