Cases That Test Your Skills
Cases That Test Your Skills
Stalked by a ‘patient’
For 20 months, Ms. I has been calling and sending threatening letters to a psychiatric resident whom she falsely believes is her physician. How...
Cases That Test Your Skills
Epilepsy or something else?
Ms. T, age 20, has a history of trauma and mood problems. She has seizure-like episodes but EEG and other tests do not find a cause. How would you...
Cases That Test Your Skills
The avoidant psychotherapy patient
Mr. J, age 35, seeks treatment for panic attacks. He takes a benzodiazepine and attends psychotherapy but comes once a month, and keeps sessions...
Cases That Test Your Skills
A perplexing case of altered mental status
Mr. E, age 55, has a 2-week history of altered mental status, sleep disturbance, and decreased appetite and speech. Medical workup does not reveal...
Cases That Test Your Skills
Overwhelmed by side effects
Mrs. C, age 48, has depression and extreme anxiety. She has tried several antidepressants, but discontinued them because of side effects. What...
Cases That Test Your Skills
Epileptic and depressed
Ms. R, age 33, seeks treatment for worsening depression after her epilepsy diagnosis 1 year ago. She has a history of bulimia and ongoing anxiety...
Cases That Test Your Skills
Psychotic and in pain
Mrs. P, age 58, has a history of depression, suicide attempts, and chronic pain. Eight months ago she developed psychotic symptoms. How would you...
Cases That Test Your Skills
Obsessive and inattentive
Mr. C, age 20, has impaired attention, debilitating compulsions, and tic disorder. Can he be safely treated with a psychostimulant without...
Cases That Test Your Skills
A paranoid, violent teenager
Ms. V, age 16, believes her sister is poisoning her food. After her paranoia increases she kills her sister with a hammer. Could this tragedy have...
Cases That Test Your Skills
The delirious substance abuser
In the ER, Ms. K, age 29, is inattentive, confused, and experiencing tachycardia and acute renal failure. She has a history of cocaine and...
Cases That Test Your Skills
Disoriented and forgetful
Ms. P, age 53, was diagnosed with Fabry’s disease 5 years ago and now presents with memory problems, disorientation, and delusions. Is her medical...