Anxious

Behavioral Health


Step 1: View Clinicals

{"ops":[{"insert":"A 26 year old graduate student presents with episodic mucoid diarrhea for 1 year. This is associated with abdominal discomfort, which is relieved by defecation.\n\nThere is no history of fever, bloody diarrhea, vomiting, weight loss, joint pains or a skin rash. Nor is there a family history of gastrointestinal disorders.\n\nShe also complains of fatigability, restlessness throughout the day, difficulty in sleeping, and difficulty concentrating on her studies.\n\nShe constantly worries about her family, studies, and finances, and fears being involved in a car cash or being mugged, despite the absence of such events in her past.\n\nThere is no history suggestive of suicidal ideation, panic attacks, depression, obsessive-compulsive behaviour, social phobia, or eating disorders.\n\nShe has been thoroughly investigated by a gastroenterologist, but despite numerous investigations, including multiple endoscopies and a thyroid profile, no organic or functional cause for her diarrhea could be identified.\n\nShe is not on any medications right now, and does not smoke, drink, or use recreational drugs.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-Y-015_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Complete Blood Count, ESR & CRP
2. Repeat Thyroid Profile
3. Metabolic Profile
4. Urine Drug Screen

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