Conversion disorder: Difference between revisions

(Created page with "'''<big>Background</big>''' * One or more symptoms that involve motor or sensory neurologic function believed to be related to a psychiatric condition. * The sympt...")
 
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'''<big>Background</big>'''
==Background==
      * One or more symptoms that involve motor or sensory neurologic function believed to be related to a psychiatric condition.
* One or more symptoms that involve motor or sensory neurologic function believed to be related to a psychiatric condition.
      * The symptoms are not intentionally produced
* The symptoms are not intentionally produced
      * '''Diagnosis of exclusion'''
* '''Diagnosis of exclusion'''
      * Often associated with patient who is unconcerned or neutral to the loss of motor/sensory function
* Often associated with patient who is unconcerned or neutral to the loss of motor/sensory function


'''<big>Differential Diagnosis</big>'''
==Differential Diagnosis==
      * Malingering
* Malingering
      * [[Hypokalemic_periodic_paralysis|Hypokalemic Periodic Paralysis]]
* [[Hypokalemic_periodic_paralysis|Hypokalemic Periodic Paralysis]]
      * [[Multiple_Sclerosis|Multiple Sclerosis]]
* [[Multiple_Sclerosis|Multiple Sclerosis]]
      * [[Myasthenia_Gravis|Myasthenia Gravis]]
* [[Myasthenia_Gravis|Myasthenia Gravis]]
      * [[CVA|Stroke]]
* [[CVA|Stroke]]
      * [[Guillain-Barre_Syndrome|Guillain-Barre Syndrome]]
* [[Guillain-Barre_Syndrome|Guillain-Barre Syndrome]]
      * Spinal Impingement/Epidural Abscess
* Spinal Impingement/Epidural Abscess


'''<big>Diagnostic Studies</big>'''
==Diagnostic Studies==
      * All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology
* All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology


'''<big>Treatment</big>'''
==Treatment==
      * No current treatment, often symptoms will resolve if psychiatric connection is made to patient.
* No current treatment, often symptoms will resolve if psychiatric connection is made to patient.
      * Co-treatment of associated psychiatric syndromes
* Co-treatment of associated psychiatric syndromes


'''<big>Disposition</big>'''
==Disposition==
      * Can often be discharged from ED if good support system, consider admission for psychiatric evaluation.
* Can often be discharged from ED if good support system, consider admission for psychiatric evaluation.
      * Set up close psychiatric or neurology follow up
* Set up close psychiatric or neurology follow up


'''<big>Authors</big>'''
==Authors==


[[User:Dx316gol|Babak Missaghi]]
[[User:Dx316gol|Babak Missaghi]]

Revision as of 03:23, 17 January 2015

Background

  • One or more symptoms that involve motor or sensory neurologic function believed to be related to a psychiatric condition.
  • The symptoms are not intentionally produced
  • Diagnosis of exclusion
  • Often associated with patient who is unconcerned or neutral to the loss of motor/sensory function

Differential Diagnosis

Diagnostic Studies

  • All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology

Treatment

  • No current treatment, often symptoms will resolve if psychiatric connection is made to patient.
  • Co-treatment of associated psychiatric syndromes

Disposition

  • Can often be discharged from ED if good support system, consider admission for psychiatric evaluation.
  • Set up close psychiatric or neurology follow up

Authors

Babak Missaghi

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