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- Jan 26, 2005
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I have a 41 yo female patient now in the hospital with a past psychiatric history significant for post-partum depression 15 years ago, which reportedly resolved in a month without meds, who presents with a 3 day h/o hearing multiple voices. She looks very depressed, appears to lack energy, can barely get up enough motivation to answer a question, and when she does, can barely speak loud enough to hear. She has an odd, shuffling gait and wanders around the ward aimlessly. According to her son, she was a very different person 4-5 days ago--talkative, much more energetic, and fairly happy--and then 3 days ago began to look very depressed, sad, wouldn't get out of bed, and then began to hear voices and looked internally preoccupied. No h/o illnessnes, no drug use history, but she is a distributor of Herbalife and I was told takes it often. He is going to bring me the bottle tomorrow but does this presentation sound familiar to anyone? When I do a search I get hits for ephedra-induced psychiatric illness. I wonder if this could have caused the abrupt change in this woman, even though she'd been taking the stuff for months. I am awaiting UDS....would ephedra make the amphetamine screen positive? Any suggested tests to order? I plan to get a CT scan to r/o mass. Any other thoughts?
Thanks!
Q
Thanks!
Q