doc2003
Forum Senior
Topics: 35
Posts: 58
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19 yo college freshman comes to the clinic for a 17 pound weight loss. Over the past 5 months, she has increasing difficulty concentrating on her school work and has begun to miss classes. She avoids friends and often skips meals while watching tv alone in her room. She sleeps fitfully and often awakens at 4am and is unable to go back to sleep. her weight is in the low-normal range. She agrees that something is wrong and feels guilty about her academic performance. Diagnosis???
1- bulimia nervosa
2- schizophrenia
3- conversion disorder
4- obsessive complusive disorder
5- anorexia nervosa
6- major depressive disorder
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| drkpp
Forum Guru
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Posts: 882
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6 majo depressiive psychosis
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| phuluong2k
Forum Fanatic
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anorexia nervosa
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| doc2003
Forum Senior
Topics: 35
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I dont have the answer to this but I think its anorexia nervosa also.......but why cant cant conversion disorder be the ans?? does anyone know??
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| rm
Forum Senior
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6- major depressive disorder
its not anorexia nervosa because the patient normally does not accept that they have a disorder. but this girl sees that something is wrong with her and she feels guilty about it. its not conversion disorder because in this type of disoder there is a lack of concern and the patients says "i guess i have to live with it."
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| mjl1717
Forum Hero
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I go with major depressive disorder.
As far as anorexia- food is only mentioned once in this vignette although she lost 17 pounds.(She is not saying shes fat or overweight)
As for conversion in this case there is no evidence of a stressor.
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| 99doc
Forum Elite
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i think major depressive disorder.
because does a patient of anorexia nervosa ever sleep fitfully.
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| att
Forum Senior
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depression
anorexic are usually high permonace ppl.
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| ATX
Forum Newbie
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Major depressive Disorder:
She has Sleep problems
She feels guilty, hard time concentrating, depressed because she is avoiding her freinds and school. its been going on for 5 months. Major Depressive Disorder u need all those symptoms for 2-3 weeks.
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| anjushree
Forum Guru
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My answer is 6) major depressive disorder
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| jvo_md
Forum Senior
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Mayor depressive disorder
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| dr in trouble
Forum Guru
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I will go with D, obsessive compulsive disorder.
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| ssrpk
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why would you go with OCD, plz explain!
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| KEROCHI
Forum Guru
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Answer is major depression definitely!
OCD .. no bec. hx. did not mention any rituals.
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