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Clerkshift

A case from the library

Suddenly stopped speaking in a 66-year-old man

PsychiatryMedium

Richard Palmer

66 years · Male

Vitals

Heart rate
105 bpm
Blood pressure
175/126 mmHg
Resp. rate
22 /min
SpO₂
97%
Temperature
98.1 °F

How hard it is

A real-world presentation with one or two atypical features. You'll need targeted questions and the right test to narrow the differential.

The diagnosis is not shown here. Finding it is the case.

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Source

Adapted from a case report published in BMC Psychiatry, under the CC BY 4.0 license. The patient's name and some details are invented; the clinical picture follows the report. The report names the diagnosis.