Physical Illness Manifesting as Psychiatric Disease: II. Analysis of a State Hospital Inpatient Population

Richard C.W. Hall, Earl R. Gardner, Sondra K. Stickney, August F. Lecann, Michael K. Popkin

Research output: Contribution to journalArticle

135 Scopus citations

Abstract

One hundred patients of lower socioeconomic class were intensively evaluated medically on a research ward for the presence of unrecognized medical illnesses that might have affected their hospitalization. Forty-six percent were thought to have medical illnesses that directly caused or greatly exacerbated their symptoms and were consequently responsible for their admission, while an additional 34% of patients were found to be suffering from a medical illness requiring treatment. A diagnostic battery of physical, psychiatric, and neurologic examinations, coupled with a 34-panel automated blood analysis, complete blood cell count, urinanalysis, ECG, and sleepdeprived EEG established the presence and nature of more than 90% of the illnesses detected, and is therefore recommended as an initial evaluation battery, particularly for patients facing involuntary commitment to a mental hospital.

Original languageEnglish (US)
Pages (from-to)989-995
Number of pages7
JournalArchives of General Psychiatry
Volume37
Issue number9
DOIs
StatePublished - Sep 1980

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