Download VCE 3.0 Psychiatric Patient Summaries Pediatrics

VCE 3.0 Psychiatric Patient Summaries
Pediatrics
Room 305 – Tiffany Sheldon
Primary
Diagnosis
Electrolyte
Imbalance
Secondary
Diagnosis
Anorexia Nervosa
Tertiary
Diagnosis
Quaternary
Diagnosis
Parent Child
Relational
Problems
Anorexia Nervosa- A 14 year old Caucasian female admitted for dehydration, electrolyte
imbalance, and malnutrition following a syncope episode at home. This patient has a
history of eating disorders requiring multiple hospital admissions that have strained
family dynamics between mother and daughter.
Obstetrics
Room 203 – Kelly Brady
Primary
Diagnosis
Pregnancy
Secondary
Diagnosis
Major Depressive
Disorder
Tertiary
Diagnosis
Hypertension
Quaternary
Diagnosis
Hyperemesis
26 week intrauterine pregnancy- A middle-age Caucasian primigravida
urgently admitted for progressive symptoms of preeclampsia. A history of inadequate
coping with major life stressors leave her at risk for a recurrence of depression as she
faces a diagnosis of HELLP syndrome and the delivery of a severely premature infant.
OB3 – Laura Wilson
Primary
Diagnosis
Pregnancy
Secondary
Diagnosis
AIDS
Tertiary
Diagnosis
Quaternary
Diagnosis
Opioid
Dependence or
Polysubstance
Abuse, Indications
of Intravenous Drug
Use
37 week intrauterine pregnancy- A teenage Caucasian primigravida urgently
admitted after an unresponsive episode at home. Her complications include HIV positive
status and chronic polysubstance abuse. Unrealistic expectations of parenthood and living
with a chronic illness combined with strained family relations prompt comprehensive
social and psychiatric evaluations initiated on the day of simulation.
Room 201 – Dorothy Grant
Primary
Diagnosis
Last Trimester
Pregnancy
Secondary
Diagnosis
Physical Abuse of
Adult
Tertiary
Diagnosis
Quaternary
Diagnosis
Partner Relational
Problems
30 week intrauterine pregnancy- A young multipara admitted with abdominal trauma
following a domestic violence incident. Her complications include preterm labor and
extensive social issues such as acquiring safe housing for her family upon discharge.
Medical-Surgical
Room 401 – Harry George
Primary
Diagnosis
Cellulitis with
osteomyelitis of the
foot
Secondary
Diagnosis
Diabetes Type II
Malnutrition
Tertiary
Diagnosis
Alcohol Abuse
Quaternary
Diagnosis
Homelessness
Osteomyelitis- A middle aged male admitted from a homeless shelter with an infected
leg. He has complications of Type 2 diabetes mellitus, alcohol abuse, nicotine addiction,
poor pain control, and complex psychosocial issues.
Room 402 – Jacquline Catanazaro
Primary
Diagnosis
Asthma
Secondary
Diagnosis
Obesity
Tertiary
Diagnosis
Chronic Paranoid
Schizophrenia
Quaternary
Diagnosis
Herniated Disk
Asthma- A middle aged female admitted with an acute asthma exacerbation and
suspected pneumonia. She has complications of chronic schizophrenia, noncompliance
with medication therapy, obesity, and herniated disc.
Skilled Nursing
Room 504 – Carlos Reyes
Primary
Diagnosis
Status Post
Myocardial
Infarction 1 weeks
Secondary
Diagnosis
Dementia of the
Alzheimer’s Type
with Depressed Mood
Tertiary
Diagnosis
Quaternary
Diagnosis
Generalized
Anxiety Disorder
Rehabilitation status post myocardial infarction- An elderly Hispanic
male admitted for evaluation of the need for long-term care following
an acute care hospital stay. Recent cognitive changes and a diagnosis of anxiety disorder
contribute to stressful family dynamics and caregiver strain.
Room 503 – Kathryn Doyle
Primary
Diagnosis
Status Post Hip
Fracture 2 Weeks
Secondary
Diagnosis
Osteoporosis
Tertiary
Diagnosis
Physical Abuse of
Adult
Quaternary
Diagnosis
Pneumonia
Rehabilitation post left hip replacement- An elderly Caucasian female admitted following
a complicated recovery from an ORIF. She is experiencing symptoms of malnutrition and
depression due to unstable family dynamics placing her at risk for elder abuse.