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Thyroid Function In Psychotic Geriatric Patients: A Case Study.pdf

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Preview of Thyroid Function in Psychotic Geriatric Patients: A Case Study
🔗 Source: openaccessjournals.com
📊 Size: 1.85 MB
📄 Pages: 6 pages
⬇️ Downloads: 30

Summary

This case report describes an elderly man with Alzheimer's dementia who presented with agitation, aggression, and delusional behavior. Despite a lack of prior thyroid history, his admission thyroid stimulating hormone (TSH) level was abnormally low at 0.235 mlU/ml. Other thyroid tests were negative. The authors suspected that the TSH abnormality was linked to his acute psychosis.

Methods:

- Serial measurements of TSH and clinical global impression scale assessments were conducted throughout his hospitalization.
- Treatment progress was monitored using the CGI-I scale at admission, after 5 days, and at discharge.

Results:

- The patient's TSH level increased to 0.510 mIU/ml at discharge, corresponding with improved clinical global impression scores.
- Thyroid workup and follow-up tests in 2 weeks were recommended before considering treatment options for thyroid function abnormalities in acute psychotic patients, especially the elderly.

Key Points:

- Thyroid function abnormalities can be observed in acute psychiatric admissions in adults and adolescents.
- These abnormalities often resolve with the treatment of the underlying psychosis.
- If thyroid abnormalities persist after 2 weeks of treatment, further evaluation is necessary to diagnose the cause.

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  • File Format: PDF
  • File Size: 1.85 MB
  • Pages: 6
  • Language: EN
  • Total Downloads: 30
  • Last Updated: 7 days ago

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