High Up

Nervous System & Special Senses

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This previously well 22-year old woman has presented with self-neglect, persecutory delusions and third person auditory hallucinations for two weeks; the duration and nature of her symptoms are in keeping with an acute psychotic episode.\n\nWhen an individual presents with a first psychotic episode, a thorough history, sound physical examination, and appropriate investigations are required to differentiate between a primary psychiatric illness, psychotic disorder secondary to a medical condition, substance-induced psychotic disorder, and in rare cases, malingering.\n\nFor any case of acute psychosis, a broad-spectrum urine drug screen for illegal and legal substances should be performed even if there is no history of drug intake or abuse. In th"}]}

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