Monday, May 27, 2013

Bates

A 20 year old G1P1 woman presents two weeks postpartum with bizarre behavior. According to the husband, she has not been sleeping at all and has started "hearing and seeing things." She also believes her child is an incarnation of an evil deity; at first, the husband thought it was a joke, but she seems completely serious. She has rapid mood changes, anxiety, and irritability. She has no history of any medical or psychiatric disease, though there is a family history of bipolar disorder. The husband asks if this could be a manifestation of thyroid disease.

Challenge: You hospitalize this woman for a medical emergency - what?

Image is in the public domain, from Wikipedia.

5 comments:

sibogox said...

postpartum psychosis

Alex said...

mania?

sid said...

Amniotic Fluid Embolism

city said...

postpartum psychosis

Craig Chen said...

it's post-partum psychosis - the timeline for AFE is off and pt shows some signs of mania but meets more criteria for psychosis
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Bates

Norman Bates (of the Bates hotel, shown) is a character in Bloch’s 1959 novel Psycho. This is postpartum psychosis, a medical emergency because of the risk of suicide and infanticide.

Source: UpToDate.