Mental Health Book

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Psychosis Differential Diagnosis

Aka: Psychosis Differential Diagnosis, Psychosis Cause, Primary psychosis, Secondary Psychosis, Organic Psychosis
  1. See Also
    1. Psychosis
    2. Psychosis Symptoms
    3. Psychosis Exam
    4. Psychosis Types
    5. Drug Induced Psychosis
    6. Psychosis Diagnostic Testing
    7. Schizophrenia
    8. Schizophrenia Diagnosis
    9. Delirium
  2. Differential Diagnosis: Psychiatric Conditions
    1. Schizophrenia
      1. Psychosis for >6 months, with an acute phase lasting one month or more
    2. Schizophreniform Disorder
      1. Psychosis Symptoms for >1 month and <6 months
      2. Consistent with Schizophrenia, but <6 months duration
    3. Schizoaffective disorder
      1. Psychosis with active phase symptoms for 1 month with concurrent Mood Disorder
      2. No Alcohol Dependence
    4. Schizotypal Personality Disorder
      1. Persistent personality features that do not meet criteria for Schizophrenia and related conditions
    5. Delusional disorder
      1. Non-bizarre Delusions without Hallucinations for 1 month
      2. No Alcohol Dependence
    6. Brief Psychotic Disorder
      1. Delusions, Hallucinations and Disorganized Speech or behavior for at least one day, but less than one month
    7. Shared Psychotic Disorder
      1. Folie a deux
    8. Autism spectrum disorder (or communication disorders)
      1. Social interaction deficits with repetitive and restricted behaviors
    9. Bipolar I Disorder
      1. Psychosis with manic phase
      2. Presents with 7 days or more of elevated or expansive mood, decreased sleep, goal directed activity
    10. Major Depression
      1. Psychotic depression or drug resistant depression with Psychosis limited to times of Mood Disorder
    11. Postpartum Psychosis
      1. Brief Psychotic Disorder onset during pregnancy or within 4 weeks of delivery
    12. Posttraumatic Stress Disorder
      1. Psychotic symptoms related to reaction to precipitating event
    13. Obsessive Compulsive Disorder and Body Dysmorphic Disorder
      1. Significant Obsessions, compulsions or preoccupations related to body or associated repetitive behaviors
  3. Differential Diagnosis: Organic Conditions (Secondary Psychosis)
    1. Drug Induced Psychosis
      1. See Drug Induced Psychosis
      2. Medication toxicity
      3. Substance Abuse
    2. Medications and Antibiotics (Antibiomania)
      1. Clarithromycin
      2. Ciprofloxacin
      3. Corticosteroids
    3. Electrolyte disturbance
      1. Hyponatremia
      2. Hypercalcemia
      3. Hypocalcemia
      4. Hypomagnesemia
    4. Endocrine and Metabolic disorders
      1. Hypoglycemia (or Hyperglycemia)
      2. Hypothyroidism or Hyperthyroidism
      3. Cushing Syndrome
      4. ACTH Producing Lung Cancer
      5. Hyperparathyroidism
      6. Acute intermittent porphyria
      7. Adult onset Tay-Sachs
      8. Wilson Disease
    5. Infectious disorders
      1. Sepsis
      2. HIV Infection
      3. Syphilis (neurosyphillis)
      4. Encephalitis
    6. Neurologic disorders
      1. Hepatic Encephalopathy
      2. Delirium
      3. Dementia (e.g. Alzheimer Disease, Lewy Body Dementia)
      4. Tic Disorder
      5. Huntington's Chorea
      6. Temporal Lobe Epilepsy (or other Seizure Disorder)
      7. Brain Tumor
      8. Multiple Sclerosis
      9. Parkinson Disease
    7. Miscellaneous conditions
      1. Vitamin B1 Deficiency (Thiamine deficiency)
      2. Vitamin B3 Deficiency (Niacin Deficiency)
      3. Vitamin B12 Deficiency
      4. Systemic Lupus Erythematosus
      5. Porphyria
      6. ICU Psychosis
      7. Sleep Deprivation (e.g. Sleep Apnea)
    8. Malignancy
      1. Ovarian Teratoma
      2. Small Cell Lung Cancer
      3. Paraneoplastic limbic Encephalitis
  4. References
    1. (2013) DSM V, American Psychiatric Association, p. 99
    2. (2000) DSM IV, American Psychiatric Association, p. 297-343
    3. Freedman (2003) N Engl J Med 349:1738-49 [PubMed]
    4. Griswold (2015) Am Fam Physician 91(12):856-63 [PubMed]
    5. Holder (2014) Am Fam Physician 90(11): 775-82 [PubMed]
    6. Schultz (2007) Am Fam Physician 75:1821-9 [PubMed]

