medine and surgery notes

Apr 24th, 2015
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OTHER PSYCHOTIC DISORDER SCHIZOPHRENIFORM DISORDER-Similar to schizophrenia but symptoms lastbetween 1-6 monthsEPIDEMIOLOGYLittle is known about incidence, prevalence or sexratio of schizophreniform disorderThe relatives of pt with schizophreniform disorderare more likely to have mood disorder than arerelatives of patient with schizophreniaSCHIZOPHRENIFORM DISORDERCONT ETIOLOGYThe cause is unknownData indicate pt with schizophreniform has a better outcome than ptwith schizophreniaDIAGNOSTIC AND CLINICAL FEATURES-Typical presentation of schizophreniform disorder is rapid onsetwithout prodromal symptoms+ve and ve symptom may be presentSpeech may be grossly disorganised or incoherentBehavior may be disorganised or catatonicOccassonally the symptoms may be insidious with impairment ofpremorbid functioning similar to schizophrenia (differentiated byduration of symptoms)Pt usually returns to baseline functioning by the end of 6 monthsCONT DIFFERENTIAL DIAGNOSIS-Brief psychotic disorder(symptom last 1-30days)-Schizophrenia symptoms >6 monthsSubstance induced( do toxicology test)Mood disorder with psychotic features (difficultto differentiate)CONT COURSE AND PROGNOSIS-It is a psychotic disorder lasting >1month and<6monthMost pt with schizophreniform disorder (6080%)progresses to schizophreniaWhat happens to 20-40% is unknownTREATMENT Hospitalization is important to allow effectiveassessment,treatment and supervision of p

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