Cases That Test Your Skills
Cases That Test Your Skills
Depressed and confused, and dizzy while walking the dog
Mr. M, age 73, feels light-headed and has difficulty following conversations. He has a history of depression, cardiovascular disease, and visual...
Cases That Test Your Skills
A physician who feels hopeless and worthless and complains of pain
Dr. D, age 33, complains of worsening depression, pain and muscle tension, and suicidal ideation. How would you treat a physician−colleague?
Cases That Test Your Skills
Sober today, but lethargic and confused
Mr. W, age 26, has a history of alcohol abuse and presents with new-onset altered mental status, weakness, increasing lethargy, and jaundice. How...
Cases That Test Your Skills
Depressed and sick with ‘nothing to live for’
Mr. M, age 76, has had a complicated hospital stay after a fall. He reports feeling depressed and ‘tired’ and wants all life-sustaining therapies...
Cases That Test Your Skills
A teen with seizures, amnesia, and troubled family dynamics
Ms. A, age 13, is admitted for acute-onset amnesia. She has been treated for intractable seizures for 5 months. What could be causing her amnesia...
Cases That Test Your Skills
Delusional and aggressive, while playing the lottery
Mr. P, age 78, only sleeps a few hours a day, is delusional, and is verbally and physically aggressive toward his wife. He does not have a...
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...