Case Presentation: A 40 year-old female with previous out of state hospitalizations for MDD and bipolar disorder with psychotic features presented with disorganized thoughts, withdrawn affect and depression at the behest of her family. Psychiatric evaluation noted echolalia, negativism, withdrawal and poor PO intake. A diagnosis of severe depression with catatonic features was made and [...]

Case Presentation: A 53-year-old female with a past medical history of hypertension presented with three days of progressively worsening confusion, aphasia, poor PO intake, and urinary incontinence. Vital signs were within normal limits. Physical exam notable for orientation only to person and place, hyperreflexia, and no other focal neurologic deficits. Initial workup significant for positive [...]