vyseerx
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john smith , 45 years old was brought to the physician, by the neighbour. patient tells that he has difficulties in getting sleep and gets up early in the morning and finds it more difficult to get back to bed. his appetitie over the past few months is decreased. he has told the doctor that he has lost some weight. he appears disheleved, malodorous, and avoids eye contact. he admitted to be a smoker for 25 years and occassional alcohol and other recreational drug use. he was fired from the job, does not enjoy his favourite pass time golf anylonger , and does not go out at all. whas the most likely diagnosis , given the history?
a.sub-clinical depression.
b.major depressive disorder
c.cocaine withdrawl
d.amphetamine withdrawl
e.cocaine intoxication
f.cocaine/amphetamine withdrawl
g.cocaine/amphetamine intoxication
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vyseerx
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| alice8
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b.major depressive disorder
:?:
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Dream on 'til your dream comes true.
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| dxtxpx
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b) major depression
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| vyseerx
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TRY AGAIN
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vyseerx
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| Em
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what about 'c'
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| zaki
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if its not a major depression then again it cant be the withdrawl symptoms of any stimulant, bc in wihthdrawl of stimulants there is increased in appetite and wt gain where as the pt had decreased appetite and wt loss.
then g looks closer to the dx but again there is no symptoms of aggression or impulsiveness, hyperactiviy,
but i will go for the G
plz post its correct answer with some explanation
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Maverick
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| asmi
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why can't it be A :?:
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| vyseerx
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f , is the correct answer , since the clinical vignette typically satisfies all the signs and symptoms of withdrawl of these drugs. clue is he himself admits to occasional recreational drug use. you have to smell a rat when there is none on boards. here , patient admits the drug usage, since he was fired from job, his current economy is poor,and given the choices F IS THE MOST APPROPRIATE. CONGRATS TO THOSE WHO OPTED FOR THAT!!
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vyseerx
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| rwolf
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test
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| rwolf
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MDD is preferable diagnosis.
5 criterions of Mdd is present: sleep,weight,appetite loosening, interests decreased, loss of energy + duration more than two weeks and depressive mood (very probably, not stay in the question)
Withdrawal from cocain/amphetamines - hours-few days
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