ABPN C-L Psychiatry case studies
ABPN C-L Psychiatry · Put your knowledge to work in context.
This page is an independent study guide for the ABPN Consultation-Liaison Psychiatry subspecialty certification examination. C-L psychiatry-formerly called psychosomatic medicine-focuses on psychiatric care of people with medical, surgical, neurologic, obstetric, and critical illness. The ABPN C-L Psychiatry case studies are 5 cases and about 4,692 words.
1Day Six After the Stroke: The Man Who Says No to Everything
D is a 61-year-old right-handed warehouse supervisor, day 6 after a left middle cerebral artery infarct. He has dense right hemiparesis and severe nonfluent aphasia: he produces 'no' and occasional single words, follows no commands, and has an NG tube for dysphagia.
979 words, about 5 min2Friday at 4:55 p.m.: The Amputation Refusal
A vascular surgery intern pages psychiatry about Mr. R, a 45-year-old man with type 1 diabetes, osteomyelitis of the left foot, and severe peripheral arterial disease.
950 words, about 5 min3The Heart Failure Patient Who Is 'Just Depressed'
L is a 68-year-old retired teacher admitted with decompensated heart failure (EF 25%, NYHA III). Medications: furosemide 80 mg BID, carvedilol, sacubitril-valsartan, spironolactone, amiodarone 200 mg, warfarin, digoxin 0.125 mg, atorvastatin, and sertraline 100 mg started by her primary care physician six months ago.
934 words, about 5 min4The ICU Patient Who Holds His Arm Wherever It Is Placed
K is a 23-year-old man with schizophrenia, off antipsychotics for six weeks, brought in by his parents after four days of not eating, not speaking, and holding odd postures. In the emergency department he was agitated and received haloperidol 5 mg IM three times over twelve hours.
905 words, about 5 min5Buprenorphine, Pancreatic Cancer, and a Hydromorphone PCA
B is a 52-year-old woman with four years of stable treatment for opioid use disorder on buprenorphine-naloxone 16 mg daily, employed, and sole caregiver for her 12-year-old son. She now has newly diagnosed metastatic pancreatic cancer with severe epigastric and back pain (9/10).
924 words, about 5 min