Depressed Mood Flashcards
68yo M presents with a 2-month history of crying spells, excessive sleep, poor hygiene, and a 15lb weight loss, all following his wife’s death. He cannot enjoy time with his grandchildren and admits to thinking he has seen his dead wife in line at the supermarket or standing in the kitchen making dinner.
NORMAL BEREAVEMENT adjustment disorder with depressed mood MDD with with psychotic features schizoaffective disorder depressive disorder NOS
physical exam TSH cbc urine toxicology beck depression inventory
42yo F presents with a 4 week history of excessive fatigue, insomnia and anhedonia. She states that she thinks constantly about death. She has suffered 5 similar episodes in the past, the first in her 20s and has made 2 previous suicide attempts. She further admits to increased alcohol use in the past month.
MDD
substance-induced mood disorder
dysthymic disorder
physical exam mental status exam beck depression inventory blood alcohol level tsh cbc urine tox
26yo F presents with a 6.5lb weight loss in the past 2 months, accompanied by early-morning awakening, excessive guilt, and psychomotor retardation. She does not identify a trigger for the depressive episodes but reports several weeks of increased energy, sexual promiscuity, irresponsible spending, and racing thoughts approximately 6 months before her presentation
BIPOLAR I DISORDER bipolar II disorder cyclothymic disorder mdd schizoaffective disorder
physical exam
mental status exam
urine toxicology
