robin082006
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Give your reasoning.
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| nadiabarati
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Delirium
short duration, stupor,
no reason for malingering, long duration needed for other choices
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| sridevibandaru24
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delirium?
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| Diego Casali
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I think D is the only possible correct answer.
This case doesn't match the DSM IV criteria for bipolar I disorder: there is no mania.
Dementia is not possibile, because the onset is too rapid: you can't get dementia in a week!
Schizophrenia is not correct, because this diagnosis requires at least 6 months of positive and negative symptoms. Furthermore, in schizophrenia, there is no impairment of consciousness: the patient is awake and oriented in person, place and time.
Malingering is not suggested by the question stem: what should be the patient's gain, in this case?
So, delirium is the correct answer. A key criterion to diagnose delirium is an impairment of consciousness level ("he does not stay awake"). Often, delirium is associated with a medical illness (in this case, there is "incontinence").
Do you agree with me?
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| nadiabarati
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but D is malingering! Diego!
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| Diego Casali
Forum Elite
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Sorry!
I meant B.
Thank you, nadiabarati!
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| reet
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B delirium
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| robin082006
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Thanks, I just want to confirm
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| mjl1717
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one tip is 1 wk -meaning quick onset...Good q robin!!!
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