25/37
(Continuation of Psychiatry Transfer Note)
The impression was delirium ? secondary (to) benzodiazepine withdrawal & 
he was given Ativan 1 mg Intra Venous Push.  the patient was transferred
to(?) the ICU for treatment (see medical summary for (additional)  information).
     On 8/25 he was evaluated by me & found oriented to person & time.
More alert & less agitated.  His affect was labile with intermittent
tears.
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Current Mental Status Examination - sl(ightly) obese young man with facial
ecchymoses sitting up in bed.  Speech fluent, prosaic.
mood - sl(ightly) dysphoric Affect   full in appearance & range. Denies
suicidal/homicidal ideation.
Thoughts goal directed. Thought
content - no delusions  No
auditory/visual hallucinations
Alert and Oriented X3
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A/P (?)   status post Delirium likely secondary Benzo(diazepine) withdrawal
	 stable now on Ativan 2 mg every 4 (hours)
	 but with persistent depressive
	 symptoms without suicidal ideation or
 	 psychosis
	-to be transferred to Eye 6 in
	 AM on 8/27
	-in preparation for transfer, please
	 Xerox this note and medical transfer
	 note 7  add to voluntary (in
	 front of chart).  Done by Psychiatry Consult
	- patient does not require 1:1 (?attendant).
                                               Signature of Mary Bongiovi, M.D.
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