Case-Based Review

Cases That Test Your Skills

Sick, or faking it?

Mr. W, age 53, presents to the ED with severe chest pain. The ED physician recognizes Mr. W from previous visits, suspects he is feigning symptoms...

Cases That Test Your Skills

Suicidal, violent, and treatment-resistant

Mr. T, age 52, has a long history of schizoaffective disorder, suicide attempts, and violence. Could an underlying medical condition be...

Savvy Psychopharmacology

Serotonin syndrome: How to keep your patients safe

Mr. S, age 55, comes to your clinic as a walk-in for management of major depressive disorder, insomnia, and migraines. He also has tobacco use...

Cases That Test Your Skills

The jealous insomniac

Mrs. H, age 28, presents with emotional lability, anxiety, and a jealous delusion; she believes her husband and best friend are having an affair....

Cases That Test Your Skills

From sweet to belligerent in the blink of an eye

Ms. P, age 87, presents with mental status changes, agitation, and combativeness. She has a complex medical history and lengthy medication list....

Cases That Test Your Skills

Between a rock and a hard place

While hospitalized for cardiogenic shock, Mr. B, age 75, alternates between appearing delirious and catatonic. Until now, his schizophrenia had...

Cases That Test Your Skills

An insidious onset of symptoms

Ms. S’s depression and anxiety have been well controlled by medication, but after several months, she develops tremors, poor concentration, and...

Cases That Test Your Skills

Young, angry, and in need of a liver transplant

Ms. L, age 21, takes sertraline for depression. Two weeks after being prescribed valproic acid for ‘mood swings,’ she comes to the ED with acute...

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