scholarly journals A rare case of a patient with resistant schizophrenia who hears a voice reading the texts instead of being read in her mind

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S118-S118
Author(s):  
Thilini Nanayakkara ◽  
Vipula Wijesiri
Keyword(s):  
Case Report ◽  
Mental State ◽  
Rare Case ◽  
Auditory Hallucinations ◽  
Speaking Out ◽  
Third Person ◽  
The One ◽  
State Examination

ObjectiveThis case is presented to describe a rare psychopathology in which the patient hears her own voice speaking out loud all the texts that she sees in books or papers and she cannot read them inside her mind. This psychopathological phenomena has some features of reflex hallucinations, thought echo as well as of inner reading voices yet it cannot be categorized into either one.Case reportThis is a 26-year-old female with Schizophrenia for 3 years. While on medication 8 months before presentation she started hearing her own voice reading any text that she sees. When she sees a text she cannot read it in her mind and understand, but she hears it in her own voice to her ears. With this she also hears other voices talking about her and to her. She also believes that her father is the one who controls all her actions and the things that happen to her. In her mental state examination her mood was euthymic and she had delusions of control, thought broadcasting and in her perceptions she had visual perceptual abnormality where she saw the same object she would look at in another direction but they are under her control. She also had second and third person auditory hallucinations. She was admitted to start on clozapine because her voices did not respond to any medication.DiscussionAuditory hallucinations are the most commonly encountered type in schizophrenia with a prevalance of 70–80%. This patient hears the words that she sees which has some features of reflex hallucinations, however in the latter the hallucination is not a transformation of the perception. This also has some qualities of thought echo, where just as the patient thinks she can hear them. However in this patient she cannot read the texts in her mind. Inner reading voices are where a person talks to oneself while reading, however in the subjective mind. In our patient this phenomenon also proved to be the most difficult to treat as all her other auditory hallucinations responded to Clozapine, while still this phenomenon remained.ConclusionThis case is presented to describe the rare psychopathology in this patient in the form of auditory hallucinations

scholarly journals A Rare Case of Simultaneous Fracture Neck of Femur on One Side and Contralateral Intertrochanteric Fracture Femur in a 41-Year-Old Female – A Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
M K Rajak ◽  
S Kumar ◽  
R Thakur ◽  
I Bhaduri
Keyword(s):  
Chronic Kidney Disease ◽  
Case Report ◽  
Kidney Disease ◽  
Rare Case ◽  
Intertrochanteric Fracture ◽  
Neck Of Femur ◽  
Standing Height ◽  
Fracture Femur ◽  
Fracture Neck Of Femur ◽  
The One

Introduction: Simultaneous fractures in the neck of femur on the one side and contralateral intertrochanteric fracture of the femur with only trivial injury are among rarest injuries. Fracture neck of femur or intertrochanteric fracture either isolated or in combination such as simultaneous bilateral fracture neck of femur and simultaneous bilateral intertrochanteric fractures are relatively commonly reported in literature. Herein, we report a very rare case of a young female with chronic kidney disease who presented with simultaneous fractures neck of femur on the one side and contralateral intertrochanteric fracture of femur after a fall from standing height. Case Report: A 41-year-old female with chronic kidney disease from the past 5 years presented to us with severe pain at both hip and inability to stand after a fall from standing height. Clinical examination and investigations were done. She suffered fracture neck of femur on the right side and intertrochanteric fracture femur on the left side. Single stage fixation of both these fractures by two different methods was done successfully after optimization of her medical condition with multidisciplinary approach. She was advised weight bearing according to fixation method used and progress of fracture union. She regained her preoperative walking status gradually in 6 months. Conclusion: Simultaneous fractures in the neck of femur on the one side and intertrochanteric fracture of the femur on the other side are very rare presentation and can happen in patients with primary or secondary bone disease. Multidisciplinary team effort is needed for overall effective management and prompt surgical treatment can help achieve favorable outcome. Keywords: Simultaneous, fracture neck of femur, intertrochanteric fracture femur.

