Reference no: EM133830857

Question

What are the possible differential diagnoses for based on the patient's history and symptoms, and why? CC (chief complaint): "I talk too much!" "I feel hyper, and I have been aggressive once with my girlfriend." HPI: BC is a 65-year-old male Caucasian who presented to the clinic accompanied by his girlfriend for a follow-up office visit and ongoing management. The patient reports rapid mood cycling with bouts of "unusual behavior." The patient's girlfriend reports that "unusual behavior" involves the patient taking off his clothes. The patient reports being in a combative mood with his girlfriend "over nothing." He reports not sleeping well at night over the past couple of weeks. He reports he had a quiet Christmas, "no money, did not get invited anywhere. The patient reports that he has been Sober for about three weeks. BC reports being in a bar and having a "breakdown," he reports being loud and obnoxious, during which the bartender called him for a ride home. The patient reports, "mind will not stop racing." The patient reports some seizure activity; now, he cannot drive for 6 months. The patient's girlfriend reports that the last manic episode for BC was three months ago when he.