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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.