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University of Guyana

School of Medicine

Psychiatry

Name: Sherry Lynch

Reg no.: 06 0!"# 0$6%

Lecturer: &r. Persaud

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'ase #

(dentifying &ata

Patient, Gloria Weekes, female, age 50 of Lot 150 6thStreet Albertown attended ChattoSchool ! to 5thform"

'hief com)laint:

She com!lains of being nable to slee! and feeling scared for a nmber of #ears"

*istory of Present (llness:

$s" Weeks is nable to slee! and wander from her home" She is feeling scared and doesnot 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 fll term bab# and li&ed with her !arents for a nmber of #ear before

the# died"

$s" Weeks was married for a nmber of #ears and !rodced two ()* children from thatmarriage" She was later remarried and got a few more children+ she !resentl# has si (6*

children"

Social *istory:

She does not smoke or consme alcohol !resentl#" $s Weeks se to consme alcoholwhen she was #onger bt sto!!ed for a nmber of #ears"

-n her #onger da#s she had a few friends bt !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/ irt#

nke!t

Smell#

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-ttitude:2iet

ncoo!erati&e

Psychomotor activity:agitated

S)eech:illogical

-ttention:bored

-ffect:de!ressed

hought:incoherent

Word salad

/udgement:Patient has no 3dgement

Mini Mental Status 1amination 2 +olstein3

4rientation:

1* 4rientation in .ime/

)* 4rientation in Place/ 5

Memory:

1* -mmediate ecall/ )* ela#ed ecall/ 0

-ttention and 'oncentration:

1* Attention/ 5

Language ests:

1* com!rehension/ ))* eading/ 1

* Writing/ 0

7* e!etition/ 1

5* 8aming/ )

est of S)atial -5ility:

1* Co!#ing/ 0

otal:

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