Sleeping Beauty!

I was called to the ED to eval an unresponsive pt for whom cardiac workup had been negative (was clammy, looked a bit like shock, and even had the defibrillator hooked up…). But luckily their spouse was there and when I heard the magic word “talking a lot about God recently” I verified cardiac enzymes neg, EKG neg, Head CT neg, exam and history neg for seizure, lytes wnl, got to say the magic words Psych docs rarely get to say in the ED: “1 mg IV push” and after a couple of pushes of lorazepam the Pt woke from a non-waxy catatonia (presumably from schizophrenia or mania). It’s so cool when something you’ve read the symptoms for turns out to look *exactly* like it’s been described!

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