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