To determine the correct diagnosis for the 16-year-old female patient, we need to analyze the symptoms provided:
These symptoms align with the clinical features of mania, which is characterized by a significantly elevated, expansive, or irritable mood, often accompanied by increased activity or energy. Additional symptoms can include inflated self-esteem, decreased need for sleep, and distractibility.
Let's assess the options:
Mania | Includes symptoms like grandiosity, decreased need for sleep, talkativeness, and risky behaviors. Considered as a full episode lasting at least one week. |
Schizomania | Not a recognized clinical entity; might refer to features overlapping between schizophrenia and mania, but this is not an official diagnosis. |
Hypomania | Similar to mania but less severe; symptoms are not as impairing and last at least 4 days. |
Cyclothymia | A milder form of bipolar disorder with alternating episodes of hypomanic and depressive symptoms, not meeting full criteria for either mania or major depression. |
Given the severity and combination of the symptoms such as increased sexual desire and pseudohallucinations alongside an elevated mood, the most fitting diagnosis is mania, characterized by a more severe symptom presentation.
Therefore, the correct diagnosis is: Mania.
A patient presents with no pulse, and the ECG shows the following rhythm. What is the next appropriate step?
Identify the ulcer: