HALLUCINATIONS VISUAL: METABOLIC DISORDERS OR DISORDERS PSYCHIATRIC?

INTRODUCTION AND OBJECTIVE: The present study is to present the experience of UNIFESO medical students in BFHU Vargem Grande, in order to elucidate the diagnostic hypotheses of patient E.M.S. We observed that the patient had, and visual hallucinations, other diseases such as type 2 diabetes mellitus, hypertension and dyslipidemia. METHODS The information was collected from medical records and a meeting with the health team of the Basic Health Unit Vargem Grande family. Through home visits, we know the patient. It was conducted analysis of vital signs and assessment of blood glucose. In addition to multidisciplinary consultation. RESULTS AND CONCLUSION: In UNIFESO Psychiatry Clinic, a diagnostic hypothesis was suggested: metabolic disorders by type 2 diabetes decompensated, which was leading to hallucinatory paintings. Another possible reason is Charles Bonnet Syndrome. Both hypotheses are relevant to the context of our patients: over the home visits, we can see the poor adherence to dietary and pharmacological treatment. This situation was partially reversed as it showed the importance of glycemic control, and we began to ask family daily monitoring of blood glucose values, as well as an educational organization-oriented pharmacological treatment. difficulties permeated the evolution of the patient, such as lack of information gathered by professionals about the psychiatric condition and his vision. The displacement of E.M.S. It is hampered by its housing and health conditions, which prevents it from going to the post and the specialized centers.