Recent Question

(M2.PY.4) A 30-year-old woman presents to the emergency department claiming that she is on a divine mission to rid the world of overweight children by spreading the good word of vegetables. The patient is energetic and exhibits pressured speech and is easily distracted when being questioned. Upon obtaining further history she states that she has not slept for the past week as she has been working non-stop and has spent over $10,000 on kale. Upon reviewing the patients record, it is notable that she was admitted in the past for a suicide attempt and episode of major depression. The patient is treated appropriately and discharged on new medications with instructions to follow up in 1 week. The patient returns 1 week later complaining of increased urinary frequency. She states she has been using the bathroom constantly and it is quite perturbing. Otherwise she states that she has been sleeping well and was able to get a job at a local farmer's market. Whilst telling you this story you note that she is drinking large volumes of water from a personal gallon. She complains of occasional headaches but is overall grateful for your care. Which of the following is the next step in management for this patient? Topic Review Topic

1. Discontinue the patient's current medication and start her on a new medication
2. Administer a thiazide diuretic
3. Perform a water deprivation test
4. Administer desmopressin
5. Continue the medication as scheduled with weekly CBT

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