The VIP patient syndrome in Latin America is known as “The recommended patient syndrome” a tale of unfortunate decisions and complications.

When a VIP patient or a patient who has an economic, social or family relationship with the doctors who treat them, arrive to the ER there is a subtle risk of making unorthodox decisions, Also, wasting resources, breaking standards of care and in the lowest scenario causing unintended complications to the patient. Case Report: We report a 55-year-old patient related to a physician. She was admitted to the emergency room due to abdominal pain, on admission was suspected appendicitis versus abdominal mass, an abdominal CT scan with contrast was performed and she developed an allergic reaction due to the contrast, she required intubation that was complicated with selective intubation and a massive atelectasis. After removal the orotracheal tube she presented fentanyl toxicity and finally after discharge developed post-traumatic stress. Conclusion: in LA (Latin America) this syndrome is an entity that exists, has been little described and in our knowledge has never been quantified. Patients are victims of multiple non-malicious complications, which originate in the desire of their health team trying to provide a closer, faster and more personalized attention outside of the guidelines of treatment. Ethical principles and prevention should be strengthened through an adequate clinical history and a detailed physical examination to avoid this event.

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When Ockham razor's principle is not applicable: Differential diagnosis of a rare case of child and adolescent psychosis

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.1238 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S350-S350

Author(s):

F. Dinamarca ◽

A. Palma ◽

M. Grifell ◽

L. Galindo ◽

L. Gonzalez ◽

...

Keyword(s):

Differential Diagnosis ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Paranoid Schizophrenia ◽

Clinical History ◽

Psychotic Symptoms ◽

Post Traumatic Stress ◽

Schizophrenic Patients ◽

Post Traumatic

IntroductionThe diagnosis of schizophrenia in children is rare. Less than 4% of schizophrenic patients begin before age 15 being much less stable than in adults as an entity in time. It is estimated that only 50% of diagnoses of schizophrenia in patients under 15 years are maintained over time. The most frequent differential diagnoses are bipolar disorder, post-traumatic stress disorder and dissociative disorder.Objective and methodsA case of a patient of 18 years old admitted in our service with diagnosis of paranoid schizophrenia due to the presence of delusional symptoms at age of 14 and due his evolution with impaired overall performance is presented. Upon arrival he presented delusions, self-referentiality and a strange phenotype with a pitched voice. Clinical history included presence of sexual abuse prior to debut of psychotic symptoms and rare medical comorbidity (diagnosed at age 15 of hypertension and paroxysmal sinus tachycardia). A kariotipe was done in a previous admission with normal results.ResultsDuring hospitalization symptomatic remission was achieved in just two days by decreasing antipsychotic potency of the treatment, he also presented elevated metanephrines and also elevated plasma aldosterone and renin in blood tests.ConclusionsWe discuss the differential diagnosis including schizophrenia, post-traumatic stress disorder with dissociative symptoms and endocrine pathology (pheochromocytoma and hyperaldosteronism).L. Galindo is a Rio Hortega fellowship (ISC III; CM14/00111).Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Post-traumatic stress disorder among rural widows in Nsukka: risk factors and wellbeing domains

South African Journal of Psychology ◽

10.1177/00812463211040378 ◽

2021 ◽

pp. 008124632110403

Author(s):

Valentine C Ezeh

Keyword(s):

Mental Health Professionals ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Rural Areas ◽

Stress Disorder ◽

Family Relationship ◽

Health Concern ◽

Post Traumatic Stress ◽

Adverse Life Event ◽

Post Traumatic

Losing a spouse to death is recognized as the most adverse life event that may increase the risk of depression, post-traumatic stress disorder, and other psychopathology with studies demonstrating that widows experienced more post-traumatic stress disorder symptoms than their non-widowed counterparts. Although the adverse effect of post-traumatic stress disorder may be stronger for widows in rural areas, the existing literature has shown the need for greater research on post-traumatic stress disorder experiences among vulnerable Igbo rural widows in Nsukka, South Eastern Nigeria. Against this backdrop, this study examined factors that predict post-traumatic stress disorder and the effect of post-traumatic stress disorder on the wellbeing domains of Igbo rural widows. Among the 177 participants, partner intimacy (β = .300, p < .001), cause of husband’s death (sudden vs. anticipated) (β = .183, p < .01), perceived social support (β = –.300, p < .001), number of surviving children at the time of husband’s death (β = .210, p < .01), and age of last child as at the time of husband’s death (β = .355, p < .01) all significantly predicted post-traumatic stress disorder. Domains of wellbeing most negatively affected by post-traumatic stress disorder included general life satisfaction (66.10%), family relationship (62.71%), and overall functioning (61.02%). The findings suggest that post-traumatic stress disorder among Igbo rural widows is a serious health concern that requires mental health professionals identifying high-risk rural widows early for intervention and developing programs aimed at educating and training rural community members on post-traumatic stress disorder and where to seek help on onset.

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