Most recently, Mr. N was arrested for possession of #cocaine, and was placed in jail where his mental status deteriorated further. He was declared incompetent to stand trial and was transferred to a psychiatric facility. He denies any suicidal or homicidal ideation, and fails to show signs of perceptual disturbances, however he does have poor insight and judgment.
What work-up do you think Mr. N requires to investigate his deteriorating mental status? What's on your differential and how would you manage this case?
"Malnourished and psychotic, and found incompetent to stand trial" by Patel R.R, Hornstra R, Munro S, and Dellenbaugh T (Current Psychiatry).