Cases That Test Your Skills

Cases That Test Your Skills

Stuck in a rut with the wrong diagnosis

Author:

Elizabeth Schindler, DO

Peter Silverman, MD

Richard Sanders, MD

Babar Hasan, MD

Ms. N, age 58, has a history of bipolar disorder with psychotic features. While being treated in the ED for violent behavior, she develops signs...

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Cases That Test Your Skills

Nothing up his sleeve: Decompensation after bariatric surgery

Author:

Charisse Colvin, MD

Winnie Tsai, DO

Andrew L. Silverman, MD

Jenna Taglienti, MD

Binu Chacko, MD

Mr. G, age 64, has schizoaffective disorder and has been stable for years. Weeks after undergoing bariatric surgery, he rapidly develops...

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Cases That Test Your Skills

Elaborate hallucinations, but is it a psychotic disorder?

Author:

John Wang, MD

Dina Patel, MD

Dimitry Francois, MD

Mr. B, age 93, has recurrent visual, auditory, and tactile hallucinations involving a man named ‘Harry,’ but no other psychotic symptoms. What...

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Cases That Test Your Skills

Threatening to burn the house down

Author:

Narpinder Malhi, MD

Immad Kiani, MD

Mr. X, age 61, is experiencing behavioral and psychological symptoms of dementia, but so far none of the standard treatment approaches have helped...

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Cases That Test Your Skills

The COPD patient who couldn’t stop worrying

Author:

Krista E. Martinez, MD

David S. Harnett, MD

Alexis Freedberg, MD

Ms. M, age 76, has MDD, an anxiety disorder, and severe COPD. She experiences persistent rumination and racing thoughts due to refractory...

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Cases That Test Your Skills

Painful erections while being treated for OCD

Author:

Alan L. Schneider, MD, DFAPA, DABAM

While being treated for OCD, Mr. G, age 27, experiences recurrent painful erections that last for hours and ejaculatory delay. What could be...

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Cases That Test Your Skills

The boy whose arm wouldn’t work

Author:

Patrick Keating, MD

Alexander M. Getz, MD

B, age 10, develops an unsteady gait and sustained flexion of his wrist. He has autism spectrum disorder and has maintained the same medication...

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Cases That Test Your Skills

Obsessions or psychosis?

Author:

Donald W. Simpson II, MD

Izza Bazigh, MBBS

Rekha Bandla Kasi, DO

Mr. R, age 17, has severe symptoms of OCD that limit his daily functioning and academics. While being treated for this, he develops symptoms...

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Cases That Test Your Skills

When the worry is worse than the actual illness

Author:

Eric Jarmon, DO

Alison Sullivan, MD

Ulrick Vieux, DO, MS

Christina Boyajian, LMHC

After being diagnosed with a rare gastrointestinal disorder, Ms. S, age 16, has abdominal pain. She’s anxious, depressed, and overly worried about...

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Cases That Test Your Skills

New-onset psychosis while being treated for coronavirus

Author:

Nathalie Boulos, MD

Brianne M. Newman, MD

William J. Newman, MD

While receiving treatment for COVID-19, Mr. G, age 56, experiences an acute psychotic episode. He has no known psychiatric history. What could be...

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Cases That Test Your Skills

An unexplained exacerbation of depression, anxiety, and panic

Author:

Rebecca Swenson, PMHNP-BC, FNP-BC

Mr. P, age 33, has multiple panic attacks every day. His depression and anxiety, which had been fairly well-controlled, are getting worse. How...

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