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Barking dogs seldom bite? a case of diagnostic overshadowing in emergency department
- Source :
- European Psychiatry. 64:S654-S654
- Publication Year :
- 2021
- Publisher :
- Royal College of Psychiatrists, 2021.
-
Abstract
- IntroductionDiagnostic overshadowing is one of the main consequences of stigma involving patients diagnosed with a psychiatric disorder. Some studies show that in emergency departments, being diagnosed with a psychiatric illness can lead to a poor evaluation of organic symptoms, delaying the diagnosis and putting the patient’s life at risk.Objectives- To present the case of a patient diagnosed with factitious disorder who was misdiagnosed after attending the emergency department due to the stigma related to his psychiatric diagnosis. - To provide a reflection on stigma in mental health.MethodsWe will present a case report and a literature review.ResultsWe report a case of a 57-year-old man diagnosed with a factitious disorder. He attended the emergency department of our tertiary care center with confused speech, desorientation and disruptive behavior at home. Although the clinical picture was compatible with a confusional state, he was ordered to be admitted to the psychiatric service. No blood test was previously requested. Three hours after being admitted, he suffered an episode of seizures. A blood test was requested and severe hypomagnesemia (0.2 mg / dl) was found. Because of this episode the patient was admitted to the Intensive Care Unit for three days.ConclusionsFactitious disorder is a serious mental disorder with a significant stigmatizing burden. Giving a patient this diagnostic label should be the subject of careful thought in order to protect him from future diagnostic neglect.DisclosureNo significant relationships.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
media_common.quotation_subject
Stigma (botany)
Emergency department
medicine.disease
Mental health
Intensive care unit
Tertiary care
Factitious disorder
Neglect
law.invention
Psychiatry and Mental health
law
Emergency medicine
medicine
Blood test
business
media_common
Subjects
Details
- ISSN :
- 17783585 and 09249338
- Volume :
- 64
- Database :
- OpenAIRE
- Journal :
- European Psychiatry
- Accession number :
- edsair.doi...........7200727de53440828f3f7f74630a9532