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• W2913575866 abstract "Schizophrenia is a disabling and severe mental illness that affects all social classes and racial and ethnic groups, spreading across every part of the world. It's more frequent in males and it usually manifests itself in late adolescence or early adulthood and its early detection by all clinicians is important so that there is a proper referral to specialized psychiatric care. This article intends to update the knowledge regarding the diagnosis, treatment and prognosis of schizophrenia, with an emphasis on the warning signs for a timely referral to psychiatric evaluation. We conducted a literature search across through articles available in databases of scientific articles but also in scientific and technical books specialized in the field of schizophrenia. The clinical presentation of this illness is heterogeneous and complex, with a typical evolution based on several episodes of acute decompensation requiring hospitalization. The diagnosis of schizophrenia relies on some key symptoms, and the various international diagnostic criteria vary in relation to the temporal window with productive symptomatology required to establish a diagnosis. The prognosis is variable, not always deteriorating and is all the better when the treatment is started as early as possible. Treatment requires a multidisciplinary approach and is based primarily on antipsychotic drugs. This medication although very effective for the typical symptoms of this illness, entails some adverse effects with medical consequences that are important in the clinical practice of all doctors of other specialties.A esquizofrenia é uma doença mental grave e incapacitante que afeta todas as classes sociais e raças, em todas as partes do mundo sendo mais frequente no sexo masculino. Manifesta-se habitualmente na parte final da adolescência ou início da vida adulta e é importante a sua deteção precoce por todos os clínicos para correto encaminhamento para consulta especializada de psiquiatria. Pretende-se com este artigo atualizar conhecimentos em relação ao diagnóstico, tratamento e prognóstico da esquizofrenia e enfatizando os sinais de alerta para uma referenciação atempada a consulta de psiquiatria. Foi efetuada uma pesquisa bibliográfica através de artigos disponíveis em bases de dados de artigos científicos e também em livros científicos e técnicos especializados na área da esquizofrenia. A apresentação clínica desta doença é heterogénea e complexa, com uma evolução típica normalmente pautada por vários episódios de descompensação aguda com necessidade de internamento. O diagnóstico de esquizofrenia assenta em alguns sintomas-chave, sendo que os vários critérios de diagnóstico internacionais variam entre eles relativamente à janela temporal com sintomatologia produtiva necessária para efetuar um diagnóstico. O prognóstico é muito variável, nem sempre cursa de forma deteriorante e é tanto melhor quando mais precoce for o início do tratamento. O tratamento exige uma abordagem multidisciplinar e assenta primariamente em fármacos antipsicóticos. Esta medicação apesar de muito eficaz para a sintomatologia típica da doença acarreta efeitos adversos cujas consequências médicas são importantes na prática clínica de todos os médicos de outras especialidades." @default.
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• W2913575866 date "2019-02-01" @default.
• W2913575866 modified "2023-09-27" @default.
• W2913575866 title "Esquizofrenia: O Que o Médico Não Psiquiatra Precisa de Saber" @default.
• W2913575866 doi "https://doi.org/10.20344/amp.10768" @default.
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