Hostname: page-component-745bb68f8f-v2bm5 Total loading time: 0 Render date: 2025-02-08T10:51:14.087Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical Laboratory Abnormalities and their Follow-up in a Mental Hygiene Clinic

Published online by Cambridge University Press:  29 January 2018

Leo Shatin ,
Pavlos Kymissis  and
William Brown
Leo Shatin
Affiliation:
Mount Sinai Hospital Services, Department of Psychiatry, City Hospital Center at Elmhurst, 79-01 Broadway, Elmhurst, New York, 11373
Pavlos Kymissis
Affiliation:
Mount Sinai Hospital Services, Department of Psychiatry, City Hospital Center at Elmhurst, 79-01 Broadway, Elmhurst, New York, 11373
William Brown
Affiliation:
Mount Sinai Hospital Services, Department of Psychiatry, City Hospital Center at Elmhurst, 79-01 Broadway, Elmhurst, New York, 11373
Get access Rights & Permissions [Opens in a new window]

Summary

In a retrospective study, there were clearly abnormal laboratory findings in 4.8 per cent of 4,994 adults who attended for psychiatric evaluation at a mental hygiene clinic. In particular high fasting blood sugars, abnormal blood counts, eosinophilia, VDRL and abnormalities of chest X-ray or urinalysis were found. Just under half of these abnormalities led to further medical follow-up. Old and young, schizophrenic and neurotic were equally likely to be followed up, but tests which were clinically not alarming might be ignored. The implications are discussed.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 133 , Issue 2 , August 1978 , pp. 150 - 155
Copyright
Copyright © Royal College of Psychiatrists, 1978 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allerhand, J., McCarrick, J. & Eisler, L. (1968) The biochemical profile of blood-donors and healthy employees by Autoanalyzer. Technicon Symposium on Automation in Analytical Chemistry, 20 October 1967, New York. Copyright by Mediad, Inc., 1968, Technicon Instruments Corp., Tarrytown, New York.Google Scholar
Anderson, E. W. & Trethowan, W. H. (1973) Psychiatry (3rd ed.). Baltimore: The Williams and Williams Co.Google Scholar
Chapman, A. H. (1967) Textbook of Clinical Psychiatry, p. 85. Philadelphia: J. B. Lippincott Co.Google Scholar
Diagnostic and Statistical Manual of Mental Disorders (DSM-II) (1968) Washington, D.C.: American Psychiatric Association.Google Scholar
Dunbar, H. F. (1954) Emotions and Bodily Changes (4th ed.). New York: Arno Press.Google Scholar
Grinker, R. R. (1974) Psychomatic Concepts. New York: Jayson Aronson, Inc.Google Scholar
Henderson, D. & Gillespie, R. D. (1969) A Textbook of Psychiatry, p. 96. (Revised by Batchelor, I. R. C). London: Oxford University Press.Google Scholar
Hollender, M. H. & Wells, C. E. (1975) Medical Assessment in psychiatric practice. In Comprehensive Textbook of Psychiatry (ed. Freedman, A. H., Kaplan, M. I. and Sadock, B. J.). Baltimore: Williams and Wilkins Co.Google Scholar
Koranyi, E. K. (1972) Physical health and illness in a psychiatric outpatient population. Canadian Psychiatric Association Journal, 17 (Suppl. 2), 109–16.CrossRefGoogle Scholar
Lipowski, Z. J. (1974) Physical illness and psychopathology. International Journal of Psychiatry in Medicine, 5 (4), 483–97.CrossRefGoogle ScholarPubMed
Mendels, J. (ed.) (1973) Biological Psychiatry. New York: John Wiley and Sons.Google Scholar
Novello, J. S. (ed.) (1974) A Practical Handbook of Psychiatry, P.11. Springfield: C. C. Thomas.Google Scholar
Ornston, D., Schwartz, M., Smith, C. & Stern, S. (1974) Laboratory studies for every medicated outpatient: Are they really necessary? American Journal of Psychiatry, 131, 711–14.CrossRefGoogle ScholarPubMed
Redlich, F. & Freedman, D. X. (1966) The Theory and Practice of Psychiatry, p. 211ff. New York: Basic Books.Google Scholar
Rosner, B. L. (1966) The use of valid psychological complaints to screen, minimize or deny serious somatic illness. Journal Nervous and Mental Disease, 143, 234–8.CrossRefGoogle ScholarPubMed
Russe, H. P. (1969) The use and abuse of laboratory tests. Medical Clinics of North America, 53, 223–31.CrossRefGoogle Scholar
Trevelyan, M. Y. & Eastwood, M. R. (1972) Relationship between physical and psychiatric disorder. Psychological Medicine, 2 (4), 363–72.Google Scholar
Wynne Davies, D. (1965) Physical illness in psychiatric outpatients. British Journal of Psychiatry, 111, 27–33.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.