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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should Be Done For Getting Sudden Aggression With No Prior Medical History?

My daughter-in-law, 28, had first child (5 mos old) very healthy, and healthy eater, mostly vegan, just had what seemed to be mild virus, low temp, achy, no appetite, came in from CO for Christmas and could not visit due to flu symptoms. Two days ago she started w/ non reality talk, combative, admitted to local hospital, ran Catscan, spinal tap revealing negative results. All blood work normal except mild elevation in WBC. Cultures being done but now they have transferred her to Psche hospital. There have been NO previous psychiatric symptoms. She doesn t know her husband, spitting on nurse, and periods of violence. HELP. DO WE NEED A NEUROLOGIST or can you tell a specific test more aggressive. The husband s mom
Thu, 9 Jan 2014
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Addiction Medicine Specialist 's  Response
Hi,

Even though there is no prior history of psychiatric symptoms, a psychiatric illness can start at her age. Since brain imaging, spinal tap and blood tests are all normal, it is unlikely that her present symptoms are due to any medical illness. Please have a talk with her psychiatrist regarding her symptoms and possible diagnosis. The doctors who are currently treating her will be the best placed to decide if a neurological consultation is needed or not and whether any other investigations are needed or not. From whatever details you have given, it appears to me to be a psychiatric illness, most probably a brief psychotic episode, which usually improves completely on treatment.

Best wishes.
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What Should Be Done For Getting Sudden Aggression With No Prior Medical History?

Hi, Even though there is no prior history of psychiatric symptoms, a psychiatric illness can start at her age. Since brain imaging, spinal tap and blood tests are all normal, it is unlikely that her present symptoms are due to any medical illness. Please have a talk with her psychiatrist regarding her symptoms and possible diagnosis. The doctors who are currently treating her will be the best placed to decide if a neurological consultation is needed or not and whether any other investigations are needed or not. From whatever details you have given, it appears to me to be a psychiatric illness, most probably a brief psychotic episode, which usually improves completely on treatment. Best wishes.