A 30-Year-Old Man With Hallucinations After a Party

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Warren C. Harvey, MD

November 17, 2020

Editor’s Note:
The Case Challenge series includes difficult-to- conditions, some of which are not frequently encountered by most clinicians but are nonetheless to accurately recognize. Test your diagnostic and treatment using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us .

A 30-year-old man who was previously healthy is brought by his friend to the emergency department owing to visual hallucinations, vomiting, and paranoia. The patient had arrived in town earlier that day and reports mild diffuse abdominal pain and lightheadedness when he stands up. He denies any vertiginous symptoms. His friend reports that he has had these symptoms for the past 2 hours. The patient complains of seeing “ moving in the room” but denies any auditory hallucinations.

The patient denies chest pain, shortness of breath, diarrhea, blood in the stool or vomit, and recent fever. In recounting the events leading up to the start of the patient’s symptoms, his friend describes they had been to a party, as well as several bars and breweries throughout the afternoon.

The patient has no other medical problems and is not currently under the care of a physician. No medication use is reported by the patient, his family, or his friends. Upon questioning, the patient states that he smokes tobacco “occasionally,” has tried cannabis “a few times,” and drinks four or five alcoholic beverages per week.

Medscape © 2020 WebMD, LLC

Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Warren C. Harvey. A 30-Year-Old Man With Hallucinations After a House Party – Medscape – Nov 17, 2020.

PGY-3 Resident, Department of Emergency Medicine, Naval Medical Center San Diego, San Diego, California

Disclosure: Warren C. Harvey, MD, has disclosed no relevant financial relationships.

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A 30-Year-Old Man With Hallucinations After a House Party

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