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Liaison psychiatry

Identification & treatment
of psychiatric morbidity
in medically ill patients

Medical illnesses causing
psychiatric symptoms
Endocrine
Hyperthyroidism: anxiety, paranoid
psychosis
Hypothyroidism: depression,
dementia, psychosis
Cushing\u2019s syndrome: depression,
psychosis
Phaeochromocytoma: anxiety
Infections
HIV: anxiety, depression, delirium,
dementia
Viral infections: depression
Metabolic
Hypoglycaemia: anxiety, confusional
state
Vitamin deficiency: depression,
dementia
Neoplastic
Pancreas & lung: depression
Brain: personality change, psychosis
Nervous system
Parkinson's disease: depression,
dementia
Multiple sclerosis: anxiety, euphoria,
depression
Drug induced psychological
problems
Depression

\u2022Antihypertensives
\u2022Anticancer
\u2022Anti diabetics
\u2022Hormones
\u2022Analgesics
\u2022H1 receptor antagonists

Delirium

\u2022Anticholinergics
\u2022Digoxin
\u2022Cimetidine

Anxiety

\u2022Amphetamines
\u2022Sympathomimetics
\u2022Caffeine
\u2022Organophosphates
\u2022Sulphonamides
\u2022Penicillin
\u2022Mercury & arsenic

Psychosis

\u2022Hallucinogens,
\u2022Appetite suppressants
\u2022Corticosteroids
\u2022Anticholinergics

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