Successful Resolution of Prominent Somatic Delusions Following Bi-temporal Electroconvulsive Therapy in a patient with Treatment-Resistant Schizoaffective Disorder.
Successful Resolution of Prominent Somatic Delusions Following Bi-temporal Electroconvulsive Therapy in a patient with Treatment-Resistant Schizoaffective Disorder. Psychopharmacol Bull. 2019 Jun 20;49(2):52-56 Authors: Cohen JL, Vu MT, Beg MA, Sivaraman S, Birur B Abstract Somatic delusions occur in a variety of psychiatric disorders including schizophrenia, major depressive disorder, and bipolar disorder. Somatization is associated with lower quality of life and greater risk for suicide. Treatment of somatic delusions is extremely challenging. Here we report an interesting case of severe somatic delusions in a 48-year-old African-American female with a long history of treatment resistant schizoaffective disorder, with multiple somatic complaints surrounding constipation, pregnancy, jaw pain, body aches, vaginal itch, malodorous urine, and neck pain, despite normal clinical examinations and negative medical work up. Additionally, she endorsed persistent auditory and visual hallucinations. Her symptoms remained resistant to several trials of psychotropic medications, including clozapine. Chart review of past hospitalizations revealed significant improvement with Electroconvulsive Therapy (ECT), so the team decided to perform a course of six bi-temporal ECT treatments administered over two weeks. Stimulation was applied at a current of 800 mA for 4.5s, with a pulse width of 1 ms and frequency of 60 Hz. This case illustrates the successful use of ECT in tre...
Authors: Brignardello-Petersen R PMID: 32650943 [PubMed - as supplied by publisher]
Publication date: 15 September 2020Source: Life Sciences, Volume 257Author(s): Xiuhuan Chen, Cui Zhang, Yan Guo, Xin Liu, Tianxin Ye, Yuhong Fo, Chuan Qu, Jinjun Liang, Shaobo Shi, Bo Yang
DISCUSSION: The results demonstrated a dissociation of depression (higher amplitudes better) and cognitive (lower amplitudes better) related outcomes. Future work is warranted to elucidate the relationship between amplitude, electric field, neuroplasticity, and clinical outcomes. PMID: 32651051 [PubMed - as supplied by publisher]
Authors: Skewes MC, Gonzalez VM, Gameon JA, FireMoon P, Salois E, Rasmus SM, Lewis JP, Gardner SA, Ricker A, Reum M Abstract American Indian and Alaska Native (AI/AN) communities experience notable health disparities associated with substance use, including disproportionate rates of accidents/injuries, diabetes, liver disease, suicide, and substance use disorders. Effective treatments for substance use are needed to improve health equity for AI/AN communities. However, an unfortunate history of unethical and stigmatizing research has engendered distrust and reluctance to participate in research among many Native co...
CONCLUSION: The results of this study show that the four groups created from the two questions render it possible to distinguish persons in terms of indicators measuring the mental and general health of the Quebec population. Convergence of results in all three cycles lends additional credence to the use of questions on received diagnoses of mood and anxiety disorders. PMID: 32651010 [PubMed - as supplied by publisher]
Hi! I was wondering if anyone had tips for surviving early pregnancy as a physician. I feel awful and just want to curl in a ball and sleep. I'm an attending and getting coverage is a challenge.
I have a late 30's female patient with a history of leukemia (bone marrow transplant, chemo, nephrectomy), who has lateral hip and thigh pain. Unilateral pain. No obvious exacerbating or alleviating factors. Moderate to severe intensity, constant. She's got femoral diaphysis infarctions, several of them, and they match up exactly where she hurts. The lateral hip distribution isn't the main focus, it is the proximal and lateral thigh. She's got buttock pain as well, which was positive on... Bone pain?
Publication date: Available online 11 July 2020Source: Joint Bone SpineAuthor(s): Dounia Tahri, Athan Baillet, Marion Lepelley, Philippe Gaudin, Romain Gastaldi
CONCLUSION: Pelvic pain after genital prolapse surgery is still obscure to this day. PMID: 32651103 [PubMed - as supplied by publisher]
Discussion Pregnancy complications in early pregnancy range from mild to severe. They can include nausea and emesis which often is treated symptomatically, but can cause hyperemesis gravidarum and need hospitalization for intravenous fluids. Mild cramping and slight spotting are not uncommon. Some type of pregnancy bleeding is common with 20-40% of women experiencing it. Women who have early vaginal bleeding have a higher risk of later pregnancy complications. Pregnancy in adolescents is about 10% of all pregnancies. Adolescent pregnancy can be associated with various problems including higher rates of threatened aborti...