What is causing these symptoms

[Jess_tonel]

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Initially Patient feels a single throbbing vein in frontal lobe (left hemisphere) lasting 1 hour.

Then feeling 'out of sorts', uncharacteristically anxious, restless can't sleep.

Following morning. patient extremely thirsty despite drinking plenty and not consuming any salt. perfectly clear urine. Patient very anxious, reports feeling a bit strange. Reports having cognitive problems
Starts feeling intermittent head pain in left forehead/temple.

8 days on. Patient has consciously consumed very little salt, yet stil very thirsty despite drinking plenty of water. Patient reports headache in brain areas each time they consume salt. reports headpain in orbito frontal cortex, left hemisphere. describe this headache feeling as *tissue withering away* . Feels anxious with problems thinking.

Patient believes she may have been spiked in a setting with student Psychiatrist, Neurologist, etcetc yikes 🙂.

I ruled out head injury with scan/motor testing, past history of patient is exempliry. I'm now start to believe this patients claim of being drugged. but what drug? would a psychiatry student do such a thing? :O

Any opinions?

 

[softballtennis]

What are her medical /psych diagnoses? What meds is she on and has she recently stopped an srri? Head pain , anxiety are symptoms of srri withdrawal. Have you tested her for diabetes?
Has she received a full psych evaluation?

 

[Jess_tonel]

What are her medical /psych diagnoses? What meds is she on and has she recently stopped an srri? Head pain , anxiety are symptoms of srri withdrawal. Have you tested her for diabetes?
Has she received a full psych evaluation?

She is on no medication and not under a Psyciatrist. patient is otherwise fit and well. I would say she may have induced Psychosis from a mystery substance. But what could I test for....

 

[birchswing]

I'm having deja vu all over again:

http://forums.studentdoctor.net/threads/mystery-patient-mystery-drug.1040696/

 

[Jess_tonel]

I'm having deja vu all over again:

http://forums.studentdoctor.net/threads/mystery-patient-mystery-drug.1040696/

Ha! It's the nature of placement I am in. Thanks for your considered opinion.

 

[birchswing]

Ha! It's the nature of placement I am in. Thanks for your considered opinion.

I see.
Well, I think in this case, good rapport with the patient is needed. How would you describe your relationship with the patient?

 

[MLT2MT2DO]

Vitals/Labs?

 

[hamstergang]

Age?

 

[MerickManual]

You're spreading the same posts through multiple forums. Are you a medical student? Resident? Because the way you are presenting this patient is very off-putting and lacking a lot of information for us to help you.

 

[Ceke2002]

I think you'd be wise to seek out a full Psych consult. Off the top of my head, even as a lay person, I can probably think of half a dozen things that might be causing your...sorry I mean your 'patient's' symptoms.