scholarly journals Childhood Masturbation: A Case Report from Bangladesh

2019 ◽  
Vol 1 (3-4) ◽  
pp. 280-282
Author(s):  
S. M. Yasir Arafat ◽  
Sanjida Tanjin Khan
Keyword(s):  
Sexual Behavior ◽  
Case Report ◽  
Behavior Therapy ◽  
Mental State ◽  
Average Duration ◽  
Detailed History ◽  
State Examination

Masturbation is a normal sexual behavior; however, masturbation in childhood is less commonly addressed in research. Here we report a case of childhood masturbation in Bangladesh. A six-year-old girl was presented at a private chamber of a psychiatrist with the complaints of episodic frictions of pubic area with edges of bed, furniture, and other approachable particles for last one and half years. The average duration of episodes was about 5 minutes. After taking detailed history, and performing physical and mental state examination, the girl was labeled as a case of childhood masturbation. Adequate psychoeducation was provided to the mother regarding the disorder as well as its management such as behavior therapy. She was also ensured repeatedly regarding the diagnosis as well as the management so that she can believe and maintain the behavior therapy. However, the mother was found challenging to accept the diagnosis as well as treatment without any medication. This article is expected to raise the issue among clinical practitioners other than psychiatrists who in turn would reduce the sufferings of the patients and anxiety of the caregivers.

Is the One Ray Normal or Are the Rest Shorter?: Brachymetapody—A Case Report

2020 ◽  
Vol 110 (6) ◽  
Author(s):  
Yakup Ekinci ◽  
Kaan Gürbüz ◽  
Mustafa Arık ◽  
Sabri Batın
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Genetic Disorder ◽  
Proximal Phalanx ◽  
Rare Type ◽  
Double Osteotomy ◽  
History Of ◽  
The One ◽  
Distorted Body Image

In this case report, we present the case of a 20-year-old male patient who suffered from pain in walking clinically, and in whom an extremely rare type of brachymetatarsia was diagnosed. Although distorted body image is the main reason for consulting a specialist, the patient presented because he was unable to find a proper shoe. The patient had no familial history of brachydactyly, trauma, or a genetic disorder. In this extremely rare case, the decision was made to perform shortening of the normal foot ray with a double osteotomy to the metatarsal and proximal phalanx. At the end of the follow-up period, the patient was walking pain-free and had no limitation in shoe choice.

scholarly journals Case Report: Solitary mastocytoma treated successfully with topical tacrolimus

F1000Research ◽  
2014 ◽  
Vol 3 ◽  
pp. 181 ◽  
Author(s):  
M. S. Sukesh ◽  
Ameet Dandale ◽  
Rachita Dhurat ◽  
Ankur Sarkate ◽  
Smita Ghate
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Topical Tacrolimus ◽  
Triggering Factors ◽  
Cutaneous Mastocytosis ◽  
One Year ◽  
The One ◽  
Solitary Mastocytoma

Solitary mastocytoma, a rare dermatological entity accounts for 10-15% of cutaneous mastocytosis. We report a rare case of solitary mastocytoma presenting at birth, treated successfully with topical tacrolimus. Along with reassurance and strict avoidance of triggering factors, no recurrence was reported within the one year follow-up period.

scholarly journals Time estimation and time perceiving in patients receiving intravenous anaesthesia for endoscopic procedures

2015 ◽  
Vol 84 (2) ◽  
pp. 71-77
Author(s):  
Włodzimierz Płotek ◽  
Małgorzata Sobol-Kwapinska ◽  
Marcin Cybulski ◽  
Anna Kluzik ◽  
Małgorzata Grześkowiak ◽  
...  
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Time Estimation ◽  
Control Group ◽  
Time Intervals ◽  
Intravenous Anaesthesia ◽  
Time Production ◽  
The One ◽  
The Relationship ◽  
State Examination

