Cases That Test Your Skills
Cases That Test Your Skills
Suicide by cop: What motivates those who choose this method?
Mr. Z, age 25, an unemployed immigrant from Eastern Europe, is found unresponsive at a subway station. Workup in the emergency room reveals a...
Cases That Test Your Skills
A veteran who is suicidal while sleeping
Mr. R, age 28, an Iraq and Afghanistan veteran with major depressive disorder and posttraumatic stress disorder (PTSD), is awoken by his wife to...
Cases That Test Your Skills
Social withdrawal and confusion in an inmate with schizoaffective disorder
Mr. J, age 54, has a history of schizoaffective disorder and violence, which led to his incarceration. Recently he’s withdrawn socially and has an...
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...