November 18, 2021 - New England Journal of Medicine Clinicopathological Conference

New England Journal of Medicine Clinicopathological Conference  “A 57-Year-Old Woman with Covid-19 and Delusions”

A 57-year-old woman with major depressive disorder and coronavirus disease 2019 (Covid-19) was evaluated because of delusions of being dead, with a hospital course complicated by persistent delusions and a generalized tonic-clonic seizure. Management decisions were made. 

SARS-CoV2 has various medical and neuropsychiatric presentations. This case underscores how psychiatric vulnerabilities can manifest as severe neuropsychiatric illness after acute medical illness. A patient with history of bipolar disorder presented with Catatonia and Cotard’s Delusion after recovering from acute respiratory failure secondary to COVID-19 infection and treatment with O2, dexamethasone and remdesivir.

Target Audience

This program is intended for: Psychiatrists, Psychologists, Fellows, Residents, Interns and Nurses

Learning Objectives

At the end of this presentation participants will be able to:

  1. Discuss how to conduct a comprehensive differential diagnosis for neurobehavioral changes in motivation and for delusions that occur after Covid-19 infection
  2. Describe Cotard’s phenomenon and management
  3. Discuss seizures that occur after Covid-19 infection

Moderator(s)

Kathy May Tran, MD

Speaker(s)

Zeina Chemali, MD, MPH

Gregory Fricchione, MD

Michael Kritzer-Cheren, MD, PhD

Aaron Paul, MD

Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™

    This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.

    McLean Hospital designates this Enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

  • 1.00 Nursing Contact Hours

    Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.

    This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 1.00 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.

  • 1.00 Participation

    This course allows other providers to claim a Participation Certificate upon successful completion of this course.

    Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 Credit™ associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 Credit™ may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.

  • 1.00 Psychologists CE Credit

    The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.

    This offering meets the criteria for 1.00 Continuing Education (CE) credits per presentation for psychologists.

Registration opens: 
11/18/2021
Course closes: 
07/09/2022
Part of: 
Psychiatry Grand Rounds 2021-2022
Rating: 
0
Moderator(s)

Kathy May Tran, MD

has no relevant financial relationships to disclose at this time.
Speaker(s)

Zeina Chemali, MD, MPH

has no relevant financial relationships to disclose at this time.

Gregory Fricchione, MD

has a financial relationship (Employment) with Harvard Medical School;.
has a financial relationship (Professional Services) with American Psychiatric Publishing, Inc. Johns Hopkins University Press University of Chicago Press Elsevier Press;.
has a financial relationship (Professional Services) with Basic Science Belvoir Press;.

Michael Kritzer-Cheren, MD, PhD

has no relevant financial relationships to disclose at this time.
has no relevant financial relationships to disclose at this time.

Aaron Paul, MD

has a financial relationship (Financial Stake) with Sage Therapeutics, Voyager Therapeutics, Karuna Therapeutics;.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™

    This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.

    McLean Hospital designates this Enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

  • 1.00 Nursing Contact Hours

    Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.

    This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 1.00 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.

  • 1.00 Participation

    This course allows other providers to claim a Participation Certificate upon successful completion of this course.

    Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 Credit™ associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 Credit™ may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.

  • 1.00 Psychologists CE Credit

    The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.

    This offering meets the criteria for 1.00 Continuing Education (CE) credits per presentation for psychologists.

Please login or register to take this course.

FINANCIAL RELATIONSHIPS:

Gregory Fricchione, MD

Honorarium - Harvard Medical School;

Book Authorship (Royalties) -  American Psychiatric Publishing, Inc. Johns Hopkins University Press University of Chicago Press Elsevier Press;

Editorial Duties - Basic Science Belvoir Press.

Aaron Paul, MD

Ownership - Sage Therapeutics, Voyager Therapeutics, Karuna Therapeutics.

 

The following speakers do not have any relevant financial relationships to disclose: 

Zeina Chemali, MD, MPH

Michael Kritzer-Cheren, MD, PhD