USMLE Forum Archives - USMLE Step 3 - CCS- Acute Mania
CCS- Acute Mania
meduploader - 01-02-09 13:25
A 27 year old male was brought to the ER by police after a traffic violation. He was driving with her GF, who told that he is acting strange for last couples of days. He bought expensive gifts for her..not eating well..staying awake whole night playing online games. He even threatened the police saying " If you know who I am, you would not mess with me".
He doesn't drink alcohol or smoke tobacco. He was taking some medicine for depression for last 1 years which he can't remember. Last month he stopped taking it. Because he thought " Let's see what happens?"
BP: 121/85mmHg
HR: 110/min
put restrain orders
PE
iva
ivf
cbc
bmp
urine toxicology
blood alcohol
pt/inr
ptt
haloperidol-low dose
TSH
ECG
counsel- suicidal
start Lithium
counsel family
smoking cessation
no alcohol
cognitive behavioural therapy/pyschotherapy
no drugs
medication compliance
side effects of medicine
diet normal
meduploader - 01-02-09 13:25
A 27 year old male was brought to the ER by police after a traffic violation. He was driving with her GF, who told that he is acting strange for last couples of days. He bought expensive gifts for her..not eating well..staying awake whole night playing online games. He even threatened the police saying " If you know who I am, you would not mess with me".
He doesn't drink alcohol or smoke tobacco. He was taking some medicine for depression for last 1 years which he can't remember. Last month he stopped taking it. Because he thought " Let's see what happens?"
BP: 121/85mmHg
HR: 110/min
put restrain orders
PE
iva
ivf
cbc
bmp
urine toxicology
blood alcohol
pt/inr
ptt
haloperidol-low dose
TSH
ECG
counsel- suicidal
start Lithium
counsel family
smoking cessation
no alcohol
cognitive behavioural therapy/pyschotherapy
no drugs
medication compliance
side effects of medicine
diet normal
Page 1
#1
Re: CCS- Acute Mania bingousmle - 06-18-10 08:19 in this case when we do a urine toxicology screen are we supposed to also take the consent? and what will be the next step if the patient refuses?
#2
Re: CCS- Acute Mania babbu5508 - 06-18-10 14:56 Antidepressant discontinuation syndrome occurs in approximately 20 percent of patients after abrupt discontinuation of an antidepressant medication that was taken for at least six weeks. Typical symptoms of antidepressant discontinuation syndrome include flu-like symptoms, insomnia, nausea, imbalance, sensory disturbances, and hyperarousal.
#3
Re: CCS- Acute Mania bingousmle - 06-18-10 15:04 it is probably a case of a bipolar disorder and a precipitation of acute mania though it looks to be due to the discontinuation of medication.... so adonis waitng for your opinion in case of consent refusal for urine tox screen..
#4
Re: CCS- Acute Mania babbu5508 - 06-18-10 15:16 written consent is required for toxicological screening in all cases of drug abuse..unless the person is a minor in which case the parent or guardian needs to give a consent.
#5
Re: CCS- Acute Mania bingousmle - 06-18-10 15:22 i know that but that is what my question is how to do it in the CCS software... probably someone who has been in the same boat as me can tell a better way to do it..
#10
Re: CCS- Acute Mania bobby - 08-15-10 17:47 Guys, I am not aware that written consent is required prior to Urine toxicology test....plz clarify.
#11
Re: CCS- Acute Mania babbu5508 - 09-30-10 09:42 i think it is needed as for any and every medical procedure...
#12
Re: CCS- Acute Mania bingousmle - 09-30-10 10:46 well with respect to the CCS there is no need to take consent for procedures as it is not there in the protocol for CCS.. you ll know this once you do the software
#13
Re: CCS- Acute Mania babbu5508 - 09-30-10 11:14 k thanks bingo...BTW...how did your step 3 exam go...you seemed busy for the last 1 month...did you get your score????
Page 1