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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com


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viernes, 29 de mayo de 2015

Paciente psiquiátrico


emDocs - May 28, 2015 - Author: D’Orazio J // Edited by: Koyfman A & Long B

"Take Home Points
  • Adult patients with no previously diagnosed psychiatric disorder presenting with a primary psychiatric complaint have a higher incidence of an underlying medical condition than those with a history of psychiatric disease.
  • Have a high suspicion for underlying medical conditions in elderly patients presenting with psychiatric complaints. Infections, electrolyte abnormalities, and medication side effects are common causes of altered mental status that mimic psychiatric disease in the elderly.
  • Look for signs of thyroid disease in patients with new-onset psychiatric symptoms.
  • Patients with abnormal vital signs, delirium, altered cognition, or abnormal physical exam findings are likely to have an underlying medical condition causing a psychiatric complaint.
  • Consider CT of the brain for patients with altered mental status, focal neurological deficits, trauma, advanced age, and immunodeficiency.
  • A positive finding on urine drug screening does not indicate acute intoxication.
  • Look for signs of alcohol and benzodiazepine withdrawal including tachycardia, hypertension, tremor and agitation.
  • Rapid lowering of blood pressure can be harmful to patients."