Stoned 2

Behavioral Health

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This individual has presented with symptoms suggestive of a panic attack: sweating, dizziness and palpitations for 15 minutes.\n\nPerusal of his history reveals the presence of multiple psychiatric symptoms including paranoid delusions, second person auditory hallucinations, and formication (the tactile hallucination of insects crawling under one\u0027s skin).\n\nWhile at first glance, a psychiatric disease suggests itself, his examination reveals the presence of tachycardia, hypertension, and high fever - thus an organic etiology is undoubtedly present.\n\nGiven the extensive history of recreational drug abuse, the most probable diagnoses are either drug induced toxicity or withdrawal.\n\nHowever, there are several other causes of a delirious state which can present with a compatible clinical picture; the assiduous clinician should exclude these first.\n\nA hypoglycemic episode or an electrolyte imbalance such as hypocalcemia is one possibility; however, these are excluded by the normal capillary bl"}]}

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