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glmedicineSend an Instant Message to glmedicine  




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Quick Scroll AIIMS 2003 MAY PAPER A QUERY 11.06.03 (4 years ago) #1

icon_question.gif
. An elderly house wife lost her husband who died suddenly of Myocardial infarction couple of years ago. They had been staying alone for almost a decade with infrequent visits from her son and grandchildren. About a week after the death she heard his voice clearly talking to her as he would in a routine manner from the next room. She went to check but saw nothing. Subsequently she often heard his voice conversing with her and she would also discuss her daily matters with him. This however, provoked anxiety and sadness of mood where she was preoccupied with his thought. She should be treated with:
1. Clomipramine.
2. Alprazolam.
3. Electroconvulsive therapy.
4. Haloperidol.

anwer is given in [no ads please] as option 4 . BUT answer should be 1CLOMIPRAMINE ANY SOLLID INFORMATION REGADING THIS icon_question.gif icon_question.gif
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Quick Scroll 11.18.03 (4 years ago) #2

dont try to diagnose a disease. she is simply having psychosis and haloperidol is drug of choice
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Quick Scroll 05.21.06 (2 years ago) #3

I AGREE.IT IS HALOPERIDOL.
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Quick Scroll 05.21.06 (2 years ago) #4

it is haloperidol if she's been given pharmacotherapy. otherwise psychotherapy is useful as she appears to have insight
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Quick Scroll 07.14.06 (2 years ago) #5

Yeh Definately Haloperidol is the Treat ment. Clomipramine is a Anti depressent.. Well I get a doubt here Tough... The above person will be diagnosed to have Physchosis or Neurosis???
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Quick Scroll 07.22.06 (2 years ago) #6

I am wondering whether she developed “pathological grief”. In that case, clomipramine would be the choice.
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Quick Scroll 07.22.06 (2 years ago) #7

because it is very rare to develop "psychosis"at that age(also there is no past Hx of mental illness).she will fit in to grief reaction(pathological or normal).
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Quick Scroll 07.22.06 (2 years ago) #8

this is complicated grief reaction where in addition to grief it's symptoms are complicated by psycho or neuro illness. T/t is according to presenting symptoms ; in this case being psychosis . Hence haloperidol is the right choice.
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Quick Scroll 07.22.06 (2 years ago) #9

yes, it's haloperidol...
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Quick Scroll 09.28.06 (2 years ago) #10

its haloperidol.............she is a psychotic.........
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