Clinical Reasoning: A 55-Year-Old Man With Odd Behavior and Abnormal Movements

Abstract

reports no disclosures related to this work. Burton Scott reports no disclosures related to this work. Section 1A 55-year-old man with an extensive psychiatric history that included PTSD, anxiety, depression, and schizophrenia treated with quetiapine and trazodone was admitted to the hospital from an assisted living facility (ALF) for subacute on chronic failure to thrive and concern for psychosis, with recent worsening ongoing for 6 weeks. He was recently discharged from an outside psychiatric facility, and at the ALF he demonstrated odd behavior such as eating food off the floor and spitting on staff in addition to persistent poor intake of fluids, food, and medications due to issues with regurgitation and dysphagia. He had been evaluated by

Neura: a specialized large language model solution in neurology

“…Five representative cases were adapted from Neurology’s Resident & Fellow Clinical Reasoning section (Francis et al, 2015; Choi et al, 2017; Harada et al, 2019; Lun et al, 2020; McIntosh and Scott, 2021) to mirror the clinical practice through a two-tiered diagnostic approach. The first tier required formulating and justifying an exhaustive differential diagnosis based on initial clinical presentation and findings.…”