Cases That Test Your Skills
Cases That Test Your Skills
A questionable diagnosis
Mr. O is admitted to the hospital for delusions and bizarre behavior. He has a 56-year psychiatric history and a diagnosis of schizoaffective...
Cases That Test Your Skills
A curious case of depression
Mr. Z, age 61, has a history of bipolar I disorder and presents with worsening depression, fatigue, thrombocytopenia, and a rash. What is...
Cases That Test Your Skills
‘Scared’ and short of breath
While being treated for paranoid schizophrenia, Mr. C, age 42, suddenly develops a fever, high blood pressure, and altered mental status. How...
Cases That Test Your Skills
Unexpected improvement
For 30 years, Ms. U, age 53, has experienced treatment-resistant schizophrenia. After she is treated for a neurologic disorder, her psychotic...
Cases That Test Your Skills
A dangerous GI complication
Ms. X, age 61, undergoes emergent surgery for intestinal obstruction. Her paranoid schizophrenia has been well controlled on clozapine, but the...
Cases That Test Your Skills
Pregnant and moving involuntarily
After Ms. A delivers a preterm girl, the obstetrics service notes she has a blunted affect and involuntary movement of the arms and legs. What...
Cases That Test Your Skills
Depression or delirium?
Confused and depressed, Mr. L, age 85, is admitted after threatening his wife. He has several medical conditions and receives multiple medications...
Cases That Test Your Skills
Diabetic and depressed
Tearful and depressed, Mr. N plans to shoot his daughter’s abusive husband and himself. He has poorly controlled diabetes and other comorbidities...
Cases That Test Your Skills
The mysterious foreign accent
While treating Ms. D for a suspected psychotic disorder, you learn she has developed a foreign accent. What could be the cause of this unusual...
Cases That Test Your Skills
The surgeon who operated on himself
After performing cosmetic surgery on himself, Dr. T passes out and is brought to the emergency department. He wants to leave once he is medically...
Cases That Test Your Skills
A case of returning psychosis
In the ER, Ms. Y is agitated, violent, and aggressive. She received care for psychotic symptoms 30 years ago, but had been healthy until she had a...