A 22-year-old man comes to the emergency department because…

A 22-year-old man comes to the emergency department because of a headache that feels “like a screwdriver” going through his right temple and eye. He says that it has lasted for approximately 1 hour thus far, and rates the pain as a 9 on a 10-point scale. He says this has happened almost every morning this week, but he cannot identify a trigger. He also describes the “watering of his eyes” and difficulty seeing during these episodes.  Physical examination shows an ipsilateral miosis of the right eye, but the remainder of the ophthalmoscopic examination is normal. There is no tenderness of the right temporal region on palpation. Which of the following is the most causing these symptoms?

An 18-year-old woman who is a college student, presents to t…

An 18-year-old woman who is a college student, presents to the outpatient psychiatric clinic with multiple scabs on her arms. She has a history of attention deficit hyperactivity disorder (ADHD). She states that for the two months, she has been having thoughts of driving herself and her brother off a cliff. She states that her brother, who is 10 years older than her, is alive and well. However, she can’t get these images of her brother out of her head, and reports that it is causing her mental distress that she relieves by scratching and picking at her arms. Which of the following is the most likely diagnosis?

A 65-year-old woman comes to the office because of problems…

A 65-year-old woman comes to the office because of problems with her hearing and ear fullness. She reports that she has noticed a low pitch noise that other don’t hear that sounds like being by the ocean, and a decrease in hearing in her left ear. She has also been having intermittent episodes of dizziness when she feels like the room is spinning.  Which of the following is the most likely diagnosis for this patient? 

A 9-year-old is struggling in school. The child is exhibitin…

A 9-year-old is struggling in school. The child is exhibiting the following behaviors: failure to follow directions on their schoolwork struggling to complete their schoolwork not listening to the teacher or parent, often interrupting them forgetting things, such as their lunch, backpack, shoes, or jacket, in general just lack organizational skills despite constant reminders forgetting to flush the toilet and close doors blurting the answers out without raising his hands talking too much and losing some of their friends because “you’re annoying, constantly butting in, not waiting your turn, and not listening” The child get regular exercise & 9 hours of sleep per night. The child denies sadness, nervousness, or anxiety & is embarrassed by their behavior, saying, “I don’t know what I act like this, sometimes, I just, I don’t know, can’t help it.” You suspect the pathogenesis of their symptoms is: