11 Nov Case Analysis 1. A 9 yr. old boy presents with bed
Case Analysis 1. A 9 yr. old boy presents with bedwetting in the context of psychosocial stressors, after a period of successful toilet training. His symptoms occur mostly at night. A medical history reveals there are no underlying medical conditions that would suggest physical pathology. No signs of abuse or neglect. What is the most likely diagnosis? What is the mostly likely prognosis for this condition? What would be your treatment plan 2. 19 yr. old college freshman is brought to the ER by his roommates. He has been referred to your office for further evaluation and treatment. Patient has been up until 4 am for the last 2 nights, painting an art final. His behaviors prevent him from being able to sleep or work in shared space. He has a history of good moods and now has a burst of energy and creativity. He denies suicide ideation and is negative for psychotic symptoms. No use of substance and has no medical problem. What is the most likely diagnosis? What is your differential diagnosis? What is the mostly likely prognosis for this condition? What would be your treatment plan? 3. A 13 yr. old boy presented with his two moms who are now divorced and live in separate households where he divides his time with both of them. He initially reports to have severe OCD where he would spend up to 2 hours grooming each morning many times making him later for school. You treated the OCD with Zoloft 200mg/day over a course of 5 months. The last time you evaluated him he endorsed that his OCD symptoms had subsided. Today the moms report that his symptoms have exacerbated and now demonstrates paranoia, uncontrollable shaking where he falls to the floor and stating “they are on me and I can’t get up” What is the most likely diagnosis? What is your differential diagnosis? What is the mostly likely prognosis for this condition? What would be your treatment plan? Case Analysis Rubic Criteria 3 Points 2 Points 1 Point 0 Point Content Student is focused, response to questions are substantive and appropriate to the content. Provides well detailed rationale for answers. 2 Student is focused, response to questions are adequate and appropriate to the content. Provides rationale for answers. 1.5 Student is unfocused, does not post to the questions, as assigned. Vague to No rationales to answers. 1 Student never answered the questions. 0 Participation Offer ideas and/or ask questions in at least 1 other student posting. 1 Student did not offer ideas and/or ask questions in at least 1 other student posting. 0 Total Points 3
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