October 19, 2009

Psychiatry SEQ Pearl 1

A 22 Year old chinese man was brought to A&E department by the police after he showed aggressive behavior towards family member and decrease sleep for three days duration.

During the interview session, he was very irritable and burst into anger whenever the interviewer oppose to what he said.

His speech is pressured and he jumps from another topic to another topic.

He also claims that he is a genius and have power to built nuclear weapon.


1) what is your differential diagnosis and give reason.
2) what investigation you would like to perform

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