Cases That Test Your Skills

Cases That Test Your Skills

Young, pregnant, ataxic—and jilted

Ms. M, age 15, thirty-five weeks pregnant and abandoned by her boyfriend, has difficulty walking. No neurologic cause can be found. What could be...

Cases That Test Your Skills

He’s been making new ‘friends’

Mr. B, age 91, describes seeing “friends” who talk to him and sing and dance. He knows these friends aren’t real and he has no other psychiatric...

Cases That Test Your Skills

Acting strange after trying to ‘get numb’

Mr. L, age 17, is agitated and talking to the walls of his house. He took 24 diphenhydramine tablets in a possible suicide attempt after he broke...

Cases That Test Your Skills

Depressed, suicidal, and brittle in her bones

Ms. E, age 20, describes depression, mania, and suicidal ideation. She also has fragile bones that have led to 62 fractures. How would you treat...

Cases That Test Your Skills

A young man with psychosis whose heart is racing

Mr. C, age 19, is paranoid, anxious, and agitated. After several medication trials, clozapine relieves his psychotic symptoms, but his heart rate...

Cases That Test Your Skills

Opioid use remits, depression remains

Mr. B, age 55, has been depressed since adolescence and is addicted to opioids. Pharmacotherapy helped, but symptoms returned and he reports...

Cases That Test Your Skills

Psychosis resolves, but menses stop

Ms. S, age 30, says her classmates are ‘working against her.’ Paliperidone relieves her psychotic symptoms, but she misses 2 menstrual cycles...

Cases That Test Your Skills

Deaf and self-signing

Deaf since birth, Mrs. H, age 47, is withdrawn and says she is 18 months pregnant. She signs to herself; an interpreter says she uses...

Cases That Test Your Skills

The confused binge drinker

Mr. P, age 46, says he ‘feels weird’ and describes confusion, paranoia, and suicidal ideations. He is a binge drinker and uses Cannabis and...

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