By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. Identify at least three possible differential diagnoses for the patient.
Neurocognitive and Neurodevelopmental Disorders
Patient Initials: H.B.
Age: 60 years
Gender: Male
Subjective:
CC (chief complaint): The patient (H.B.) reports that he has difficulty with concentration. According to him, his condition worsened due to heightened pressure at the workplace involving accelerated deadlines.
HPI: The patient is a 60-year-old male. He reports that he has difficulty with concentration. He works at an architectural engineering firm, and he reports that job pressure emanating from accelerated deadlines has worsened his condition. According to him, this has made him commit silly mistakes. Further evaluation reveals that the patient had similar problems in school. He reports that he had difficulty concentrating when preparing for examinations. According to him, he was easily distracted by external and internal environments. He admits that he rarely listens to the lectures delivered by the chief of the department because he is usually preoccupied with other trivial issues. He reports that he has difficulty organizing himself. For instance, he forgets his shoes, socks, phone, and even jacket. According to H.B., he forgets to pay his bills on time and is always penalized for late payments. He reports being hyperactive but notes that the condition has improved significantly compared to his school days. H.B. takes one scotch drink and a cigar weekly. He has other comorbidities such as hypertension, angina, hypertriglyceridemia, and benign prostate hyperplasia. He is not married and has no children.
Is your assignment devastating you ? Get in touch with us at eminencepapers.com. Our homework help will save you tons of time and energy required for your assignment papers.
Past Psychiatric History:
General Statement: This is the first time that the patient has presented himself for evaluation. This process was initiated by his supervisor. The patient reports that his mother never took him for evaluation during his childhood.
Caregivers (if applicable): The patient does not have a caregiver.
Hospitalizations: The patient denies any hospitalization
Medication trials: The patient reports that he has never been treated with medications for ADHD.
Psychotherapy or Previous Psychiatric Diagnosis: The patient reports that he has never received any psychotherapy. Furthermore, he has never been diagnosed with a psychiatric condition.
Substance Current Use and History: H.B. takes one scotch drink and a cigar weekly (on weekends). Furthermore, the patient takes coffee once in a while. He reports that it helps him to focus.
Family Psychiatric/Substance Use History: The patient did not provide pertinent family psychiatric or substance use history.
Psychosocial History: The patient is not married and has no children. He reports that he dates casually. He has one younger brother. The patient has a bachelor’s degree in engineering and works at an architectural engineering firm. The patient denies any legal issues. Also, he denies any history of trauma and violence.
Medical History: Evaluation reveals that the patient has other comorbidities: hypertension, angina, hypertriglyceridemia, and benign prostate hyperplasia.
Current Medications: Cozaar 100mg daily for hypertension, ASA 81mg PO daily and valsartan 80mg daily for angina, fenofibrate 160mg daily for hypertriglyceridemia, tamsulosin 0.4mg PO bedtime for benign prostate hyperplasia.
Allergies: The patient is allergic to Dilaudid.
Reproductive Hx: No reproductive history of concern was reported.
ROS:
GENERAL: No weight loss, weakness, fever, or chills
HEENT: Eyes: No visual loss, conjunctivitis, blurred vision, diplopia, or retinal edema. No hearing loss, nasal congestion, pharyngitis, sneezing, or rhinorrhea.
SKIN: No bruising, ulcers, rashes, or pruritus. Normal turgor.
CARDIOVASCULAR: Has elevated blood pressure and chest pain
RESPIRATORY: No dyspnea, cough, respiratory distress, or sputum.
GASTROINTESTINAL: No nausea, constipation, anorexia, vomiting, abdominal pain, or diarrhea.
GENITOURINARY: The prostate gland is enlarged. No discharge, hesitancy, dysuria, nocturnal enuresis, or urgency.
NEUROLOGICAL: No headache, paralysis, syncope, numbness, dizziness, or ataxia. Normal proprioception.
MUSCULOSKELETAL: No arthri