frank100
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a 12 y/o grl is brought to th e physician by her mother because she is concerned about her doughter´s difficulty making friends and socialising. her development and adjustment has been normal until 6 months ago, whe she began to refuse to use restrooms at school or eat in the cafeteria. her mother describes her as a quiet serious child who does not readily interact with other people. her teachers report that her concentration varies, at times she appears to be daydreaming. on examination, she is reserved but pleasant and appears to be of normal inteligence. her speech is normal in rate and rythm. she says that se is concerned that her voice will fail her if she has to read aloud in class. which of the following is the most likely diagnosis?
a) adhd, innatentive type.
b) autistic disorder
c) expressive language dissorder
d) oppositional defiant disorder
e) selective mutism
f) social phobia
g) age appropriate behavior
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| drdiv
Forum Junior
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can it b f social phobia
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| frank100
Forum Guru
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chose (f) too, but not a 100% sure.
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| mazinger
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f
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original mazinger z
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| frank100
Forum Guru
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social fobia, no criteria for the rest of the differential
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| shumaila
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F
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| study_ing
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id vote for F too
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| sheeezooo
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f
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if u hold up your head with a smile on your face and are truely thankful,u are blessed because the majority can, but most do not..
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| cbenitesch
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f!
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| kulk55
Forum Junior
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nope.....its definately g.
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| study_ing
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y so kulk 55?
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| King
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1 refuse to use restrooms at school or eat in the cafeteria.
2 difficulty making friends and socialising
3 her voice will fail her if she has to read aloud in class
3 points goes with social phobia......
where did u read that this is normal for 12 yr old age kulk???
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| caduceus
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why it cant be e?
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| Vietnamese
Forum Elite
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Accually, it is so tough to make a differential diagnosis bw Social phobia and seletive mutism. Selective mutism often happen at fresh schooler (5-7 years old) and under a specific condition and often related to SPEAKING language despite well functional language. In this case, there are conflict she is an "old schooler" ( 6 years at school she should get used to activities routinely). In this case, I chose F.
Please other ideas.
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| tamerbashir
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f
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