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A 27-Year-Old Man Is Brought to the Emergency Department by His

question 47

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A 27-year-old man is brought to the emergency department by his roommate, who found the patient barricading himself in a closet at home and saying, "They're coming to get me.  No one can be trusted."  The patient was laid off from his job and broke up with his girlfriend last month.  He has heard voices threatening to kill him a few times daily for the past 2 weeks.  He has no medical or psychiatric history and does not use alcohol or illicit drugs.  Physical examination and laboratory results are unremarkable.  On mental status examination, the patient is fearful and tense.  He describes being followed by men in black cars who are spying on him.  Which of the following is the most likely diagnosis in this patient?


Definitions:

Daddy's Roommate

A children's book aimed at depicting and normalizing families headed by same-sex couples, focusing on a child living with his father and his father's same-sex partner.

Homosexual Families

Familial units consisting of parents who identify as homosexual, focusing on the same-sex relationship of the parents.

Child Pornography

Illegal material that depicts minors in sexual activities or exposes them to sexual content.

Patently Offensive

Content or actions that are openly indecent, scandalous, or grossly improper, often subject to legal or social censorship.

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