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manndeep

DD

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• a woman attends A&E with a 3 month old baby worried about her thoughts of dropping the baby. she has no past psychiatric history and has her husband at home looking after the 4 yr old son

list the possible dd please.

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Possible diagnoses would include in order of likelyhood: (IMHO)

Post-natal depression

Puerperal Psychosis

Generalised anxiety disorder

OCD

Acute stress reaction

Adjustment disorder

Drug/alcohol intoxication/withdrawal

Organic confusional state

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thanx chris thats helpful

may be a relapse of previous functional illness as well

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thanx chris thats helpful

[highlight]may be a relapse of previous functional illness [/highlight]as well

but u said no past psych hx in the vignette...........

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I am reading the same book these days written by Sri Murthy. Seems quite comprehensive and holistic.

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