You are called as a consultant psychiatrist to a 60-year-old patient who has developed restlessness and inappropriate behaviour after being hospitalized following surgery of a femoral neck fracture.
After he arrived at the ICU of the Surgical Ward, the patient was restricted in his bed because he tried to tear out the intravenous cannula and urinary catheter. He is conscious during examinations, he makes the contact, tells you the basic personal details – his name, address of residence and where he works.
He cooperates during the interview and answers without delays; however, it is difficult to talk about more complex issues, as he keeps digressing to the topic of being in danger, he is impatient and when asked additional questions, he becomes irritated, sarcastic and verbally aggressive.
The patient is tense, anxious, he fears for his life because he has found out he was kidnapped and brought to an illegal research facility, where he is the subject of experiments. The behaviour of the personnel suggests that they plan to eliminate him because he knows too much about them and could give them away. He tried to run away, he called help but it resulted in being tied to an electric bed to which they released poisonous insects.
He thinks he has been there for about a week and he does not know how he got in. He believes he does not suffer from any illness, he is not aware of being treated or taking any medicaments on a long-term basis.
He threshes about all the time saying he wants to get rid of a poisonous spider from his leg. Besides the examining psychiatrist, he also speaks to persons who are not there; he shouts at them to run away, otherwise, they will end up as he did.
Map: Psychiatry: Agitation after surgery (120)
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Počítadlo pro kazuistiku delirantního pacienta