Case Study 3 Finished .doc

Case Study 3 Finished .doc - The Sailor Psychiatric...

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The Sailor Psychiatric consultation is requested by an emergency room physician on an 18- year-old male who has been brought into the hospital by the police. The youth appears exhausted and shows evidence of prolonged exposure to the sun. He identifies the current date incorrectly , giving it as September 27 instead of October 1. It is difficult to get him to focus on specific questions, but with encouragement he supplies a number of facts. He recalls sailing with friends, apparently about September 25, on a weekend cruise off the coast of Florida, when bad weather was encountered. He is unable to recall any subsequent events and does not what became of his companions. He has to be reminded several times that he is in a hospital, as he expresses uncertainty as to his whereabouts. Each time he is told, he seems surprised. There is no evidence of head injury or dehydration. Electrolytes and cranial nerve examination are unremarkable. Because of the patient’s apparent exhaustion, he is permitted to sleep for 6 hours.
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  • Spring '08
  • pollak
  • Psychological trauma, Posttraumatic stress disorder, dissociative amnesia, emergency room physician, Diagnosis Dissociative Amnesia

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