Cases That Test Your Skills
Cases That Test Your Skills
Confused with ataxia and urinary and fecal incontinence
Ms. S, age 46, has difficulty walking and a wide-based gait, and is incontinent and paranoid. She reports no medical or psychiatric history. How...
Cases That Test Your Skills
Worsening agitation and hallucinations: Could it be PTSD?
Mr. G, age 57, presents with confusion, hallucinations, and agitation. He has a history of PTSD, depression, anxiety, and lung cancer. What could...
Cases That Test Your Skills
Suicidal and asking for money for food
Mr. L, age 59, attempts suicide by taking approximately 20 acetaminophen tablets of unknown dosage. He immediately comes to the emergency...
Cases That Test Your Skills
A girl repeatedly jabs her finger up her nose: Compulsion or self-injury?
A, age 6, repeatedly rams her finger into her nose, causing profuse bleeding. She has been in psychotherapy for a year, but the behavior is...
Cases That Test Your Skills
Stabilized schizoaffective disorder; later confusion and depression appears
Mr. D, age 42, has a history of schizoaffective disorder, which was stabilized with medication. He later presents with acute mood, cognitive, and...
Cases That Test Your Skills
ADHD symptoms are stable, then a sudden relapse
R, age 11, has ADHD, which has been stable on extended-release methylphenidate. Over 2 months, hyperactivity, inattention, and impulsivity...
Cases That Test Your Skills
Pregnant nearly a year? The patient has symptoms but evidence is lacking
Mrs. X, age 43, reports that she has been pregnant for 11 months. Pregnancy tests and transvaginal ultrasonography are negative. She has no...
Cases That Test Your Skills
Psychosis in treated neurosyphilis: Is now the time to stop his antipsychotic?
Mr. C, age 61, has a history of auditory and visual hallucinations and depression. Syphilis was diagnosed 13 years ago and treated with IV...
Cases That Test Your Skills
No evidence of pregnancy, but she is suicidal and depressed after ‘my baby died’
Ms. R, age 50, is depressed and suicidal after she claims her newborn died suddenly 1 week ago; however, her medical history reveals that she had...
Cases That Test Your Skills
Treated with a mood stabilizer, he becomes incontinent and walks oddly
Mr. X, age 67, develops cognitive impairment, gait disturbance, and urinary incontinence. He has been taking valproic acid for 8 years to treat...
Cases That Test Your Skills
Precipitously and certainly psychotic—but what’s the cause?
Ms. L, age 38, rapidly becomes confused and agitated, and expresses suicidal ideation. Her history is not consistent with a typical course of...