Organic psychotic conditions (chronic), other (C0154336)

Concepts Mental or Behavioral Dysfunction (T048)
ICD9 294
English Other organic psychotic conditions (chronic), Organic psychotic conditions (chronic), other, Other chronic organic psychotic conditions, Other organic psychotic conditions, Persistent mental disorders due to conditions classified elsewhere
Dutch organische psychotische aandoeningen (chronisch), andere, andere organische psychotische aandoeningen (chronisch)
French Autres troubles psychotiques organiques (chroniques), Autres conditions psychotiques organiques chroniques
German organische psychotische Stoerungen (chronisch), organische psychotische Stoerungen (chronisch), sonstige
Italian Altri stati (cronici) psicotici organici, Altri stati psicotici organici (cronici)
Portuguese Situações (crónicas) de psicose orgânica, outras, Outras situações psicóticas orgânicas (crónicas)
Spanish Otras enfermedades psicóticas orgánicas (crónicas)
Japanese 器質精神病状態(慢性)、その他, キシツセイシンビョウジョウタイマンセイソノタ
Czech Jiné organické psychotické stavy (chronické), Organické psychotické stavy (chronické), jiné
Hungarian Egyéb szervi psychotikus állapotok (chronikus), Organicus psychotikus állapotok (chronikus), egyéb
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Psychotic disorder due to a general medical condition (C0748076)

Definition (NCI) A psychotic disorder characterized by prominent hallucinations or delusions that have been determined to be etiologically linked to a general medical condition.
Concepts Mental or Behavioral Dysfunction (T048)
Italian Disturbo psicotico dovuto a condizione medica sistemica, Disturbo psicotico dovuto a condizione medica sistemica NAS
Dutch psychotische stoornis ten gevolge van een algemene medische conditie NAO, psychotische stoornis ten gevolge van een algemene medische conditie
French Trouble psychotique dû à une affection médicale SAI, Trouble psychotique dû à une affection médicale
German Psychose aufgrund einer Allgemeinerkrankung NNB, Psychose aufgrund einer Allgemeinerkrankung
Portuguese Perturbação psicótica devida a quadro do foro médico NE, Perturbação psicótica devida a quadro do foro médico
Spanish Trastorno psicótico por causa de condición médica general NEOM, Trastorno psicótico por causa de condición médica general
Japanese 身体疾患による精神病性障害NOS, 身体疾患による精神病性障害, シンタイシッカンニヨルセイシンビョウセイショウガイ, シンタイシッカンニヨルセイシンビョウセイショウガイNOS
English psychotic disorder due to general medical condition, psychotic disorder due to general medical condition (diagnosis), Psychotic disorder due to a general medical condition NOS, Psychotic Disorder Due to a General Medical Condition, Psychotic disorder due to a general medical condition
Czech Psychotická porucha způsobená celkovým zdravotním stavem, Psychotická porucha způsobená celkovým zdravotním stavem NOS
Hungarian Általános egészségi állapot okozta psychotikus betegség k.m.n., Általános betegséghez társuló psychotikus zavar
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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