SudaMediCa, The Sudanese Medical Community

A patient with schizophrenia has had a poor response to several trials of typical antipsychotic medications, risperidone and olanzepine. His psychiatrist recommends a trial of clozapine.

The answer is (D) The patient likely has hyperparathy- roidism. Hyperparathyroidism can lead to chronic hypercalcemia, a known cause of acute pancreatitis. Aserum calcium level canbe elevated in many patients during acute pancreatitis due to dehydration and should be checked after the event has reso...

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A45-year-old male presents to the hospital for acute abdominal pain and is found to have acute pancreatitis. He has no past medical his- tory but recently has noticed urinary frequency and muscle weakness. He takes no medica- tions. He denies alcohol use. His liver function tests during the episode ...

The answer is (E) (Buspirone) This patient’s symptoms are consistent with an anxiety disorder. Given her occupation, an anxiolytic medication with no sedative properties would be most preferable. Buspirone is a nonsedating anxiolytic agent that is a partial agonist at 5-HT1A receptors. Unlike benzod...

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A 28-year-old woman presents to your clinic complaining of feeling “on edge.” Upon further questioning, you discover that she has also noticed problems with irritability, insomnia, fatigue, and restlessness. She also has a history of worrying about things that seem to not bother those around her. Sh...