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Obstacles to diagnostic investigation of a child with comorbid psychiatric conditions

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Open Access
|Jun 2021

Figures & Tables

Diagnostic testing performed for investigation of autoimmune encephalitis

TestSource
vEEG with photic stimulationN/A
Magnetic Resonance Imaging (MRI)N/A
NDMA receptor antibodyBlood; CSF
Amino acid quantificationBlood; CSF
Bacterial culture, gram stain, glucose, protein, cell countCSF
Immunoglobulin IgG indexBlood
Antinuclear antibodyBlood
Sjogren’s panelBlood
Paraneoplastic panelBlood
DNase antibodyBlood
Encephalopathy – autoimmune evaluation profileSerum
Amino Acid Profile – quantitativeBlood; CSF
Antistreptolysin antibodyBlood
Pyruvate levelBlood; CSF
Lactate levelBlood; CSF
Enterovirus PCRCSF
Varicella Zoster Virus – PCRCSF
Herpes Simplex Virus – PCRCSF
Lyme total antibody panelCSF
Herpes Simplex Virus 1, 2 – IgG, IgMCSF
Ebstein-Barr Virus – IgG, IgMBlood
Lyme ELISA – IgG, IgMBlood
Mycoplasma pneumonia – IgMBlood
Mycoplasma pneumonia – PCRBlood

Schizophrenia diagnostic criteria – Elements of patient history

DomainExamples from patient presentation during episodes
DelusionsParanoia delusions – religious repenting/guilt; food contamination
HallucinationsTactile hallucinations (bug on back)
Disorganized speechDelayed/severely restricted/non-responsive speech, tangential speech
Grossly disorganized motor behaviorCatatonia, rigidity/immobility, posturing, echolalia
Negative symptomsDecreased emotional expressions, flat affect

Diagnostic testing performed for investigation of metabolic encephalopathy

TestSource
Copper level – 24 hrUrine
Copper levelBlood
Cerulosplasmin levelBlood
Acylcarnitine profileBlood
PentacarboxyporphyrinUrine
PorphobilinogenUrine
HomocysteineBlood
Heavy metals panel (arsenic, lead, mercury)Blood
Serum drug screen (acetaminophen, salicylates, tri-cyclic antidepressants, ethyl alcohol)Blood
Language: English
Page range: 105 - 112
Published on: Jun 15, 2021
Published by: Psychiatric Research Unit
In partnership with: Paradigm Publishing Services
Publication frequency: 1 times per year

© 2021 Jena Salem, Cheryl Kennedy, published by Psychiatric Research Unit
This work is licensed under the Creative Commons Attribution 4.0 License.