You look at your schedule to see that your next patient, Mic…

You look at your schedule to see that your next patient, Michael, is a 40-year-old with complaints of “abdominal pain”. He is new to your practice. You enter the exam room to find him leaning with his arms over the exam room table. “It’s the only way I can get this pain to feel any better. My gut hurts so bad! Forget laying down at night, I can’t do it. I’ve been going to sleep in the recliner, but now I can’t even lean back. I have to rest sitting up with my elbows on my knees.” What do you suspect is going on with Michael?

 A 49-year-old man with a known history of alcohol dependenc…

 A 49-year-old man with a known history of alcohol dependence and schizophrenia is brought to the psychiatric hospital because of frank delusions and visual hallucinations. Which of the following should be a diagnostic possibility for inclusion in the differential diagnosis?

 The PMHMP is conducting an evaluation on a 45-year-old divo…

 The PMHMP is conducting an evaluation on a 45-year-old divorced man who has a history of depression and substance use disorder. He wants to know if the substance use disorder caused the depression, or if the depression caused the substance use disorder. What is the most appropriate response?