Schizophrenia

Differential Diagnosis

Organic Causes

• Meningitis
• Encephalitis
• Thyroid (Main)
• Tox Ingestions

Nonorganic Causes

• Schizoaffective disorder
• Mood Disorder

Diagnosis

• Ruled out organic causes
  • Substance abuse
  • Medications
  • No medical cause
• Presence of two or more symptoms for one month
  • Delusions
  • Disorganized speech
  • Hallucinations
  • Grossly disorganized or catatonic behavior
  • Negative Symptoms
• Disturbance for at least 6 months
  • Less than 6 months is schizophreniform
• Schizoaffective disorder and mood disorder ruled out

Management

• Medical work up
  • CBC
  • Electrolytes
  • Tox screen
  • Etoh
  • CT head
  • Febrile
    • Look for organic causes
  • Review home meds

Disposition

• Psyc Eval

See Also

• Meningitis
• Encephalitis
• Schizoaffective disorder