A 20 year old boy complains of hearing voices and aggressive behavior for last 2 days. He had persistent high fever before the onset of these symptoms. The family members repo that he has been muttering to self and gesticulating as if he is talking to someone. There is no history of any past psychiatric illness. The likely diagnosis is:-
Correct Answer: Acute psychosis
Description: Acute Psychosis =Duration of symptoms < 1 month. =Often preceeded by stressor (fever being a common stressor, hence don't get confused.) =Symptoms similar to schizophrenia (Delusions, hallucinations, disorganisation) =often resolve completely Treatment: Antipsychotics and/or Benzodiazepines as and if needed. In this case if the history also mentioned disturbances of consciousness or history of disorientation, the likely diagnosis would be delirium. Hallmark of Delirium Impaired consciousness Develops quickly Fluctuating course with lucid intervals Hallmark of Dementia Loss of memory and intellectual abilities Develops slowly Progressive downhill course
Category:
Psychiatry
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now