Psychiatric symptoms

A

Cerebrovascular accident

B

Cushing's disease

C

Epilepsy

D

Hypoglycaemia

E

Hypothyroidism

F

Multiple sclerosis

G

Normal pressure hydrocephalus

H

Paracetamol overdose

I

Sub-dural haematoma

J

Thyrotoxicosis

K

Wolff-Parkinson White syndrome

            1. An 18-year-old woman presents with paroxysmal anxiety and palpitations with associated dizziness. Her weight is stable.

            2. A 65-year-old woman presents with depressed mood, weight gain and sensitivity to the cold.

            3. A 14-year-old boy with learning disability has episodes of visual hallucinations.

            4.A 76-year-old woman is admitted with poor balance and falls. Her husband has noticed a deterioration in her memory. She has also been incontinent of late.

            5. A 35-year-old psychiatric in-patient with schizophrenia and insulin dependent diabetes suddenly becomes confused and aggressive for no apparent reason whilst waiting for his lunch.

 

 

Answers: 1. K 2. E 3. C. 4. G. 5. D