Physical Illness Presenting as Psychiatric Disease

doi:10.1001/archpsyc.1978.01770350041003

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Vol. 35 No. 11, November 1978

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Physical Illness Presenting as Psychiatric Disease

Richard C. W. Hall, MD; Michael K. Popkin, MD; Richard A. Devaul, MD; Louis A. Faillace, MD; Sondra K. Stickney, RN

Arch Gen Psychiatry. 1978;35(11):1315-1320.

Abstract

• A study of 658 consecutive psychiatric outpatients receivingcareful medical and biochemical evaluation, defined an incidenceof medical disorders productive of psychiatric symptoms in 9.1%of cases. The most frequent presentations were of depression,confusion, anxiety, and speech or memory disorders. The presenceof visual hallucinations was believed to indicate medical etiologyuntil proved otherwise. Major illnesses presenting with psychiatricsymptoms in order of frequency were infectious, pulmonary, thyroid,diabetic, hematopoietic, hepatic and CNS diseases. Forty-sixpercent of these patients suffered from medical illnesses previouslyunknown to either them or their physician. A plea is made forcareful medical evaluation of psychiatric patients.

Author Affiliations

From the Department of Psychiatry, University of Texas Medical School at Houston (Drs Hall, Devaul, and Faillace), the Department of Psychiatry (Dr Hall) and the Clinical Research Unit (Ms Stickney), Texas Research Institute of Mental Sciences, Houston; and the Department of Psychiatry, University of Minnesota Medical School, Minneapolis (Dr Popkin).

Footnotes

Accepted for publication Sept 2, 1977.

Reprint requests to Department of Psychiatry, University ofTexas Medical School at Houston, 6400 W Cullen, Houston, TX77025 (Dr Hall).

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