Differential Diagnoses: Encephalopathy or Psychosis?

by Malathi Latha Perugula, MD, and Steven Lippmann, MD The authors are from the Department of Psychiatry and Behavioral Science, University of Louisville School of Medicine, Louisville, Kentucky. Innov Clin Neurosci. 2016;13(11–12):41–42 This column series compares neurological conditions that pose differential challenges in diagnoses. Funding: No funding was provided for the preparation of this article. Financial disclosures: The authors have no conflicts of interest relevant to the content of this article. Introduction Encephalopathy and psychosis are two separate mental states that are both characterized by symptoms of paranoia, to varying degrees, but that’s about where the similarity ends. Here we present a checklist of symptoms and characteristics of both disorders for use as a diagnostic aid (See Checklist), as well as etiology and treatment. Etiology: Encephalopathy vs. Psychosis Encephalopathy is most commonly caused by the following: Organ failure (e.g., renal, hepatic, pulmonary, hypoxia, hypercapnia) Infection: Systemic (e.g., urinary tract, pneumonia) or involving the central nervous system (e.g., meningitis, encephalitis), bacterial, viral, parasitic, or prions, especially with high fever Disorders of the thyroid, adrenal, pituitary, or related glands Toxicity or withdrawal (e.g., alcohol, salicylates, benzodiazepines, barbiturates, tricyclic antidepressant or antipsychotic medications, poisons, organophosphates, hydrocarbons, recreational dr...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: CNS Infections Current Issue Differential Diagnoses Medical Issues Mental Disorders Neuro oncology Neurologic Systems and Symptoms Neurology Psychiatry Schizophrenia Substance Use Disorders encephalopathy psychosis Source Type: research

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Publication date: Available online 5 June 2020Source: Journal of Trace Elements in Medicine and BiologyAuthor(s): Jing Huo, Taibin Liu, Yuchao Huan, Fenghua Li, Rui Wang
Source: Journal of Trace Elements in Medicine and Biology - Category: Biochemistry Source Type: research
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Source: MICCAI International Conference on Medical Image Computing and Computer-Assisted Intervention - Category: Radiology Tags: Med Image Comput Comput Assist Interv Source Type: research
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Source: MICCAI International Conference on Medical Image Computing and Computer-Assisted Intervention - Category: Radiology Tags: Med Image Comput Comput Assist Interv Source Type: research
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Source: Endocrine, Metabolic and Immune Disorders Drug Targets - Category: Drugs & Pharmacology Tags: Endocr Metab Immune Disord Drug Targets Source Type: research
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