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Lung adenocarcinoma: a new bipolar masquerader
  1. Abdulrazak Alchakaki1,
  2. Mohamad Kabach2,
  3. Abdul Hamid Alraiyes3,
  4. M Chadi Alraies4
  1. 1Henry Ford Macomb, Southfield, Michigan, USA
  2. 2Department of Medicine, University of Miami Miller, West Palm Beach, Deerfield Beach, Florida, USA
  3. 3Department of Pulmonary Diseases, Critical Care, & Environmental Medicine, Tulane University Health Sciences Center, New Orleans, Louisiana, USA
  4. 4Department of Hospital Medicine, Cleveland Clinic, Cleveland, Ohio, USA
  1. Correspondence to Dr M Chadi Alraies, alraies{at}

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A 43-year-old woman, known to have bipolar disorder, presented with 4 months history of change in behaviour and functional status in addition to memory problem. Lately she started to have constant headache, fatigue and multiple episodes of postural syncope. This was associated with nausea, vomiting and weight loss. Her family doctor attributed her symptoms to bipolar disease without seeking further tests. She has a history of 30-pack-year tobacco smoking. Physical examination was remarkable for lethargy, flat affect, in addition …

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