Cases That Test Your Skills
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...
Cases That Test Your Skills
Unrelenting depression: ‘I would rather be dead than feel this way’
Mr. J, age 56, presents to the ED with suicidal ideation. He reports that his current depressive episode is the most severe he’s ever experienced...
Cases That Test Your Skills
Manic after having found a ‘cure’ for Alzheimer’s disease
Mr. A, age 73, has been irritable, impulsive, grandiose, and sleeping very little. He claims to have found a ‘cure’ for Alzheimer’s disease. What...
Cases That Test Your Skills
The emotionally exhausted physician
Dr. D is a high achiever who says she 'feels stuck,' emotionally exhausted, and that she is 'spinning her wheels.' She is otherwise healthy. How...
Cases That Test Your Skills
Bugs on her skin—but nobody else sees them
Ms. L, age 74, presents to the ED with multiple excoriations after attempting to kill bugs on and in her skin. Clinicians are unable to find any...
Cases That Test Your Skills
Is this adolescent suicidal? Challenges in pediatric inpatient consultation-liaison
Nine months after emigrating from Yemen, Ms. S, age 16, overdoses on pain medication. She denies having anxiety or stress, but says she previously...
Cases That Test Your Skills
Sudden-onset memory problems, visual hallucinations, and odd behaviors
Ms. D, age 62, is disoriented, distractible, tearful, and tangential. She reports that 'aerialists' are climbing through her windows at night and...
Cases That Test Your Skills
Aggressive outbursts and emotional lability in a 16-year-old boy
Mr. X, age 16, is having increasingly frequent aggressive outbursts that are almost always preceded by inappropriate laughing or crying. How would...
Cases That Test Your Skills
Visual hallucinations and severe anxiety in the ICU after surgery
After major surgery, Mr. B, age 42, has visual hallucinations of someone placing a drug in his IV line, and develops severe anxiety. What could be...