Cases That Test Your Skills

Cases That Test Your Skills

Psychotic and in pain

Mrs. P, age 58, has a history of depression, suicide attempts, and chronic pain. Eight months ago she developed psychotic symptoms. How would you...

Cases That Test Your Skills

Obsessive and inattentive

Mr. C, age 20, has impaired attention, debilitating compulsions, and tic disorder. Can he be safely treated with a psychostimulant without...

Cases That Test Your Skills

A paranoid, violent teenager

Ms. V, age 16, believes her sister is poisoning her food. After her paranoia increases she kills her sister with a hammer. Could this tragedy have...

Cases That Test Your Skills

The delirious substance abuser

In the ER, Ms. K, age 29, is inattentive, confused, and experiencing tachycardia and acute renal failure. She has a history of cocaine and...

Cases That Test Your Skills

Disoriented and forgetful

Ms. P, age 53, was diagnosed with Fabry’s disease 5 years ago and now presents with memory problems, disorientation, and delusions. Is her medical...

Cases That Test Your Skills

A questionable diagnosis

Mr. O is admitted to the hospital for delusions and bizarre behavior. He has a 56-year psychiatric history and a diagnosis of schizoaffective...

Cases That Test Your Skills

A curious case of depression

Mr. Z, age 61, has a history of bipolar I disorder and presents with worsening depression, fatigue, thrombocytopenia, and a rash. What is...

Cases That Test Your Skills

‘Scared’ and short of breath

While being treated for paranoid schizophrenia, Mr. C, age 42, suddenly develops a fever, high blood pressure, and altered mental status. How...

Cases That Test Your Skills

Unexpected improvement

For 30 years, Ms. U, age 53, has experienced treatment-resistant schizophrenia. After she is treated for a neurologic disorder, her psychotic...

Cases That Test Your Skills

A dangerous GI complication

Ms. X, age 61, undergoes emergent surgery for intestinal obstruction. Her paranoid schizophrenia has been well controlled on clozapine, but the...

Cases That Test Your Skills

Pregnant and moving involuntarily

After Ms. A delivers a preterm girl, the obstetrics service notes she has a blunted affect and involuntary movement of the arms and legs. What...

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