A Suicide Attempt in a 28-Year-Old Man

Ramy Saleh, DO; Robert Bassett, DO; Alan Lucerna, DO; Wayne Tamaska, DO; James Espinosa, MD; Kumail Kazim; Frederick Barnum IV; Emeka Ezidiegwu

Disclosures

March 13, 2017

Editor's Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills 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.

Background

A 28-year-old man presents to the emergency department with his mother after a suicide attempt via pill ingestion. He stated that he took about 60 tablets 1 hour ago.

He was recently diagnosed with systemic lupus erythematosus but has no other medical history, surgical history, or hospitalizations. With the exception of medication for systemic lupus erythematosus, he does not take any prescription or over-the-counter medications. He denies allergies to medications and any history of tobacco use, alcohol use, or recreational drug use. His maternal and paternal family history is noncontributory.

The patient states that he has been feeling depressed, but he does not have any documented psychiatric history. He reports some nausea and vague abdominal pain. He denies having any other symptoms.

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