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Case Pres-Banag Laum Superfinale
Case Pres-Banag Laum Superfinale
Group 2
Psychiatry Rotation
Banag-Laum Home
Nov. 28, 2014
PATIENT HISTORY
I. Identifying Data
JLM, 36 years old, male, Filipino, married,
Roman Catholic, born in San Carlos City,
Negros Occidental and presently residing at
Apas, Cebu City. The patient was brought in
by his brother, cousin and son and was
admitted at Banag-Laum Home, for the first
time on November 18, 2014.
V. Personal History
1. Prenatal and Perinatal
Patient is the fourth child among five
siblings. Patient claimed that according to
his mother there were no pregnancy
problems and that he was delivered via
normal spontaneous delivery without
complications.
2. Early childhood (birth-3 years)
Patient is close to his parents and siblings.
5. Adulthood
A. Occupational History
Patient worked for some time but resigned
C. Educational History
Patient started college at University of San
D. Religion
Patient is a Roman Catholic. However, he is not
E. Social Activity
Most of his free time, he only sleeps and
doesnt do anything. He sometimes hangs out
with his friends and take sessions of taking
shabu together, and sometimes he does it by
himself. There are also times he does it with his
younger brother who lives together with him.
G. Legal History
There is no history of any legal issues or
imprisonment.
V. Thought Content
Delusions of Persecution:
Kuyawan ko permi doc. Safe ra ba ko diri?
Prior to admission, patient already has delusion
of persecution. He kept thinking someone was
going to kill him, thus he did not leave the
house, and there was sudden behavioural
changes noticed by his relatives. Even inside
this institution, patient keeps thinking someone
from his co-patients might harm him or the
people from outside might come and kill him.
Recent Memory
Question: Unsa man imo gisud-an gahapon
sa pamahaw?-What did you have for
breakfast yesterday?
Answer: Itlog. -Eggs
Remote Memory:
Question: Asa man ka nahuman og college?
Unsa tuig ka nahuman? Where did you
finish college? What year?
Answer: 2001, AMA Computer College diha
sa Jones sauna.
VIII. Impulsivity
The patient has no apparent problems on
his temper. There were no reported sexual
aggressiveness and impulses. He did not
show any tendencies to hurt someone
instead he was always fearful that the
people around him might hurt him or even
kill him.
X. Reliability
Differential Diagnoses
Delusional Disorder
Paranoid Schizophrenia
Substance-Induced Psychotic Disorder
Final Diagnosis
Amphetamine-Induced Psychotic Disorder
Amphetamines
Amphetamines are used clinically and also are drugs of
abuse.
They are medically indicated in the management of attention
deficit/hyperactivity disorder(ADHD) and narcolepsy.
They are sometimes used to treat depression in the elderly
and terminally ill, and depression and obesity in patients who
do not respond to other treatments.
The most common clinically used amphetamines are
dextroamphetamine (Dexedrine), methamphetamine
(Desoxyn), and a related compound, methylphenidate
(Ritalin).
Speed, ice (methamphetamine), and ecstasy
(methylenedioxymethamphetamine(MDMA) are street names
for amphetamine compounds.
Neurotransmitter associations
Stimulant drugs work primarily by increasing the
Discussion
Amphetamine-Induced Psychotic Disorder
The hallmark of amphetamine-induced
psychotic disorder is the presence of paranoia.
Amphetamine-induced psychotic disorder can
be distinguished from paranoid schizophrenia
by several differentiating characteristics
associated with the former, including a
predominance of visual hallucinations, generally
appropriate affects, hyperactivity,
hypersexuality, confusion and incoherence, and
little evidence of disordered thinking (e.g.,
looseness of associations)
A. Immediate management/detoxification
1. benzodiazepine to decrease agitation
2. antipsychotics to treat psychotic
symptoms
3. medical and psychological support
B. Extended management/maintenance
1. education for initiation and maintenance
of abstinence
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Thank You!