CHAPTER EIGHT
Posttraumatic Stress Disorder
CASE VIGNETTES
Case 1
A 32-year-old African-American male was seen in the emergency room (ER) of a large public city hospital. The patient was arrested by the police following an incident in which he ran shouting and yelling in a “wild” fashion through a crowded downtown shopping district. The patient was disheveled, pushing and randomly assaulting people as he proceeded. In the ER, the patient was restrained and his workup evaluation was begun. His blood pressure, pulse rate, and respiration were all elevated, but his pupil size was normal, equal, round, and responded to light. There ...
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