Answer
1)List four differential diagnosis
-Bipolar I disorder in manic phase
-Mood disorder resulting from general medical condition.
-Substance abuse mood disorder (coccaine, amphetamine, propanolol, steroid)
-Schizophrenia
2)Give four further questions you would like to ask
-Any delusion or hallucination
-Any history of substance abuse
-Family history of mental illnesses?
-Any medical problems?
3) Click image utk bace tulisan
4)Outline the drugs treatment for this patient
-Antipsychotic (Olanzapine, quetiapine, risperidone)
-Lithium (take caution when use haloperidol- cause extrapyramidal effect)
-Antiepileptic drugs (Valproate, Carbamazepine)
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Reference: page 150-157, Kaplan&Sadock’s Pocket Handbook of Clinical Psychiatry 4th edition, Benjamin.J saddock M.D, Virginia, A. saddock, M.D, Lippincott Williams&Wilkins,
Page 116&117, Psychiatry 3rd edition, Michael Gilder et al, Oxford University Press, 2006
Diagnostic criteria from DSM-IV-TR; published by American Psychiatric association Washington DC.
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O mankind! there hath come to you a direction from your Lord and a healing for the (diseases) in your hearts,- and for those who believe, a guidance and a Mercy. [Q10:57]
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