Put your knowledge and skills to the test with the case of an 78 year old man who presents to hospital as for the last few weeks he has been both verbally and physically aggressive toward his wife, and has been ruminating about his father who died in the war. There has also been a noticeable decline in the patient's function as he has not been bathing, eating, taking his medications, or sleeping for more than 1-2 hours a night. He experiences flight of ideas and irritability, and has been buying lottery tickets and telling his family he will become a millionaire. He also has paranoid delusions about others trying to hurt him.
He has no past psychiatric history, nor any history of substance abuse, and endorses only having a depressed mood. He does however have a complex medical history for which he takes many medications for, including diabetes, hypertension, dyslipidemia, and a recent CABG.
Can you come up with a diagnosis or treatment plan?
"Delusional and Aggressive While Playing the Lottery" by Muhammed Rehan Puri and Suhey Franco (Current Psychiatry)
He has no past psychiatric history, nor any history of substance abuse, and endorses only having a depressed mood. He does however have a complex medical history for which he takes many medications for, including diabetes, hypertension, dyslipidemia, and a recent CABG.
Can you come up with a diagnosis or treatment plan?
"Delusional and Aggressive While Playing the Lottery" by Muhammed Rehan Puri and Suhey Franco (Current Psychiatry)
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