A Interface Psiquiatria e Neurocirurgia: A propósito de um caso clínicoJoana Serra 1; Carla Domingos 2; Jorge Santos 3; Armando Rocha 4
Abstract: In the present article, the authors intend to demonstrate how a cerebral tumor can induce a psychiatry clinical case. This shows the subtleness of psychiatry, and the importance of a multifunctional approach.
Key-words: Depressive disorder, neurocytoma, psychiatry, neurosurgery
1 Interna do 3º ano de Psiquiatria do Hospital Sobral Cid
2 Interna do 3º ano de Neurocirurgia do C.H.C.
3 Assistente Hospitalar Graduado do Hospital Sobral Cid
4 Assistente Hospitalar Graduado de Neurocirurgia do C.H.C.
Quando o corpo fala o que a mente cala
Abella MJ1; Alvarez M1; Queirós Oliveira S1; Moreira C2.
Summary: In the clinical practice it is not always possible to correlate the symptoms presented by the patients with the existent criteria diagnoses in the international Classifications (CID-10, DSM IV-TR). Besides, medicine is not an exact science and the Psychiatry is one of the specialties in which this becomes more evident for the absence of diagnostic and objective tests of patognomonic symptoms. Based on the referred before, the authors describe a clinical case of a patient accompanied in consultation of Neurology to rule out convulsive attacks, and for which it was asked a psychiatric evaluation, in the ambit of consultation-liaison. Having been aimed as probable the Diagnosis of Conversive Disorder, the most continuous and detailed follow-up of the patient in daytime psychiatric Hospital raised doubts about the definitive diagnosis. In consequence, it was carried out a theme review based upon current knowledge, where it was concluded that it would be more appropriate to speak of a facticious " spectrum " for those clinical situations that share criteria diagnoses with different Somatoform, Facticious Disorders and Simulation, but that don't totally gather the criteria of none of them.
Key Words: Somatoform disorder, Facticious disorder, Conversive disorder, Simulation.
1Interna Complementar Psiquiatria. Unidade Hospital de Dia. Hospital Magalhães Lemos
2Enfermeiro Graduado da Unidade de Hospital de Dia. Hospital Magalhães Lemos.
RHEUMATOID ARTHRITIS. ORIGIN OR CONSEQUENCE.
Miguel Martins*; Aucíndio Valente**
Summary: The present clinical case enhances the mental illness as a polymorphism, origin and consequence of the organic illness. Throughout the patient’s life history we can observe the complex interaction between variables like alcohol abuse, depression and psychosis with organic variables like Rheumatoid Arthritis (RA), alcohol and its organic consequences. In this context the authors present a brief revision of the association between RA and depression. Therapeutic options. Mental illness and imunological mechanisms eventually implicated in getting mentally ill.
Key Words: Rheumatoid Arthritis, imunological, pain, depression, alcohol, psychosis.
* Interno Psiquiatria, Centro Hospitalar de V.N. de Gaia -CHVNG
** Psiquiatra, Chefe de Serviço, CHVNG
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