OL is a 34-year-old male with schizophrenia, started on quet…

OL is a 34-year-old male with schizophrenia, started on quetiapine 3 months ago with partial response thus far. All appropriate lab work had been performed at that time and was within normal limits. Previous adequate trials of antipsychotics include asenapine, which was ineffective. He is also on lisinopril for hypertension.New lab work/vitals have been obtained. The patient has significant abnormalities in several readings and he has been diagnosed with metabolic syndrome. Which of the following is the most appropriate intervention to make at this time?

A 40-year-old woman with bipolar disorder presents to the em…

A 40-year-old woman with bipolar disorder presents to the emergency room 2 weeks after starting a new medication.  She reports that she was doing well until she got a viral gastroenteritis and was unable to eat for several days.  While the viral symptoms have resolved, she now complains of nausea and vomiting, ataxia and tremor.  Which of the following studies should be ordered first?

FG was started on carbamazepine 1 month ago during an inpati…

FG was started on carbamazepine 1 month ago during an inpatient psychiatric admission for a manic episode of bipolar disorder. His serum level became therapeutic and he achieved remission during this admission, but upon presentation to clinic today you notice that he seems a little more restless and his speech is rapid. He reports adherence to medications. You’re concerned that he’s decompensating. Labs performed in the morning indicate a carbamazepine serum level of 3.2μg/mL. What is the most appropriateexplanation for this current presentation?