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MENTAL DISORDERS DUE TO A GENERAL MEDICAL CONDITION AND SUBSTANCE-INDUCED
Clinical Case Vignette
9/29/03
Psychiatry Clerkship
Clinical Case Conference
Clinical Vignette:
Mrs. T is a 79-year-old retired schoolteacher who is brought to the emergency room after being found wandering around her neighborhood in a confused and disoriented state. She seemed to be in good health until a few months ago when her husband was hospitalized for 10 days for relatively minor surgery. About a month after her husband returned home, he and their two married daughters, who do not live at home, reported a noticeable change in Mrs. T’s mental status. She became somewhat hyperactive and seemed to have excessive energy, was irritable and agitated, had difficulty getting to sleep at night, and became preoccupied with concerns that she was going to die. She began to prepare for death and wanted to visit relatives in the Midwest to see them for the last time.
MENTAL DISORDERS DUE TO A GENERAL MEDICAL CONDITION REFERENCES
Psychiatry Clerkship
Clinical Case Conference
1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, (DSM-IV), Washington, DC, American Psychiatric Association, 1994, pp 165-174, 306-315, 366-375, 436-444.
2. Kaplan & Sadock’s Comprehensive Textbook of Psychiatry VII. Edited by Sadock B, Sadock V, Philadelphia, Williams & Wilkins, 2000, pp 732-755.
3. Kay J, Tasman A, Lieberman J (1997), Psychiatry. Philadelphia, WB Saunders, pp 892-926.
4. Kay J, Tasman A, et al. (2000), Psychiatry: Behavioral Science and Clinical Essentials. A Companion to Tasman, Kay, Lieberman: Psychiatry. Philadelphia, WB Saunders, pp 297-311.
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