Welcome back, Clinical Problem Solvers.

Maddie and Yusuf here.

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Now over to you, Yusuf.

Thanks, Madi. Just a quick reminder, this podcast is for educational purposes only and is not

a substitute for medical advice. Patient details have been modified to protect their privacy.

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Now, let's dive into the case. Enjoy the show.

So the chief concern is acute psychiatric disturbance and tremor.

And I'll stop there.

Okay, acute psychiatric disturbance and tremor. So what's coming to mind, Sebastian?

Well, a few things jump straight to mind. I think there's, you know, anything, the timing-wise, thinking of tempo, something that acute.

My first thought is this, you know, intoxication, you know, a patient who's, again,

an acutely psychiatric alter, is he hallucinating this tremor? Is this going to be a sort of PCP,

a toxic, nystagmus, you know, type pattern. So, you know, acute toxication definitely

comes to mind. I guess acute infection comes to mind. Again, thinking about that tempo, something quick.

Is this some sort of rombencephalitis, you know, affecting the cerebellar, maybe causing this

sort of tremor, is this, you know, and really infectious-wise,

probably viral or bacterial.

But again, we'll hear what the tempo of it is.

I think sort of vascular as possible here.

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