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Query: UMLS:C0036341 (schizophrenia)
60,220 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In this case study, a young adult female, Carol M, presents at a hospital with an acute abdomen and symptoms of schizophrenia. After refusing surgery, she is referred for evaluation of competence and further treatment. When reached by phone, Carol M's mother confirms the diagnosis of schizophrenia and authorizes treatment, including surgery. The hospital's staff psychiatrist declares Carol M incompetent and obtains permission from a judge to proceed with surgery. After recovering from surgery, the young woman declines psychiatric treatment and leaves the hospital. How competent must a patient be to refuse treatment? Should Ms. M's refusal of surgery have been honored (and other treatment options offered)? Commenting on the case are Larry Gostin, executive director of the American Society of Law and Medicine, and Richard T. Hull, associate professor of philosophy.
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PMID:The transplant baby from outer space. 150 80

A 61-year-old man who had taken several kinds of psychotropic agents for schizophrenia from eighteen was admitted due to acute abdomen. In spite of any treatment he died after arrival. The autopsy revealed marked dilation of gastrointestinal tracts without necrosis through stomach to rectum and pathological examination disclosed hypoganglionosis of whole gastrointestinal wall. We thought that he died of abdominal compartment syndrome as a result of acute on chronic secondary pseudo-obstruction of gastrointestinal tracts due to acquired hypoganglionosis, megacolon, and aerophagia.
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PMID:[Autopsy case of abdominal compartment syndrome in a patient with schizophrenia]. 1867 97

The phenomenon of pain insensitivity in schizophrenia and other psychotic disorders has been described since the early 20th century. Medical conditions often present atypically in the seriously mentally ill patient. Emergency physicians, primary care practitioners, surgeons and psychiatrists must maintain a high index of suspicion for acute abdomen in seriously mentally ill patients who may exhibit a diminished or absent perception of pain. The authors present a case of an atypical presentation of acute abdomen in a patient with schizophrenia.
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PMID:When patients do not hurt: silent acute abdomen in a patient with schizophrenia. 2215 57