Prior to beginning work on this discussion forum, read Chapter 15 of your course text.For this discussion, you will pick one of the cases listed in the Week 5 Discussion – Case Studies document, and take on the role of the clinician.In your initial post,Identify the patient’s symptoms and the available demographic and historical data.Discuss your differential diagnosis and provide a thorough basis for any diagnoses you have included.Determine what (if any) additional testing you would order and how this would be helpful in clarifying the diagnosis.Finally, explain recommendations for the patient/family for ongoing functioning (social, occupational and academic, if applicable).You must use a minimum of two peer-reviewed articles in your discussion to support your diagnostic conclusions.To assist you with your research consider using the library’s Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) tip sheet.Week 5 Discussion Forum – Case Studies1. This case is an 80-year-old male who is on an inpatient rehabilitation unit and you are beingasked to see the patient to evaluate him for dementia versus delirium. The patient is a retiredprofessor who was living alone and independently prior to his injury. He fell on the ice whileretrieving his mail and sustained a right hip fracture. He underwent surgery for repair of his hipfracture two days prior to your consult. The patient has been exhibiting the following symptoms:occasional visual hallucinations, confusion about where he is, inconsistent recall as to the reasonhe is in the hospital, and behavioral outbursts (e.g., yelling and swearing at the staff).2. This case is a 65-year-old married female with 16 years of education. She works full-time as anelementary school teacher. Her symptoms began suddenly one evening; her husband noted shereferred to the dog food as “Jell-O” and called the television remote a “fork.” She appears tounderstand conversational language and can read and write normally, but is unaware of herparaphasic errors in speech.3. This case is a 48-year-old male who is referred for an evaluation of behavioral and moodchanges. Over the past year, his wife has noticed that he has become increasingly withdrawn andisolated. He no longer enjoys any type of social interaction and prefers to spend his time aloneplaying card games on his computer. He is college educated with no previous significantmedical, neurological or psychiatric history. He works as an engineer and has been at the samecompany successfully for the past 20 years. In the past year, his supervisors have noticed that hiswork quality has declined and he seems less motivated and “excited” about his job. Tasks he hadalways completed early are now being done late or not at all, and he appears unconcerned that hisjob is now in jeopardy.4. This case is a 16-year-old female with no previous history of any psychiatric conditions, learningdifficulties, or a diagnosis of attention deficit hyperactivity disorder. She is a high schoolsophomore and her parents have noticed that her mood seems to be “up and down.” She oftenfalls asleep if not involved in a stimulating activity. Teachers at school note good performanceon tests, but homework is frequently turned in late and she appears distractible and fidgety duringclass. She works part-time as a waitress on the weekends but is in danger of losing her job due tofrequent tardiness over the past 6 months.5. This case is a 19-year-old male with 12 years of education who has worked in the field ofconstruction successfully for the past two years. His girlfriend stated that he is often inattentive;she finds that he “spaces out” when they are talking and she frequently has to repeat informationto him. He was involved in a car accident 6 months prior and sustained a very brief loss ofconsciousness, but his Glasgow Coma Scale at admission to the ED was 15/15. There was noevidence of pre- or post-traumatic amnesia.
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