You are the GP
of the neighbourhood. A 50-year-old man complains of erectile dysfunction for 6
months. You have been treating his diabetes. He also suffers from major
depression and takes a SSRI, fluoxetine on a daily basis. His relationship with
his wife is poor as a result of financial problems.Q.1 List 4 possible causes of his erectile
dysfunction.
2.
A
30-year-old man is brought in by his sister because he has been hearing voices,
having a spiritual warfare with Satan and complains that his thoughts are being
interfered. He believes that Satan can take his thoughts away. He has been
unemployed for 10 years as a result of the above symptoms and refuses to seek
treatment. His wife has left him few years ago. Mental state examination shows
that his affect is blunted and preoccupied with psychotic experiences.
What
is your provisional diagnosis and differential diagnosis? send answers to asdatguy@gmail.com
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