Approach to schizophrenia spectrum and other psychotic disorders Quiz: Ace Your Exams
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A 32-year-old man presents to the emergency department with paranoia and aggressive behavior for the past two weeks. The patient is accompanied by law enforcement after yelling incoherently at staff in a local restaurant. The patient reports hearing a voice from “another dimension” urging harm towards others. A review of the electronic health record and discussion with the patient’s family reveal no previous medical or psychiatric history. Temperature is 37.0°C (98.6°F), pulse is 90/min, respirations are 16/min, and blood pressure is 128/78 mmHg. Mental status exam reveals an adult with a flat affect who frequently glances around the room. Thought processes are tangential. Cardiopulmonary examination is unremarkable. Complete blood count, comprehensive metabolic panel, and thyroid function panel are negative. Blood alcohol and urine drug screen are negative. Based on these symptoms over time, a preliminary diagnosis is made. Which of the following would confirm the likely diagnosis?
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