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Laboratory test Relevance Toxicology screen Standard evaluation for illicit substances Consider heavy metal screening in the setting of suspected environmental exposure Thyroid function Hyperthyroidism and, more rarely, hypothyroidism have been described in connection with presentations of new- onset mania Neuroimaging Relevant usually if there is a known history of head trauma, focal neurologic signs, or onset in an older adult Electroencephalogram Advisable usually in the setting of suspected seizure activity, prominent cognitive or neurologic- motor symptoms, or atypical mania features Lumbar puncture Typically advised in the setting of unexplained delirium or suspected infectious or meningeal basis Infectious screening eg, Lyme disease antibody titer, HIV Consider in the setting of known exposure or suggestive features on physical examination buy priligy on the internet without a prescription

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