Cases That Test Your Skills

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...

Cases That Test Your Skills

The angry disciple

Mr. J, age 54, is agitated, disruptive, and claims to be the ‘son of Jesus Christ.’ He left his job and family to travel to the Middle East to be...

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...

Cases That Test Your Skills

Delirious after undergoing workup for stroke

Ms. L, age 91, is admitted to the hospital for a neurologic evaluation of a recent episode of left-sided weakness that occurred 1 week ago. This...

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...

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