MLA Domain 5 · Presentation
Hallucinations
8 conditions in Finalist present this way. Work down the list and ask what would separate each one from the next — that discriminator is the exam question.
classic presentation · 4
Delirium tremens and withdrawal seizures are medical emergencies; suspected Wernicke’s → immediate parenteral thiamine
Delusions driving harmful behaviour (e.g. morbid jealousy, persecution)
Risk to self/others, command hallucinations → urgent assessment
Risk as per mania/depression and psychosis
recognised feature · 3
Auditory hallucinations, delusions, fluctuating cognition or other-modality features → reconsider psychiatric/neurologic
NEUROLEPTIC SENSITIVITY — antipsychotics can cause severe rigidity/irreversible deterioration; recurrent falls
Command hallucinations, risk to self/others, first episode → urgent EIP/specialist referral
differential of the above · 1