Cases That Test Your Skills
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
Confused and nearly naked after going on spending sprees
Mr. A, age 68, goes on spending sprees and exhibits delusions and auditory hallucinations. Neurocognitive testing reveals severe dysfunction. What...
Cases That Test Your Skills
Aggressive and delusional about his alien origins, but refusing treatment
Mr. C, age 23, has persistent hallucinations and delusions, despite 4 trials of antipsychotic medication. He refuses clozapine because of the...
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 H, age 47, is withdrawn and says she is 18 months pregnant.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...
Cases That Test Your Skills
Confused, cold, and lethargic
Ms. K, age 48, presents with new-onset altered mental status, hypotension, bradycardia, and severe hypothermia. How would you manage her?
Cases That Test Your Skills
Hearing voices, time traveling, and being hit with a high-heeled shoe
Mr. P, age 47, is arrested after breaking into a stranger’s apartment. He cannot explain his behavior, but reports that his grandmother died...
Cases That Test Your Skills
Dementia, bizarre creatures, and a white knight to the rescue
Ms. L, age 78, experiences visual and tactile hallucinations of bizarre creatures in her home that are related to dementia with Lewy bodies. How...
Cases That Test Your Skills
Angry, inattentive, and sidelined
Y, age 16, is irritable, depressed, and has trouble concentrating. His grandfather recently died and he cannot play sports because of a history of...
Cases That Test Your Skills
Weakness and facial droop: Is it a stroke?
Ms. G, age 59, experiences sudden left-sided weakness and facial droop, but a medical workup does not reveal an organic cause. What could be...