Cases That Test Your Skills

Cases That Test Your Skills

Somatoform disorders: food for thought

Days after being jilted, Ms. M develops disabling fatigue and violent aversion to most foods. She insists her symptoms are physical, but numerous...

Cases That Test Your Skills

Sobering facts about a missed diagnosis

Hospitalized repeatedly for detoxification, Mrs. B’s alcohol use is worsening. Does her sudden, increasing confusion signal a common—but often...

Cases That Test Your Skills

Spotting a silent killer

Two patients have acute psychosis. Antipsychotics prolong their QTc intervals, placing them at risk for sudden cardiac death. How would you treat...

Cases That Test Your Skills

A troubled patient’s secret life

Hallucinations and suicidal thoughts have long tormented Mr. M. Can you gain his trust, get him to talk honestly, and find out why numerous...

Cases That Test Your Skills

The ‘show-off’ who couldn’t walk

During a bad day at school, a 9-year-old girl suffers sudden lower-extremity paralysis. Does she have a medical condition, or do her family...

Cases That Test Your Skills

After 62 years, her husband is a ‘stranger’

Ms. A, age 83, is increasingly confused and agitated. She attacks caregivers and distrusts her friends at church. The challenge: diagnose her...

Cases That Test Your Skills

The painful truth about depression

Eight weeks after remission, Ms. F’s depressive symptoms resurface. She’s tired, sleep-deprived, and has trouble functioning at work. Did a recent...

Cases That Test Your Skills

Chemical ‘warfare’ in Philadelphia

Mr. R hears ‘whispers from terrorists’ plotting an attack. He presents severely agitated with vomiting, psychosis, and paranoia. What is your...

Cases That Test Your Skills

Night terrors: a family affair

Sleepwalking and nightmares have troubled Ms. J since childhood. Her “walks” have led to disrupted sleep, a fractured foot, and the threat of...

Cases That Test Your Skills

When a patient threatens terrorism

Mr. Z, an engineering student who works with explosives, says he plans to ‘rid the world of nonbelievers.’ He suffers delusions but repeatedly...

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