A 16-year-old teenager presents with 3 days of an irritable mood. He also reports the episodes of decreased sleeping, increased energy and distractibility. PMH : None Mental Status Examination : His examination is remarkable for psychomotor agitation and also for irritable effect. He is paranoid. He denies episodes of delusions or hallucinations. His physical examination is notable for a slightly elevated pulse rate and blood pressure and also, for markedly dilated pupils bilaterally.
His urine toxicological screening results are positive for cocaine. What is the likely diagnosis? NOTE: No other information about the patient is available. *This case is from Docplexus editorial team for educative purpose only. Source: Case Files Psychiatry. Click Here to know the answer.