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QUESTION
CHIEF COMPLAINT: “I got caught into it.”
H.P. is a 40 y/o African American female who was transferred to ED via police due to bizarre and erratic behavior with auditory hallucinations. Patient attempted to stick people with a pen at a convenience store. Patient has had numerous hospitalizations in different hospitals but her last admission in this hospital was 3 years ago. Patient didn’t follow up and non-compliance with her medications. During interview, patient noted laughing and smiling inappropriately. Thoughts are racing and scattered. Patient disorganized, delusional, paranoid and suspicious of others. Feels watched and followed. Lacks energy and motivation. Patient has not been sleeping well at night. She reported she has been hearing voices telling her to kill herself. Denied visual hallucination and suicidal/homicidal ideations. No drug/food allergies reported. UDS positive for marijuana and ETOH <10. Patient presents as a danger to self and others. PAST PSYCHIATRIC HISTORY: Multiple hospitalizations, non-compliance to treatment. No past suicidal or homicidal reported. PAST MEDICAL HISTORY: Severe anemia, the cause not clear. FAMILY HISTORY: The patient has a family history of bipolar and depression, but no detail given. SOCIAL HISTORY: The patient is not married, but she has 5 children, all are grown up and they all live with the other family members. The patient has no job. She receives monthly social security check. Patient is currently homeless. Patient is positive for marijuana. Denied alcohol or illicit drug using. DIFFERENTIAL DIAGNOSIS 1. Schizophrenia, unspecified 2. Marijuana use disorder 3. Non-compliance with medications Sample Solutions Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Phasellus hendrerit. Pellentesque aliquet nibh nec urna. In nisi neque, aliquet vel, dapibus id, mattis vel, nisi. Sed pretium, ligula sollicitudin laoreet viverra, tortor libero sodales leo, eget blandit nunc tortor eu nibh. Nullam mollis. Ut justo. Suspendisse potenti. Get sample solution Order Now Sed egestas, ante et vulputate volutpat, eros pede semper est, vitae luctus metus libero eu augue. Morbi purus libero, faucibus adipiscing, commodo quis, gravida id, est. Sed lectus. Praesent elementum hendrerit tortor. Sed semper lorem at felis. Vestibulum volutpat, lacus a ultrices sagittis, mi neque euismod dui, eu pulvinar nunc sapien ornare nisl. Phasellus pede arcu, dapibus eu, fermentum et, dapibus sed, urna. Morbi interdum mollis sapien. Sed ac risus. Phasellus lacinia, magna a ullamcorper laoreet, lectus arcu pulvinar risus, vitae facilisis libero dolor a purus. Sed vel lacus. Mauris nibh felis, adipiscing varius, adipiscing in, lacinia vel, tellus. Suspendisse ac urna. Etiam pellentesque mauris ut lectus. Nunc tellus ante, mattis eget, gravida vitae, ultricies ac, leo. Integer leo pede, ornare a, lacinia eu, vulputate vel, nisl. Suspendisse mauris. Fusce accumsan mollis eros. Pellentesque a diam sit amet mi ullamcorper vehicula. Integer adipiscing risus a sem. Nullam quis massa sit amet nibh viverra malesuada. Nunc sem lacus, accumsan quis, faucibus non, congue vel, arcu. Ut scelerisque hendrerit tellus. Integer sagittis. Vivamus a mauris eget arcu gravida tristique. Nunc iaculis mi in ante. Vivamus imperdiet nibh feugiat est. Ut convallis, sem sit amet interdum consectetuer, odio augue aliquam leo, nec dapibus tortor nibh sed augue. Integer eu magna sit amet metus fermentum posuere. Morbi sit amet nulla sed dolor elementum imperdiet. Quisque fermentum. Cum sociis natoque penatibus et magnis xdis parturient montes, nascetur ridiculus mus. Pellentesque adipiscing eros ut libero. Ut condimentum mi vel tellus. Suspendisse laoreet. Fusce ut est sed dolor gravida convallis. Morbi vitae ante. Vivamus ultrices luctus nunc. Suspendisse et dolor. Etiam dignissim. Proin malesuada adipiscing lacus. Donec metus. Curabitur gravida
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