Diagnostic Overshadowing and Pain Insensitivity in a Schizophrenic Patient With Perforated Duodenal Ulcer

Some patients with schizophrenia and psychotic illnesses have reduced pain perception, and others have decreased pain expression. The diagnosis of the acute abdomen can be delayed, and its outcomes can be worse in psychiatric patients than in non-psychiatric patients. We present a case of perforated...

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Autores principales: Kallur, Akhil, Yoo, Eungjae, Bien-Aime, Fred, Ammar, Hussam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8890457/
https://www.ncbi.nlm.nih.gov/pubmed/35251866
http://dx.doi.org/10.7759/cureus.21800
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author Kallur, Akhil
Yoo, Eungjae
Bien-Aime, Fred
Ammar, Hussam
author_facet Kallur, Akhil
Yoo, Eungjae
Bien-Aime, Fred
Ammar, Hussam
author_sort Kallur, Akhil
collection PubMed
description Some patients with schizophrenia and psychotic illnesses have reduced pain perception, and others have decreased pain expression. The diagnosis of the acute abdomen can be delayed, and its outcomes can be worse in psychiatric patients than in non-psychiatric patients. We present a case of perforated peptic ulcer (PPU) in a schizophrenic woman and discuss how the phenomenon of pain insensitivity and diagnostic overshadowing-a process in which a person with mental illness receives inadequate treatment due to a misattribution of physical symptoms to their mental illness-nearly contributed to a missed diagnosis.
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spelling pubmed-88904572022-03-04 Diagnostic Overshadowing and Pain Insensitivity in a Schizophrenic Patient With Perforated Duodenal Ulcer Kallur, Akhil Yoo, Eungjae Bien-Aime, Fred Ammar, Hussam Cureus Internal Medicine Some patients with schizophrenia and psychotic illnesses have reduced pain perception, and others have decreased pain expression. The diagnosis of the acute abdomen can be delayed, and its outcomes can be worse in psychiatric patients than in non-psychiatric patients. We present a case of perforated peptic ulcer (PPU) in a schizophrenic woman and discuss how the phenomenon of pain insensitivity and diagnostic overshadowing-a process in which a person with mental illness receives inadequate treatment due to a misattribution of physical symptoms to their mental illness-nearly contributed to a missed diagnosis. Cureus 2022-02-01 /pmc/articles/PMC8890457/ /pubmed/35251866 http://dx.doi.org/10.7759/cureus.21800 Text en Copyright © 2022, Kallur et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Kallur, Akhil
Yoo, Eungjae
Bien-Aime, Fred
Ammar, Hussam
Diagnostic Overshadowing and Pain Insensitivity in a Schizophrenic Patient With Perforated Duodenal Ulcer
title Diagnostic Overshadowing and Pain Insensitivity in a Schizophrenic Patient With Perforated Duodenal Ulcer
title_full Diagnostic Overshadowing and Pain Insensitivity in a Schizophrenic Patient With Perforated Duodenal Ulcer
title_fullStr Diagnostic Overshadowing and Pain Insensitivity in a Schizophrenic Patient With Perforated Duodenal Ulcer
title_full_unstemmed Diagnostic Overshadowing and Pain Insensitivity in a Schizophrenic Patient With Perforated Duodenal Ulcer
title_short Diagnostic Overshadowing and Pain Insensitivity in a Schizophrenic Patient With Perforated Duodenal Ulcer
title_sort diagnostic overshadowing and pain insensitivity in a schizophrenic patient with perforated duodenal ulcer
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8890457/
https://www.ncbi.nlm.nih.gov/pubmed/35251866
http://dx.doi.org/10.7759/cureus.21800
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