Matthew Loxton@mloxton@med-mastodon.com
60yr old male presents at ER. Chief complaint is auditory and visual hallucinations in the context of a paranoid psychotic break
Blood panel unremarkable other than raised chloride, and a degree of acidosis. Clear for typical drugs. Negative on heavy metals
Patient Hx reveals he distills own water, has imposed on himself a number of unusual dietary restrictions, and is very energized about reducing or replacing salt intake
Propose a diagnosis before watching the video
https://www.youtube.com/watch?v=TNeVw1FZrSQ