Cases That Test Your Skills
Cases That Test Your Skills
The jealous insomniac
Mrs. H, age 28, presents with emotional lability, anxiety, and a jealous delusion; she believes her husband and best friend are having an affair....
Cases That Test Your Skills
Between a rock and a hard place
While hospitalized for cardiogenic shock, Mr. B, age 75, alternates between appearing delirious and catatonic. Until now, his schizophrenia had...
Cases That Test Your Skills
From sweet to belligerent in the blink of an eye
Ms. P, age 87, presents with mental status changes, agitation, and combativeness. She has a complex medical history and lengthy medication list....
Cases That Test Your Skills
An insidious onset of symptoms
Ms. S’s depression and anxiety have been well controlled by medication, but after several months, she develops tremors, poor concentration, and...
Cases That Test Your Skills
Young, angry, and in need of a liver transplant
Ms. L, age 21, takes sertraline for depression. Two weeks after being prescribed valproic acid for ‘mood swings,’ she comes to the ED with acute...
Cases That Test Your Skills
The angry disciple
Mr. J, age 54, is agitated, disruptive, and claims to be the ‘son of Jesus Christ.’ He left his job and family to travel to the Middle East to be...
Cases That Test Your Skills
A suicide attempt, or something else?
Ms. A, age 12, presents to the ED with altered mentation and life-threatening hypoglycemia. She has a past suicide attempt by overdose. Is this...
Cases That Test Your Skills
Fever, tachycardia, and tachypnea during a psychotic exacerbation
Mr. C, age 23, has a 4-year history of schizophrenia. He is brought to the ED with worsening psychosis and altered vital signs. Is it an infection...
Cases That Test Your Skills
Delirious after undergoing workup for stroke
Ms. L, age 91, is admitted to the hospital for a neurologic evaluation of a recent episode of left-sided weakness that occurred 1 week ago. This...
Cases That Test Your Skills
A mood disorder complicated by multiple sclerosis
Ms. A, age 56, presents with depressed mood, anhedonia, irritability, agitation, and recent self-injurious behavior. She also has multiple...
Cases That Test Your Skills
The teenager who couldn’t stay awake
Mr. G, age 14, presents to the ED with hypersomnolence and altered mental status. Drug screens are negative. What could be causing these symptoms...