By Gisela Gross, Gerd Huber, Joachim Klosterkötter, Maria Linz (auth.)
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Extra info for BSABS: Dokumentationsbogen
Sleep deprivation iii. Heat, Electricity, Radiation A Short Textbook of Psychiatry 22 for thiamine deficiency, and IV fluids for fluid and electrolyte imbalance. 3. Symptomatic measures: As many patients are agitated, emergency psychiatric treatment may be needed. Small doses of benzodiazepines(lorazepam or diazepam) or antipsychotics (haloperidol or risperidone) may be given either orally or parenterally. Maintenance treatment can continue till recovery occurs, usually within a week’s time. There is an increased risk of stroke in elderly patients with dementia with prescription of atypical antipsychotics such as olanzapine and risperidone.
Migraine. 6. Epilepsy: Complex partial seizures. 7. Intracranial space occupying lesions. 8. Temporal arteritis. 9. Brain stem lesions (peduncular hallucinosis). Management 1. Treatment of the underlying cause, if treatable. 2. Symptomatic treatment with a low dose of an antipsychotic medication (such as Haloperidol, Risperidone and Olanzapine) may be needed. Organic (Including Symptomatic) Mental Disorders ORGANIC CATATONIC DISORDER According to the ICD-10, the following features are required for the diagnosis of organic catatonic disorder, in addition to the general guidelines for the diagnosis of other organic mental disorders, described earlier: 1.
Ii. Poor attention span and distractibility. iii. Visual (and also auditory) hallucinations and illusions, which are often vivid and very frightening. Tactile hallucinations of insects crawling over the body may occur. iv. Marked autonomic disturbance with tachycardia, fever, hypertension, sweating and pupillary dilatation. v. Psychomotor agitation and ataxia. vi. Insomnia, with a reversal of sleep-wake pattern. vii. Dehydration with electrolyte imbalance. Death can occur in 5-10% of patients with delirium tremens and is often due to cardiovascular collapse, infection, hyperthermia or self-inflicted injury.