Comorbid mental disorders in internal , neurological and oncological diseases

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Last update: Saturday, 30 Jan 2021 at 12.17 pm.

Comorbid means that they coexist at the same time. They can coexist by chance (e.g. a depressed patients getting a diagnosis of MS without any correlation) or a causative relationship (i.e. substance use disorder → liver cirrhosis or liver cirrhosis → hepatic encephalopathy (psychosis))

Examples of co-morbid disorders in...[edit | edit source]

F06: Other mental disorders due to brain damage and dysfunction and to physical disease

...Internal diseases[edit | edit source]

e.g. in the DDx of Dementia → always screen TSH (hypothyroidism) and B12 as their secondary causes
Pheochromocytoma: a tumor of the adrenal medulla → state of anxiety, sweating
Cushing disease: insomnia, anxiety, depression, mania, psychosis
IHD: depression, type A personalities
Peptic ulcer disease/IBD: psychological stress playing a role in the etiology? depression in any chronic disease
Infectious
- HIV: anxiety, depression, social stigma. organic psychiatric syndromes: encephalitis, delirium, AIDS dementia
- Neurosyphilis: general paralysis of the insane. personality changes and deficits of memory and judgement

...Neurological diseases[edit | edit source]

MS: cognitive impairment due to plaques, depression
Basal ganglia disorders
- e.g. Huntington disease
  - Dementia (particularly executive dysfunction)
  - Major depressive disorder (possibly including suicidal tendencies)
  - Aggression and psychosis
  - Apathy
  - Anxiety
- e.g. Parkinson disease: depression, dementia, personality changes
SLE: neuropsychiatric disorders → e.g. headache, depression, cognitive dysfunction

...Oncological diseases[edit | edit source]

kübler-ross mode (in patients or close contacts), MDD (risk group of it),

Links[edit | edit source]

https://icd.who.int/browse10/2019/en#/F95 (ICD-10 Classification)

Bibliography[edit | edit source]

References[edit | edit source]

- Psychiatry Final Questions: Summary, Christian Entenmann https://www.notion.so/Final-Questions-60be050c039d42b585dddbc3da55c3a4

- Amboss