KOBITA
Forum Junior
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An 18-year-old college freshman comes to the clinic at her parents' urging for evaluation of a 6.8-kg (15-lb) weight loss. Over the past 4 months, she has had increasing difficulty concentrating on her schoolwork and has begun to miss classes. She avoids friends and often skips meals while watching television alone in her room. She sleeps fitfully and often awakens at <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" />5:00 AM and is unable to go back to sleep. Her weight is currently in the low-normal range. She agrees that something is wrong and feels guilty about her academic performance. Which of the following is the most likely diagnosis? <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
A)Anorexia nervosa
B)Bulimia nervosa
C)Conversion reaction
D)Major depressive disorder
E)Obsessive-compulsive disorder
F)Schizophrenia
Please explain the answer......
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| robin082006
Forum Hero
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By exclusion, D is the answer
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| tolito
Forum Fanatic
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in support of D is her insomnia with early morning wakefulness. against A is her weight which is still normal.
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| eaguin
Forum Senior
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I think is A, she is loosing weight...
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| alpha12
Forum Senior
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he's not worried about his body image or his diet, but about his school performance. So, the most likely answer is depression: D
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| mjl1717
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weight loss doesnt neccesarily mean anorexia-- I like depression
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| Addicudo
Forum Guru
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In support of Major Depression 4 classic clues ..
1. 6.8-kg (15-lb) weight loss ( Can be waight gain or loss)
2. Over the past 4 months, she has had increasing difficulty concentrating on her schoolwork and has begun to miss classes ( Must be a change from the previous functioning)
3. She avoids friends and often skips meals while watching television alone in her room (Anhedonia , lack of motivation, feeling of worthlessness)
4. She sleeps fitfully and often awakens at 5:00 AM (Hypersomnia and classic Early morning wakening)
ANSWER is (B) ..
Can be Anorexia .. but if the question had given the history of ONLY weight loss and no other 4 classic signs..
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| rock
Forum Elite
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its depression
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| Capricious
Forum Newbie
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She is avoiding friends, feeling difficulty in concentrating, wakes up early in the morning and fails to go back to sleep again ........ its depression
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| doc179
Forum Guru
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D
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| lq2006
Forum Elite
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Major depressive disorder
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