MLA Domain 5 · Presentation

Poisoning

4 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 · 1

Delusional disorder

Delusions driving harmful behaviour (e.g. morbid jealousy, persecution)

recognised feature · 2

Self-harm

High suicidal intent, ongoing plan, lethal method, or expressed wish to die → urgent psychiatric assessment

Staphylococcus aureus (incl. MRSA)

S. aureus bacteraemia → always seek a source (echo for endocarditis, MRI spine for discitis) — never dismiss as a contam

differential of the above · 1

Schizophrenia

Command hallucinations, risk to self/others, first episode → urgent EIP/specialist referral