Feature | Details |
Sociodemographic Characteristic | |
Age | 33 years |
Sex | Female |
Religion | Roman Catholic |
Nationality | Ugandan |
Residence | Urban |
Marital status | Single, never married |
Relation status | History of one relationship |
Number of children | One |
Social network | Poor. She is generally self-reserved with no immediate friends and distant from her relatives. |
Hobbies | None identified |
Risk behaviors | Social withdrawal She doesn’t smoke or use any substance of abuse. |
Presenting complaints | |
Weight loss | It was progressive; for over a year. No associated drenching night sweats or fevers. |
Abdominal pain | Initially epigastric but later generalized. Nature and character not clear. It was exacerbated by eating. |
Vomiting | Non-projectile, non-bilious and post-prandial. Brownish contents and it had lasted for a week before admission. |
Generalized body weakness | A week before admission |
Changes in bowel habits | Reported episodes of alternating diarrhea and constipation in the preceding 4 months. |
Examination findings | |
Physical examination | Sick looking middle-aged, severely wasted, and restless but not in respiratory distress. Moderately dehydrated, T-36.7˚C, RR-24 bpm, PR-128 bpm, BP-98/60 mmHg. |
Mental state examination | Affect was incongruent with mood. The mood was low. She was oriented in person, place, and time. Had auditory hallucinations and persecutory delusions. Her judgment was intact but had a poor insight. SADPERSONS score of 4. |
Co-morbidities | |
| Schizophrenia |