Case-Based Review

Cases That Test Your Skills

A suicide attempt, or something else?

Ms. A, age 12, presents to the ED with altered mentation and life-threatening hypoglycemia. She has a past suicide attempt by overdose. Is this...

Savvy Psychopharmacology

Psychotropic-induced hyponatremia

Hyponatremia is a common, multifactorial clinical condition. Hyponatremia is usually defined as a plasma sodium level <135 mmol/L; however,...

Cases That Test Your Skills

The teenager who couldn’t stay awake

Mr. G, age 14, presents to the ED with hypersomnolence and altered mental status. Drug screens are negative. What could be causing these symptoms...

Savvy Psychopharmacology

Managing procedural pain in a patient taking naltrexone

Mr. M, age 55, presents to his primary care physician (PCP) with hematochezia. Mr. M states that for the past week, he has noticed blood upon...