Hyponatremia Disguised as an Acute Manic Episode
Abstract
an AcutePatricia A. Santy,sured speech. She explained her behavior by saying that she was âdancing away the sins of the world,â and that we were âevilâ to interfere with hen âdivine mission. Her vital signs were pulse, 100 beats per minute; respiration, 20 breaths per minute; temperature, 37#{176}C; blood pressure, 120/70. and On mental status examination, Ms. A exhibited some agitation (evidenced by hen inability to sit still), flight of ideas, grandiosity, and some loosening of associations, in addition to the euphoria. She also displayed a mild amount of mood-congruent paranoia. Ms. A was oriented to person, place, and time and was able to rernernben two out of three objects after three minutes. She denied any psychiatnic history, and said she functioned successfully as an administrative assistant in a large business firm. Ms. A also denied any alcohol or drug ingestion, except for ampicillin, which she said her pnivate physician had prescribed for a âlung infection.â We contacted the private physician and learned that the patient was being treated for a lung abscess that had been slowly nesolving over the last three weeks. Ms. A had a long history of asthma, but was taking no medications for it