Discussion Part One (graded)
Issues in Growth and Development
Today you note that Kayla is back with Jo for behavioral issues.
HPI: Kayla (mom) is back to visit with Jo, the 5 year-old female child. She is here for complaints of behavioral difficulties and reports since moving back in with her parents that Jo has started throwing tantrums and refusing to obey. The mother reports that she has always been active with frequent changes in activity and difficulty in staying seated or minding her own business. However, since the move and starting kindergarten, others have commented on difficulties in behavior, including Kaylaâ€™s own parents and Joâ€™s teacher.
PMH: No change in diet; no fever; no communicable disease symptoms; continues childrenâ€™s chewable multivitamin with iron daily; sleep includes going to bed around 10 p.m. at night and being awakened at 6 a.m. for school.
Discussion Questions Part One:
Provide differential diagnoses with rationale?
Further history and ROS needed to more fully develop your differential diagnoses?
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