Results for “alcohol”

A 24-year-old man avoids parties, will not eat in the staff cafeteria, cannot bring himself to ask a shop assistant for help, and has turned down a promotion be…

Psychiatry · Pre-internship · middle twist

A 58-year-old man is on the surgical ward on the second day after an elective inguinal hernia repair. He is anxious and sweating, his hands tremble, and he has…

Psychiatry · Pre-internship · middle twist

A 31-year-old teacher describes eight months of constant worry about her students, her mortgage and her parents' health that she cannot switch off. She is tense…

Psychiatry · Clinical rotations · common

A 29-year-old man with bipolar I disorder is reviewed in the community mental health clinic. He was admitted at 22 with a manic episode and stopped lithium thre…

Psychiatry · Pre-internship · middle twist

A 58-year-old man with a three-month depressive episode tells his general practitioner, quietly and without being asked, that he has been thinking about ending…

Psychiatry · Clinical rotations · common

A 61-year-old man is brought by his daughter seven months after his wife died. He has lost 9 kg, wakes at 3 am, and has not gone back to the bowls club or to hi…

Psychiatry · Clinical rotations · common

A 27-year-old man is assessed in the emergency department short-stay unit with three weeks of low mood, waking at 4 am and hopelessness. He has had two similar…

Psychiatry · Pre-internship · middle twist

A 24-year-old woman is referred because of mood swings since her late teens. Twice in two years she has had six-day spells of sleeping three hours a night, talk…

Psychiatry · Clinical rotations · middle twist

A 23-year-old apprentice has had persecutory beliefs and voices commenting on his actions continuously for three months. He has stopped attending work and rarel…

Psychiatry · Clinical rotations · common

A 19-year-old man is brought to the emergency department by friends two hours after a party. He is frightened, is convinced the other guests were laughing at hi…

Psychiatry · Clinical rotations · common

A 29-year-old man is seen by the consultation-liaison team. Over the past twelve months he has needed steadily more alcohol for the same effect, has twice tried…

Psychiatry · Clinical rotations · middle twist

A 34-year-old woman attends for a routine health check. She drinks four to five standard drinks on each of five evenings a week and has done so for three years.…

Psychiatry · Clinical rotations · middle twist

A 27-year-old man attends a community drug and alcohol service at 9 am asking to start buprenorphine. He has injected heroin daily for four years and last injec…

Psychiatry · Pre-internship · middle twist

A 47-year-old man completed inpatient alcohol withdrawal and has been abstinent for eight days. He wants medication to help him stay off alcohol and is attendin…

Psychiatry · Clinical rotations · middle twist

A 54-year-old man is admitted eighteen hours after his last drink, anxious, sweating and coarsely tremulous, with a pulse of 108/min and a blood pressure of 150…

Psychiatry · Pre-internship · middle twist

A 58-year-old man is on the second postoperative day after an elective right hemicolectomy. Overnight he became restless and drenched with sweat; this morning h…

Psychiatry · Clinical rotations · common

A general practitioner in a regional town is asked to run a drug and alcohol education session at the local secondary school. Media coverage over the past year…

Psychiatry · Clinical rotations · common

An 88-year-old man on a medical ward has a delirium precipitated by pneumonia and is receiving appropriate antibiotics. Overnight he is terrified by figures he…

Psychiatry · Pre-internship · middle twist

Police bring a 54-year-old man to the emergency department at 2 am after he shouted at passing cars and swung at an officer. He is known to the mental health se…

Psychiatry · Pre-internship · middle twist

A 31-year-old man is waiting to be seen in a busy emergency department, brought in by his brother, who says he has stopped his medication. He has schizophrenia…

Psychiatry · Clinical rotations · middle twist