Cases That Test Your Skills

Cases That Test Your Skills

Sober today, but lethargic and confused

Mr. W, age 26, has a history of alcohol abuse and presents with new-onset altered mental status, weakness, increasing lethargy, and jaundice. How...

Cases That Test Your Skills

Depressed and sick with ‘nothing to live for’

Mr. M, age 76, has had a complicated hospital stay after a fall. He reports feeling depressed and ‘tired’ and wants all life-sustaining therapies...

Cases That Test Your Skills

Young, pregnant, ataxic—and jilted

Ms. M, age 15, thirty-five weeks pregnant and abandoned by her boyfriend, has difficulty walking. No neurologic cause can be found. What could be...

Cases That Test Your Skills

He’s been making new ‘friends’

Mr. B, age 91, describes seeing “friends” who talk to him and sing and dance. He knows these friends aren’t real and he has no other psychiatric...

Cases That Test Your Skills

Acting strange after trying to ‘get numb’

Mr. L, age 17, is agitated and talking to the walls of his house. He took 24 diphenhydramine tablets in a possible suicide attempt after he broke...

Cases That Test Your Skills

Depressed, suicidal, and brittle in her bones

Ms. E, age 20, describes depression, mania, and suicidal ideation. She also has fragile bones that have led to 62 fractures. How would you treat...

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