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?
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5 comments:
postpartum psychosis
mania?
Amniotic Fluid Embolism
postpartum psychosis
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.
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