frontal
Forum Guru
Topics: 53
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A 34-year-old Caucasian woman presents to the emergency department with thoughts of suicide. She states that she was feeling "fine" until a week ago, when she began to feel very depressed. In addition, she states that she has not slept very much in the past few days and she has been experiencing rapidly shifting extremes of mood, one day feeling "on top of the world" and the next feeling "tired and down in the dumps." She claims that she has thoughts of jumping in front of a train to kill herself. When asked about illicit drug use, she becomes rather indignant, stating that she is being accused of being a drug addict. A urine drug screen is positive for cocaine metabolites. Which of the following is the most likely diagnosis?
A. Bipolar disorder, manic
B. Dysthymic disorder
C. Histrionic personality disorder
D. Major depressive disorder
E. Substance-induced mood disorder
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| achilles
Forum Guru
Topics: 85
Posts: 1,201
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one of the major causes for depression is substance abuse...i'd go for E.
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" it's not whether you get knocked down, it's whether you get up"
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| achilles
Forum Guru
Topics: 85
Posts: 1,201
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i meant to say - one of the causes of major depression is substance abuse and cocaine is one of the commonest.the woman also has a clear plan on how to end her life.i'd go for E.
is alcohol the most common cause of depression due to substance abuse?
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| DrS
Forum Elite
Topics: 32
Posts: 338
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i'll go for E as well.
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| chemamr
Moderator and PGY1
Topics: 703
Posts: 4,441
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it must be E. 
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Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
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| frontal
Forum Guru
Topics: 53
Posts: 421
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E it is. Well done!
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