Cases That Test Your Skills
Cases That Test Your Skills
The 84-year-old state boxing champ: Bipolar disorder, or something else?
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...
Cases That Test Your Skills
Sick, or faking it?
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...
Cases That Test Your Skills
Suicidal, violent, and treatment-resistant
Mr. T, age 52, has a long history of schizoaffective disorder, suicide attempts, and violence. Could an underlying medical condition be...
Cases That Test Your Skills
Seizure-like episodes, but is it really epilepsy?
Ms. N, age 12, experiences paroxysmal episodes of pain, weakness, and muscle spasms. She has no history of seizures, and an initial EEG is...
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
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
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
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...