Health Care > iHuman Case Studies > IHUMAN CASE WEEK #12: SARAH 25 Y/O FEMALE CC: DEPRESSION (All)

IHUMAN CASE WEEK #12: SARAH 25 Y/O FEMALE CC: DEPRESSION

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Subjective Chief Complaint: Depression. “I’ve been so sad almost every day for the past month” History of Present Illness: Sarah is a 25-year-old married female who was referred by her PCP fo... r evaluation of her depression after medical evaluation negative for organic causes. Sarah initially presented to PCP after encouragement from her boss for evaluation due to crying episodes at work and decreased work performance. Sarah reports feeling sad daily for the past month and sad “every minute of the day” for the past two weeks. She endorses suicidal ideation but states she would not act on it due to her family and faith. She is experiencing some paranoid ideation and believes her coworkers are trying to get her fired. Additionally, Sarah reports going days without sleeping approximately 6 weeks ago, trying to write a novel, and behaving in a manner that was distinctly out of character for her. She went out alone to a bar, contemplated engaging in an extramarital affair, almost left with a male stranger, and became black out drunk. Sarah also reports recent weight gain and being unhappy with the way she looks. Her depression is impacting her work and her relationships, putting a strain on her marriage. Sarah reports previous depressive episode with self-injurious behavior in high school. Family history significant for mother with schizophrenia and suicide 7 years ago, father with alcohol-use-disorder, and sister with depression. This study source was downloaded by 100000844708667 from CourseHero.com on 08-31-2022 01:17:27 GMT -05:00 https://www.coursehero.com/file/122263702/ihuman-week-12-Sarah-subjectivedocx/ IHUMAN CASE WEEK #12: SARAH 25 Y/O FEMALE CC: DEPRESSION Medical History: Immunizations up to date Previously played tennis a few times per week for exercise but not recently due to fatigue Obesity Childhood asthma Surgical History: Appendectomy Medications: Orthotricyclen (birth control) Multivitamin Psychiatric History: None reported Family History: Father – alcohol-use-disorder Mother – schizophrenia, suicide Sister - Depression Social History: Married, reports husband is supportive, but her depression is putting strain on their marriage This study source was downloaded by 100000844708667 from CourseHero.com on 08-31-2022 01:17:27 GMT -05:00 https://www.coursehero.com/file/122263702/ihuman-week-12-Sarah-subjectivedocx/ No report of domestic violence No guns or weapons in home Employed at pediatrician’s office Education – Currently has an Associate’s Degree, attending night school pursuing Bachelor’s Degree Drinks 1-2 alcoholic beverages a week, rare heavy use of alcohol, has experienced blackouts with drinking in past (high school) and 5 weeks ago. No tobacco use. No illicit drug use. Review of Systems General/Constitutional: HEENT: Denies difficulty with vision or hearing. Denies ear pain, sinus congestion, or difficulty swallowing. Skin/Nails: Denies concern. Respiratory: denies shortness of breath Cardiovascular: Denies irregular heartbeat or rh [Show More]

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