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September 1980

Physical Illness Manifesting as Psychiatric DiseaseII. Analysis of a State Hospital Inpatient Population

Author Affiliations

From the Department of Psychiatry, University of Texas Medical School, Houston (Drs Hall, Gardner, and LeCann); Department of Psychiatry, University of Minnesota, Minneapolis (Dr Popkin); and Hermann Hospital, Houston (Ms Stickney). Dr Hall is now with the Department of Psychiatry, Medical College of Wisconsin, Milwaukee.

Arch Gen Psychiatry. 1980;37(9):989-995. doi:10.1001/archpsyc.1980.01780220027002

• One hundred patients of lower socioeconomic class were intensively evaluated medically on a research ward for the presence of unrecognized medical illnesses that might have affected their hospitalization. Forty-six percent were thought to have medical illnesses that directly caused or greatly exacerbated their symptoms and were consequently responsible for their admission, while an additional 34% of patients were found to be suffering from a medical illness requiring treatment. A diagnostic battery of physical, psychiatric, and neurologic examinations, coupled with a 34-panel automated blood analysis, complete blood cell count, urinanalysis, ECG, and sleepdeprived EEG established the presence and nature of more than 90% of the illnesses detected, and is therefore recommended as an initial evaluation battery, particularly for patients facing involuntary commitment to a mental hospital.