PSYCHIATRY: Mental Status Examination

Beyond the Pearls: Cases for Med School, Residency and Beyond

Today's Episode

Alexandra reviews chapter 1 from the Psychiatry Morning Report book.

A 61-year-old male arrives at the emergency department by ambulance after being in a three-vehicle collision resulting in two fatalities. After the event he is openly joking about the accident, appears apathetic to the loss of life, and has urinary incontinence while speaking to the police. Field sobriety tests are conducted by the police in response to his behavior. The test is quickly suspended when the patient takes more than the instructed nine steps forward on three attempts. A breathalyzer test shows negative for alcohol. He denies having any discomfort and tries to leave the hospital (requiring redirection by staff ). He does not ask why he was brought to the hospital. His only visible injuries are minor chest contusions, likely from impact with the steering wheel. When asked how he’s feeling, he repeatedly (and at times inappropriately) responds, “Right as rain.” His wife has been contacted and is on her way to the hospital.

Today's Host

Alexandra Myers is a Medical Scribe at Hospital for Special Surgery in New York.

About Dr. Raj

Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles.

More from Dr. Raj

www.BeyondThePearls.net

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