Agitated

Behavioral Health


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The patient who presents with confusion and agitation is not an uncommon presentation in clinical practice; in many cases, the list of differentials is extremely broad.\n\nHowever, a careful analysis of this young man\u0027s history brings up several important clues which help us rapidly arrive at a diagnosis.\n\nFirst of all, note the presence of bizarre persecutory delusions and second person auditory hallucinations for 6 months; these have resulted in impaired occupational function.\n\nIn addition, physical examination shows him to be agitated, with an unkempt appearance, and guarded attitude. He is disoriented in time and place, and does not obey commands.\n\nFurthermore, mental state examination reveals an euthymic, mood congruent patient who displ"}]}

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