PsychosisandSchizophreniaDifferentialDiagnosis：精神病和精神分裂症的鉴别诊断.pptVIP

Psychosis and Schizophrenia: Differential Diagnosis William R. Yates, M.D. Professor of Research OU College of Medicine, Tulsa Laureate Research Center Brain Cortex in Schizophrenia Psychotic Disorders-Overview Common signs symptoms Case vignettes Differential Diagnosis Medications and psychotic symptoms Management principles Psychopharmacologic overview Objectives Describe the common symptoms of psychosis List the key differential diagnoses for psychotic symptoms Describe the criteria for schizophrenia Outline a treatment plan for management of acute and chronic psychotic disorders Psychiatric exam-simplified Cognitive impairment? Psychotic symptoms/disorder? Mood disorder? Anxiety disorder? Substance use disorder? Differential Diagnosis: Psychosis Psychosis due to medical disorder? Psychosis due to medication? Psychosis due to drug/alcohol intoxication or withdrawal? Psychotic depression or mania? Psychosis of schizophrenia? Delusional disorder? Case Vignette #1 BT was recently admitted for fever, bloody diarrhea and following colonoscopy diagnosed with inflammatory bowel disease. He was admitted, placed on IV antibiotics and high dose corticosteroids. His medical condition improved and he was discharged. However, soon after returning home, his wife calls in the middle of the night. She found her husband up wandering around. He appears confused, agitated and reports he hears the voice of God telling him to prepare to become the next Messiah. His wife asks what she should do. Case Vignette #2 BF is a 72 year old women who lives alone. Her daughter brings her in for evaluation after she is noted to be more disorganized and agitated. She has told her daughter that her purse and money have been stolen. She also reports seeing small miniature men sneaking into her apartment and taking her things during the evening. Case Vignette #3 You are asked to evaluate a 40 year old man admitted to the hospital for fever and abdominal pain. He resides in a nursing hom