Why it fits
Late-onset, atypical, olfactory phenomena, focal signs
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Late-onset, atypical, olfactory phenomena, focal signs
Inattention and fluctuation dominate. Psychotic content is often fragmented or changeable.
Separates the Psychosis / First-Episode Medical Psychosis group. It is not specific to Seizure-related.
Applies to the Psychosis / First-Episode Medical Psychosis group — not specific to Seizure-related
Rows marked “Whole group”: Applies to the Psychosis / First-Episode Medical Psychosis group — not specific to Seizure-related
Late-onset, atypical, olfactory phenomena, focal signs
Temporal lobe epilepsy, brain tumour, stroke, CNS infection.
Applies to the Psychosis / First-Episode Medical Psychosis group.
Inattention and fluctuation dominate. Psychotic content is often fragmented or changeable.
Applies to the Psychosis / First-Episode Medical Psychosis group.
In older or medically unwell patients, assume delirium until proved otherwise Cannabis and stimulants can closely mimic primary psychosis Reassess once partially cleared Escalate early to medical/neurology review if red flags are present Consider MRI, EEG, CSF, and autoimmune testing when the syndrome is atypical Clarify positive symptoms, negative symptoms, cognition, and functional trajectory
Applies to the Psychosis / First-Episode Medical Psychosis group.
Neuroimaging (CT/MRI), EEG, Lumbar puncture / CSF studies
Applies to the Psychosis / First-Episode Medical Psychosis group.
None listed
Clinical reference — not validated decision support. Review before use.