Autor: |
Jonokuchi AJ; Neurology, Columbia University Medical Center, New York, NY, USA., Fenster DB; Pediatrics, Emergency Medicine, Columbia University Medical Center, New York, NY, USA., McCann TA; Pediatrics, Columbia University Medical Center, New York, NY, USA., Gangopadhyay M; Psychiatry, Columbia University Medical Center, New York, NY, USA., Giordano M; Pediatrics, Columbia University Medical Center, New York, NY, USA., Maddocks AB; Radiology, Columbia University Medical Center, New York, NY, USA., Ekladios M; Emergency Medicine, Columbia University Medical Center, New York, NY, USA., Turek CM; Psychiatry, Columbia University Medical Center, New York, NY, USA., Mroczkowski MM; Psychiatry, Columbia University Medical Center, New York, NY, USA., Jamal N; Emergency Medicine, Columbia University Medical Center, New York, NY, USA., Vargas WS; Neurology, Columbia University, New York, NY, USA.; Neurology, Columbia University Medical Center, New York, NY, USA. |
Abstrakt: |
New-onset psychosis in the pediatric population poses many diagnostic challenges. Given the diversity of underlying causes, which fall under the purview of multiple medical specialties, a timely, targeted, yet thorough workup requires a systematic and coordinated approach. A committee of expert pediatric physicians from the divisions of emergency medicine, psychiatry, neurology, hospitalist medicine, and radiology convened to create and implement a novel clinical pathway and approach to the pediatric patient presenting with new-onset psychosis. Here we provide background and review the evidence supporting the investigations recommended in our pathway to screen for a comprehensive range of etiologies of pediatric psychosis. |