The patient was instructed to discontinue fluoxetine immediately without tapering and initiate paroxetine 10mg daily the next day, as well as hydroxyzine 50mg twice daily as needed for anxiety.
The man explained how he suppressed a sneeze by pinching his nostrils and keeping his mouth closed, and then felt a popping sensation in his neck.
Mr. C, a 30-year-old male with Crohn’s disease, presented to his clinician with symptoms of fatigue, lethargy, headaches, pallor, hair loss, irritability, and weakness.
A women with a 30-year history of hypertension, hyperlipidemia and an 8-year history of systolic dysfunction is hospitalized for congestion following a 5-day river cruise.
The patient admitted to taking 2 teaspoons of self-prepared apricot kernel extract along with 3 tablets of Novodalin, an herbal fruit kernel supplement, every day for the past 5 years.
He was able to find an online health store that sold tianeptine and over three months continued to use the drug, increasing the dose on stressful days. During this time, he also began to experience withdrawal symptoms.
Assessing conversion disorder and distinguishing it from other conditions can be challenging.
The patient was a 32-year-old nulliparous white female who reported a 5-year history of severe hypertension, hypokalemia, and resultant systolic dysfunction.
Initially, the patient experienced no complications. But approximately 12 hours following therapy, he awoke with shortness of breath and functional quadriplegia.
Following treatment with rituximab, decreases seen in total insulin, anti-insulin antibody concentration
