Affected

Behavioral Health


Step 1: View Clinicals

{"ops":[{"insert":"A 34 year old woman is brought in by her family, after she became violent at home, and attempted to assault her mother.\n\nOn questioning, she complains of feeling \u0027down\u0027, being fatigued all the time, and having difficulty in sleeping.\n\nShe also claims that she won the 1st place in an international art competition, outperforming Pablo Picasso, and that she is an adoptee, with her real parents being the Queen of England, and King Louis XVI of France.\n\nShe denies suicidal ideation, or experiencing guilt, reduced self esteem, reduced interest in her usual activities, or reduced concentration.\n\nHer mother mentions that she had an episode of similar behavior around 1 year ago, which lasted for 3 weeks, and resolved spontaneously. During this, she attempted suicide via a self inflicted injury to the forearm.\n\nHer family had also noticed her talking to imaginary people on multiple occasions during the last 9 months.\n\nHer birth history is unremarkable, and all developmental milestones were age appropriate. Her surgical, drug and family histories are unremarkable.\n\nShe does not smoke and only drinks socially. She denies recreational drug abuse; this is corroborated by her family.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-Y-016_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Complete Blood Count
2. Serum Electrolytes
3. Toxicology Screen
4. Contrast CT Brain

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