title: Adrenal carcinoma and hypertension presenting with catatonic stupor.
abstract: A case of adrenal carcinoma with severe hypertension referred for treatment of "catatonia" illustrates the need for a high index of suspicion of organic mental disorder in medical patients, even when there is clinical evidence of a psychiatric condition and a history of psychosocial stressors. This case illustrates the need for concurrent medical and psychiatric investigation when there is a problem differentiating medical from psychiatric disturbance.
authors.affiliation: Department of Psychiatry, Faculty of Medicine, University of Western Ontario, Canada.
authors.forename: P
authors.initials: P
authors.lastname: Steinberg
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D002277:Carcinoma / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D002389:Catatonia / Q000209:etiology* / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism*; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000209:etiology* / Q000523:psychology
chemical_list: D006854:Hydrocortisone