A 20 years old Malay male with bipolar affective disorder in manic phase was scheduled for Electroconvulsive therapy. Physical examination reveals no abnormality. However he died after the procedure.
Question: Give two most common causes of post ECT death in this patient
For answer, click [here]
Question: read the conversation below and give your comment regarding this patient insight
Doctor : Do you think that you are sick?
Patient :Yes, because I always felt worried and sad
Doctor : What do you think of the causes to your illness?
Patient : I was charmed by my mother in law. That’s why i’m sick
Doctor : Do you need to take medicine?
Patient : Don’t know, maybe i will take it if you ask to.
Doctor : Will you continue psychiatry follow up?
Patient : Yes, if you give me appointment.
A 34 years old Malay male which was recently diagnosed with mental illness have history of frequently visiting prostitute for sexual activity. A psychiatrist was come to pyschiatry ward to evaluate the patient. Below is some of the conversation between the doctor and patient.
Dr: I was told that you frequestly visit the prostitude, am I correct?
Pt: Yes, I am.
Dr: So, what do you think about it? Is it ok to do that?
Pt: Yes! It’s ok to do that.
Dr: So, you don’t think that it’s wrong.
Pt: Yes.
Dr: What about your wife?
Pt: Well, I’m single
Dr: What did your religion said regarding this thing?
Pt: Well, I did not pray and not really practising my religion.
Dr: Do you aware the dangerous of your activity with prostitude?
Pt: Do you mean HIV or any other sexual transmitted disease?
Dr: Yes.
Pt: Well, I use condom.
1) What do you think that the doctor is testing the patient for?
2) What is your interpretation based on above conversation?
A 40 Years old woman who has lost interest in her work and social life and lack of energy, motivation and appetite for two weeks of duration comes to your clinic. She tells you that although she feels hopeless and helpless most of the time, she seems to feel a bit better in the evening than in the morning [taken and modified from Page 65, Pathology Recall, Anikar Chhabra MD, Lorne H. Blackbourne MD, Lippincott Williams&Wilkins, 2002]
1)What other question you would like to ask this patient and give your judgement
2)Give three biological symptoms that usually present in depress patient
3)Outline the pharmacological treatment for depression.
For answer to this question, please click [here]
A 20 years old female college student which previously quiet presented with history of being excessive talkative and active for two weeks of duration. She always gives mini lectures to her friends and become extrovert. Currently she enjoys shopping and spent RM250 for unnecessary item. She starts to wear bright clothes. During your interview, she said that she may become a lecturer as she is very cleaver. She mention that she sleeps for 1-2 hours per night but still very active at days for busying making plans on how to improve the ministry of education. During the interview, she mentioned that she was left by her boyfriend two years ago after giving her virginity and admits that she was depressed with this condition and cries a lot. Sometimes she thought about taking her own life
1)List four differential diagnosis
2)Give four further questions you would like to ask
3)Elicit the current symptoms of this patient
4)Outline the drugs treatment for this patient