This clinical case presentation describes the disease trajectory in two patients who presented with psychiatric symptoms as a result of abnormal serum glucocorticoid levels. One case involves a 58-year-old man with hypercortisolism, the... more
This clinical case presentation describes the disease trajectory in two patients who presented with psychiatric symptoms as a result of abnormal serum glucocorticoid levels. One case involves a 58-year-old man with hypercortisolism, the other case concerns a 55-year-old woman with hypocortisolism. In both cases there was a considerable diagnostic delay in recognizing the underlying adrenal gland pathology. Abnormal glucocorticoid levels, caused by endocrine disorders, often results in psychiatric symptoms. Delay in diagnosis may have adverse consequences. Hyper- or hypocortisolism should be considered in patients who present with an atypical presentation of psychiatric symptoms. Moreover, the absence of specific physical signs or symptoms at first presentation in such patients does not exclude an underlying endocrinological cause. Therefore, physical and psychiatric reassessment of such patients should be considered at regular intervals.
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Patients with suicidal behaviour are frequently seen in A&E departments. Providing care for this patient group can be challenging and medical staff have often not received specialized training to improve their knowledge and skills. An... more
Patients with suicidal behaviour are frequently seen in A&E departments. Providing care for this patient group can be challenging and medical staff have often not received specialized training to improve their knowledge and skills. An empathetic approach combined with brief interventions such as safety planning, collaborating with carers and partnership with local organizations can help A&E professionals to optimize care for these patients and contribute to the prevention of future suicide attempts.
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Research Interests:
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This clinical case presentation describes the disease trajectory in two patients who presented with psychiatric symptoms as a result of abnormal serum glucocorticoid levels. One case involves a 58-year-old man with hypercortisolism, the... more
This clinical case presentation describes the disease trajectory in two patients who presented with psychiatric symptoms as a result of abnormal serum glucocorticoid levels. One case involves a 58-year-old man with hypercortisolism, the other case concerns a 55-year-old woman with hypocortisolism. In both cases there was a considerable diagnostic delay in recognizing the underlying adrenal gland pathology. Abnormal glucocorticoid levels, caused by endocrine disorders, often results in psychiatric symptoms. Delay in diagnosis may have adverse consequences. Hyper- or hypocortisolism should be considered in patients who present with an atypical presentation of psychiatric symptoms. Moreover, the absence of specific physical signs or symptoms at first presentation in such patients does not exclude an underlying endocrinological cause. Therefore, physical and psychiatric reassessment of such patients should be considered at regular intervals.
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Research Interests:
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A 31-year-old woman reported to a Malawian district hospital. She was pregnant of twins and in labour, and had received no prenatal care. There were no fetal heartsounds on examination. The patient spontaneously delivered 2 macerated... more
A 31-year-old woman reported to a Malawian district hospital. She was pregnant of twins and in labour, and had received no prenatal care. There were no fetal heartsounds on examination. The patient spontaneously delivered 2 macerated stillbirths. A monochorionic placenta in 1 amniotic sack was seen with 2 entangled umbilical cords, a feared complication in monoamniotic monochorionic twin pregnancy.
Research Interests:
Research Interests:
This clinical case presentation describes the disease trajectory in two patients who presented with psychiatric symptoms as a result of abnormal serum glucocorticoid levels. One case involves a 58-year-old man with hypercortisolism, the... more
This clinical case presentation describes the disease trajectory in two patients who presented with psychiatric symptoms as a result of abnormal serum glucocorticoid levels. One case involves a 58-year-old man with hypercortisolism, the other case concerns a 55-year-old woman with hypocortisolism. In both cases there was a considerable diagnostic delay in recognizing the underlying adrenal gland pathology. Abnormal glucocorticoid levels, caused by endocrine disorders, often results in psychiatric symptoms. Delay in diagnosis may have adverse consequences. Hyper- or hypocortisolism should be considered in patients who present with an atypical presentation of psychiatric symptoms. Moreover, the absence of specific physical signs or symptoms at first presentation in such patients does not exclude an underlying endocrinological cause. Therefore, physical and psychiatric reassessment of such patients should be considered at regular intervals.
A 31-year-old woman reported to a Malawian district hospital. She was pregnant of twins and in labour, and had received no prenatal care. There were no fetal heartsounds on examination. The patient spontaneously delivered 2 macerated... more
A 31-year-old woman reported to a Malawian district hospital. She was pregnant of twins and in labour, and had received no prenatal care. There were no fetal heartsounds on examination. The patient spontaneously delivered 2 macerated stillbirths. A monochorionic placenta in 1 amniotic sack was seen with 2 entangled umbilical cords, a feared complication in monoamniotic monochorionic twin pregnancy.
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Poor maternal mental health is an important contributor to maternal mortality, which remains a global health priority as expressed in the sustainable development goals. Although underreported and neglected, psychiatric disorders in... more
Poor maternal mental health is an important contributor to maternal mortality, which remains a global health priority as expressed in the sustainable development goals. Although underreported and neglected, psychiatric disorders in pregnant women or following childbirth have been shown to increase the risk of death from obstetric and medical conditions in pregnancy and puerperium as well as suicide up to one year postpartum (1,2). Therefore, increased attention to maternal mental health is needed. Many maternal suicides are preventable. This article is protected by copyright. All rights reserved.
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Poor maternal mental health is an important contributor to maternal mortality, which remains a global health priority as expressed in the sustainable development goals. Although underreported and neglected, psychiatric disorders in... more
Poor maternal mental health is an important contributor to maternal mortality, which remains a global health priority as expressed in the sustainable development goals. Although underreported and neglected, psychiatric disorders in pregnant women or following childbirth have been shown to increase the risk of death from obstetric and medical conditions in pregnancy and puerperium as well as suicide up to one year postpartum (1,2). Therefore, increased attention to maternal mental health is needed. Many maternal suicides are preventable. This article is protected by copyright. All rights reserved.
Research Interests:
Research Interests:
Research Interests:
A 31-year-old woman reported to a Malawian district hospital. She was pregnant of twins and in labour, and had received no prenatal care. There were no fetal heartsounds on examination. The patient spontaneously delivered 2 macerated... more
A 31-year-old woman reported to a Malawian district hospital. She was pregnant of twins and in labour, and had received no prenatal care. There were no fetal heartsounds on examination. The patient spontaneously delivered 2 macerated stillbirths. A monochorionic placenta in 1 amniotic sack was seen with 2 entangled umbilical cords, a feared complication in monoamniotic monochorionic twin pregnancy.