Syphilis has been called the “great imitator” because of the plethora of signs and symptoms it presents . Neurosyphilis can present with neuropsychiatric symptoms ranging from abnormal pupillary reflex to complex constellations manifesting cognitive, psychotic, and mood dysfunction . However, some patients remain asymptomatic.
Abstract: Objective: To describe eating disorders inpatients with severe medical complications and elucidate the problems in managing them on a psychiatric ward.Method: Of the 111 eating disorders patients hospitalized on our psychiatric ward from January 2005 to December 2012, 9 had eating disorders with severe medical complications. Through chart review and computerized data collection, we retrospectively evaluated patient clinical data.Result: All 9 patients were women, with a mean age of 22.4±5.7 years, mean body weight of 26.2±3.0 kg, and mean body mass index of 10.5±1.5 on admission. Severe medical complications commonly seen were severe hypoglycemia, refeeding syndrome, coagulation abnormality, and severe liver dysfunction.
Abstract: Objective: We describe risk factors associated with patients experiencing physical restraint or seclusion in the psychiatric emergency service (PES).Methods: We retrospectively reviewed medical records, nursing logs and quality assurance data for all adult patient encounters in a PES over a 12-month period (June 1, 2011–May 31, 2012). Descriptors included demographic characteristics, diagnoses, laboratory values, and clinician ratings of symptom severity. ?2 and multivariate logistic regression analyses were performed.Results: Restraint/seclusion occurred in 14% of 5335 patient encounters
Abstract: Objective: To review the current evidence about psychiatric symptoms in Wilson’s disease (WD).Method: We searched Ovid, PsychInfo, CINHAL and PubMed databases from May 1946 to May 2012 using the key words Wilson(‘s) disease in combination with psychiatry, psychiatric, psychosis, schizophrenia, depression, mania, bipolar, mood, anxiety, personality and behavior.Results: Psychiatric symptoms occur before, concurrent with or after the diagnosis and treatment for WD. Thirty to forty percent of patients have psychiatric manifestations at the time of diagnosis, and 20% had seen a psychiatrist prior to their WD diagnosis.