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University of Guyana

School of Medicine

Psychiatry
Name: Sherry Lynch Reg no.: 06 0!"# 0$6% Lecturer: &r. Persaud

'ase # (dentifying &ata


Patient, Gloria Weekes, female, age 50 of Lot 150 6th Street Albertown attended Chatto School ! to 5th form"

'hief com)laint:
She com!lains of being nable to slee! and feeling scared for a n mber of #ears"

*istory of Present (llness:


$s" Weeks is nable to slee! and wander from her home" She is feeling scared and does not know wh# she is feeling scared" She does not know how long she is feeling the wa# she is" She a!!ears % iet and conser&ati&e and hardl# want to co' o!erate"

Past Personal *istory:


$s" Weeks was a f ll term bab# and li&ed with her !arents for a n mber of #ear before the# died" $s" Weeks was married for a n mber of #ears and !rod ced two ()* children from that marriage" She was later remarried and got a few more children+ she !resentl# has si, (6* children"

Social *istory:
She does not smoke or cons me alcohol !resentl#" $s Weeks se to cons me alcohol when she was #o nger b t sto!!ed for a n mber of #ears" -n her #o nger da#s she had a few friends b t !resentl# does not ha&e an# friends and s!ent time home reading when she is not wandering in the streets"

Past +amily *istory:


.he# are no known famil# with this condition or similar conditions"

Psychiatric +unctional (n,uiry:


-))earance/ 0irt# 1nke!t Smell#

-ttitude: 2 iet 1ncoo!erati&e Psychomotor activity: agitated S)eech: illogical -ttention: bored -ffect: de!ressed .hought: incoherent Word salad /udgement: Patient has no 3 dgement

Mini Mental Status 01amination 2 +olstein3


4rientation: 1* 4rientation in .ime/ 5 )* 4rientation in Place/ 5 Memory: 1* -mmediate 6ecall/ 5 )* 0ela#ed 6ecall/ 0 -ttention and 'oncentration: 1* Attention/ 5 Language .ests: 1* com!rehension/ ) )* 6eading/ 1 5* Writing/ 0 7* 6e!etition/ 1 5* 8aming/ ) .est of S)atial -5ility: 1* Co!#ing/ 0 .otal: 66

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