Schizophrenia with Somatic Delusions: A Case Report

Panagiota Korenis

doi:10.4172/psychiatry.1000290

Abstract

Schizophrenia with Somatic Delusions: A Case Report

Highlights

The definition of schizophrenia as a disease entity has undergone many changes over the past century and its etiopathology remains ever elusive [1]
A wide range of medical conditions and treatments may result in abnormal behavior, and many medical disorders may produce or exacerbate psychiatric symptoms in patients with pre-existing mental illness
Patients with known histories of psychiatric illness are at greatest risk for having a medical condition overlooked because clinicians too often presume that these patients’ abnormal behavior is caused by their psychiatric illness

Summary

Introduction

The definition of schizophrenia as a disease entity has undergone many changes over the past century and its etiopathology remains ever elusive [1]. The patient described a pain in her right leg after reporting that she fell down some stairs about two years ago She felt that her leg was broken and that the two bones in her lower leg were “broken and twisted,” yet had no difficulty ambulating and exam did not indicate any abnormality. The patient was noted to still be hearing voices on and off and her dose of antipsychotic was increased Her third week on the unit, the patient began to show some improvement, continued compliance with her medication, but still remained internally preoccupied and preoccupied with various somatic delusions. According to her records, between July of 2009 and March of 2014 the patient had 27 emergency room visits and three brief inpatient medical admissions. Her three inpatient admissions were twice for esophageal reflux, and once for “other chest pain.” These complaints are in parallel with many of the patient’s complaints during her most recent psychiatric hospitalization

Findings

Discussion

Conclusion