An Angry Cannabis User Who Rams Another Motorist's Car

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An Angry Cannabis User Who Rams Another Motorist's Car
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A 37-year-old man who uses cannabis daily presents to the ED after a road-rage incident. He and is highly combative with hospital personnel. Do you know what's causing his symptoms? MedEd

The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, pleaseA 37-year-old man is brought into the emergency department after he was involved in a motor vehicle collision.

During the evaluation, the patient continues to yell about how mean the other motorist had been to him and how she deserved to be spit on. He perseverates on the injustice of what happened and how angry he is about it. For the several hours that he remains in the ED, he is floridly agitated.

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