Category: Psychiatry

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Morphine for Spectacular Psychiatric Efficacy

On call last night, got a spectacular consult. Elderly person w/ poorly controlled HIV, sent in from a facility. By report, “acting out and throwing self to floor, evaluate for psychiatric disease and 5150...

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Call Fu

You know you’re finally getting the hang of call when you can correctly diagnose opioid withdrawal with a beta blocker on-board from just a couple of vital signs read back by a nurse…

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Yet Another ED Call Night:

No complaint of visual hallucinations, no complaint of auditory hallucinations, no complaint of tactile hallucinations, no suicidal ideations, no homicidal ideations, no reported overdose. Pt went to the XXXXXXX and spent $300.00 on a...

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Catatonia, FTW!

Just diagnosed catatonia in a patient who became unresponsive and got intubated, got a CT, then a CT stroke protocol, CT angio chest, MRI, spinal tap, continuous EEG, flagrantly extensive metabolic and infectious workup....

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Vegetative Depression

CC: FO in Rectum. ASSESSMENT: Pt has a cucumber and coke bottle stuck in rectum x 24 hours. attempted to remove throughout day without success., Airway: clear, Breathing: non-labored, Breathing: normal, Circulation: adequate, Capillary...

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Crack is Whack

Just another emergency call night: States cameras in house and being poisoned by walls. States weakness and cp. taking crack for pain and energy without relief No relief even with crack? What is the...