Chapter

Case 20

Sarah T Pendlebury, Philip Anslow and Peter M Rothwell

in Neurological Case Histories

Published on behalf of Oxford University Press

Published in print February 2007 | ISBN: 9780192631626
Published online November 2012 | e-ISBN: 9780191753121 | DOI: http://dx.doi.org/10.1093/med/9780192631626.003.0020

Series: Oxford Case Histories

Case 20

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A 42-year-old Spanish woman was brought to the emergency department with agitation, inappropriate behaviour, and vomiting. She had arrived in the UK a few days previously from Madrid. She had not been seen by her fellow students for 2 days and was found wandering naked, showing sexually inappropriate behaviour, and was agitated and uncooperative. She complained of diffuse abdominal pain and vomiting that had started 2 days previously. There was a past medical history of anorexia nervosa and depression. She denied taking any medication but laxatives were found in her pocket. On examination, she was thin, disorientated in time but orientated in place and person, agitated and restless, pacing around the cubicle. Her temperature was 36°C, pulse 120/min regular, and blood pressure 165/80mmHg. Examination was otherwise normal.

Chapter.  889 words. 

Subjects: Neurology

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