Cases That Test Your Skills

Cases That Test Your Skills

When mania isn’t what it seems

Author:

Nina Bihani, BS, BA

Rebecca Klisz-Hulbert, MD, DFAPA

Diane L. Levine, MD, FACP

Mr. S, age 22, has autism, bipolar disorder, and intellectual disability. He suddenly experiences increased impulsivity and agitation. What could...

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Cases That Test Your Skills

Command hallucinations, but is it really psychosis?

Author:

Vernon Nathaniel, MD

Jessica Gannon, MD

Ana Lupu, PharmD

Tanu Thakur, MD

K.N. Roy Chengappa, MD, FRCPC

Due to intense family conflicts, Ms. D, age 26, often is suicidal. She has been hospitalized >25 times, and has received varying diagnoses and...

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Cases That Test Your Skills

Depression, or something else?

Author:

Elizabeth Guevara, MD, MSc

Naalla Schreiber, MD, MS

Ms. A, age 60, presents with severe headaches and depression, including a suicide attempt. She’s also been repeatedly sorting through her...

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Cases That Test Your Skills

Suicidal while receiving treatment for breast cancer

Author:

Deepti Chopra, MBBS, MPH

Walter F. Baile, MD

Mrs. L is undergoing treatment for breast cancer. Three weeks into a new regimen, she feels sad and irritable, and has thoughts of suicide.

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Cases That Test Your Skills

The paranoid business executive

Author:

Gregory Scott Brown, MD

Valerie Rosen, MD

Tawny L. Smith, PharmD, BCPP

The patient presents to the ED for the third time in 4 days with manic symptoms and paranoid behavior. How would you help him?

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Cases That Test Your Skills

Seeing snakes that aren’t there

Author:

Erica Shoemaker, MD, MPH

Farid Nader, MD

While being treated for ADHD, R, age 9, begins seeing snakes everywhere, hitting others, and throwing objects across the room. How do you proceed...

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Cases That Test Your Skills

The woman who couldn’t stop eating

Author:

Aleksandr Zverinskiy, MD, MHA

Yekaterina Angelova, MD

Ms. C, age 33, eats uncontrollably up to 10 times a day. She’s gained >50 lb and has poor self-esteem and low energy and motivation. She wants...

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Cases That Test Your Skills

The 84-year-old state boxing champ: Bipolar disorder, or something else?

Author:

Mustafa Qureshi, MD

Kanwarjeet Brar, MD

Hiren Patel, MD

Mr. X, age 84, presents with mania-like symptoms, grandiose delusions, and psychotic symptoms that began 2 weeks ago. What could be the cause of...

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Cases That Test Your Skills

Sick, or faking it?

Author:

Ralph de Similien, MD

Boris L. Lee, MD

Danielle R. Hairston, MD

Snezana Sonje, MD

Mr. W, age 53, presents to the ED with severe chest pain. The ED physician recognizes Mr. W from previous visits, suspects he is feigning symptoms...

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Cases That Test Your Skills

Suicidal, violent, and treatment-resistant

Author:

Nana Efua Adabie, MSN, PMHNP-BC

Grace Hassid, MD

Karin Hastik, MD

Elizabeth Sinclair, MPH

Cameron Quanbeck, MD

Mr. T, age 52, has a long history of schizoaffective disorder, suicide attempts, and violence. Could an underlying medical condition be...

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Cases That Test Your Skills

Seizure-like episodes, but is it really epilepsy?

Author:

Marlee Madora, MD

Aron Janssen, MD

Alexandra Junewicz, MD

Ms. N, age 12, experiences paroxysmal episodes of pain, weakness, and muscle spasms. She has no history of seizures, and an initial EEG is...

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