An agitated or suicidal patient brought by family or authorities at the A & E can be called a prototypical psychiatric emergency. In these individuals with myriad of psychiatric symptoms, which may have underlying organic etiologies and co-morbidities; final diagnosis should always be made after exclusion of such causes. At presentation identifying underlying medical condition masquerading as a psychiatric disorder can be difficult and challenging in such scenarios. We hereby present three cases where patients were admitted to a tertiary care set up with probable primary psychiatric syndromes; upon investigations were found to have medical-comorbidities; which had pivotal implication on their management.
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