Description

NR 602 Week 6 iHuman Case – Maddison Patton

M.P. is a pleasant 24-year-old female referred by her primary care provider following an 8-day episode of euphoric mood, decreased need for sleep, pressured speech, and impulsive, goal-directed behavior, which resolved two weeks ago. She denies current or past hallucinations, substance use, self-harm, paranoia, or suicidal or homicidal ideation. Vital signs are stable, and physical examination is unremarkable. Mental status examination reveals a depressed mood and congruent affect. Review of prior medical records and laboratory results shows no evidence of underlying medical or substance-related causes. Findings are consistent with a possible mood disorder, and further psychiatric evaluation is warrented.

NR 602 Week 6 iHuman Case – Maddison Patton (Test Mode Assignment)

The patient is an otherwise healthy 24-year-old female who presents following a 8-day episode of sleeplessness and “super happy” mood. She went shopping and maxed out her credit, couldn’t afford gas to get home. Called family for help. Reports a night out on the town where she drank much more than usual and needed help from a friend to get home. Subsequently awoke after 2-3 hours of sleep and started building a business plan for a company that would “save the souls of each and every person it served.” She was calling investors, important people she knew who could help get the business started and called a family friend. The friend noted pressured and fast speech and strange ideas, called the patient’s mother. Stepmom went to the patient’s house to stay with her until the patient’s mood and energy began to de-escalate, occurring later that evening and ending with about 10 hours of solid sleep. Elated mood has not returned since, nor has insomnia. She presents here at the insistence of her stepmother since they will soon be going out of town and want to ensure her safety before leaving. She denies suicidal plan or homicidal thoughts. She has not tried any medications or seen other providers for these symptoms, denies having them before. She endorses somewhat depressed and irritable mood today but denies rashes, chills, temperature intolerance, polydipsia, polyuria, headaches, lightheadedness, syncope, chest pain, shortness of breath, palpitations, coughing, wheezing, nausea, abdominal pain, vaginal discharge, weakness, numbness, substance use, hallucinations, paranoid ideations, bizarre delusions, or anxiousness.

NR 602 Week 6 iHuman Reflection

1. Address the following questions:
   • What patterns or triggers did you noticed in the virtual patient’s mood helped you in determining the patient’s final diagnosis?
   • What resources are available in your community to assist with concerns such as those faced by your virtual patient?
   • What is the DSM-V criteria for diagnosing this virtual patient’s final diagnosis?