Introduction. The basic goals of the study were to analyze how patients receiving intravenous anaesthesia for endoscopy produce one-minute time intervals after anaesthesia, and to characterize the relationship between attitude towards time and the production of one-minute intervals. Material and methods. Twenty four intravenously anesthetized patients constituted the Anaesthesia Group and 25 nonanesthetized patients formed the Control Group. The Mini-Mental State Examination and the Sense of Coherence Meaningfulness Subscale were used to recognize the problem of dementia and depression, the Time Metaphors Questionnaire was used for the assessment attitudes toward time. Time production of one-minute was measured three times in each of four sessions. Results. The tested participants of both groups shortened the one-minute intervals. Duration of anaesthesia did not affect the time production. Perceiving time as empty and meaningless was related with misestimating time after colonoscopy. Conclusions. Time interpretation by using metaphors and time production are related with each other.

Mini-Mental-State

2009 ◽  
Vol 22 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Andreas Kaiser ◽  
Renate Gusner-Pfeiffer ◽  
Hermann Griessenberger ◽  
Bernhard Iglseder
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Oder Nicht ◽  
State Examination

Im folgenden Artikel werden fünf verschiedene Versionen der Mini-Mental-State-Examination dargestellt, die alle auf der Grundlage des Originals von Folstein erstellt wurden, sich jedoch deutlich voneinander unterscheiden und zu unterschiedlichen Ergebnissen kommen, unabhängig davon, ob das Screening von erfahrenen Untersuchern durchgeführt wird oder nicht. Besonders auffällig ist, dass Frauen die Aufgaben «Wort rückwärts» hoch signifikant besser lösten als das «Reihenrechnen». An Hand von Beispielen werden Punkteunterschiede aufgezeigt.

Zur Anwendung der CES-D bei älteren Menschen: Dimensionsstruktur und Meßartefakte

Diagnostica ◽  
2000 ◽  
Vol 46 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Herbert Matschinger ◽  
Astrid Schork ◽  
Steffi G. Riedel-Heller ◽  
Matthias C. Angermeyer
Keyword(s):  
Mental State ◽  
Latent Class ◽  
Mini Mental State Examination ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Partial Credit ◽  
Examination Score ◽  
State Examination

Zusammenfassung. Beim Einsatz der Center for Epidemiological Studies Depression Scale (CES-D) stellt sich das Problem der Dimensionalität des Instruments, dessen Lösung durch die Konfundierung eines Teilkonstruktes (“Wohlbefinden”) mit Besonderheiten der Itemformulierung Schwierigkeiten bereitet, da Antwortartefakte zu erwarten sind. Dimensionsstruktur und Eignung der CES-D zur Erfassung der Depression bei älteren Menschen wurden an einer Stichprobe von 663 über 75-jährigen Teilnehmern der “Leipziger Langzeitstudie in der Altenbevölkerung” untersucht. Da sich die Annahme der Gültigkeit eines partial-credit-Rasch-Modells sowohl für die Gesamtstichprobe als auch für eine Teilpopulation als zu restriktiv erwies, wurde ein 3- bzw. 4-Klassen-latent-class-Modell für geordnete Kategorien berechnet und die 4-Klassen-Lösung als den Daten angemessen interpretiert: Drei Klassen zeigten sich im Sinne des Konstrukts “Depression” geordnet, eine Klasse enthielt jene Respondenten, deren Antwortmuster auf ein Antwortartefakt hinwiesen. In dieser Befragtenklasse wird der Depressionsgrad offensichtlich überschätzt. Zusammenhänge mit Alter und Mini-Mental-State-Examination-Score werden dargestellt. Nach unseren Ergebnissen muß die CES-D in einer Altenbevölkerung mit Vorsicht eingesetzt werden, der Summenscore sollte nicht verwendet werden.

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