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

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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.

LanguageEnglish (US)
Pages989-995
Number of pages7
JournalArchives of General Psychiatry
Volume37
Issue number9
DOIs
StatePublished - Jan 1 1980

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State Hospitals
Psychiatry
Inpatients
Blood Cell Count
Commitment of Mentally Ill
Population
Neurologic Examination
Psychiatric Hospitals
Physical Examination
Electroencephalography
Electrocardiography
Hospitalization
Research
Illness
Physical
Therapeutics
Battery
Blood

Cite this

Physical Illness Manifesting as Psychiatric Disease : II. Analysis of a State Hospital Inpatient Population. / Hall, Richard C.W.; Gardner, Earl R.; Stickney, Sondra K.; Lecann, August F.; Popkin, Michael K.

In: Archives of General Psychiatry, Vol. 37, No. 9, 01.01.1980, p. 989-995.

Research output: Contribution to journalArticle

Hall, Richard C.W. ; Gardner, Earl R. ; Stickney, Sondra K. ; Lecann, August F. ; Popkin, Michael K. / Physical Illness Manifesting as Psychiatric Disease : II. Analysis of a State Hospital Inpatient Population. In: Archives of General Psychiatry. 1980 ; Vol. 37, No. 9. pp. 989-995.
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