Case 35 - 27 yo M with visual hallucinations Flashcards
1
Q
Differential diagnosis
A
PCP intoxication (hallucinations, delusions, nystagmus, tachycardia, HTN) Substance-induced psychosis
2
Q
Diagnostic work-up
A
Urine toxicology
Electrolytes
Serum CPK and urine myoglobulin (for PCP intoxication leading to rhabdomyolysis)
Mental status exam