If you have read the title of today’s blog post, you already know the answer to today’s case.  The answer is “Lithium Toxicity.”  I could have instead presented a “Can you figure this case out?” type of format.  But I did not want to do that because, really, what was causing this particular patient’s symptoms is not obvious, especially early on.  This is an introspective learning case.  I want you to read the case knowing the answer.  The answer is “Lithium Toxicity.”  As you read this case presentation, I want you to ask yourself when the possibility of lithium toxicity would have first entered your head and when you would have stopped this patient’s lithium? Continue reading →