Schizophrenia

  • Facts:
    Symptoms present for longer than 6 months
    Symptoms for 1 - 6 months, schizophreniform disorder
  • History / PE:
    POSITIVE

    Hallucinations
    Delusions
    Disorganized speech
    Disorganized behavior

    NEGATIVE (5A's)

    Affective flattening
    Alogia (poverty of speech)
    Asociality (social detachment)
    Apathy (impaired grooming)
    Attention (inattentiveness)
  • Diagnosis:
    Increased ventricular size
    Prominent sulci
  • Treatment:
    Typical antipsychotics
    Atypical antipsychotics (best for negative symptoms)
    Keep family stresses and conflicts to a minimum



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July 15th 2010