AdolEmergencies - ADOLESCENT EMERGENCIES ANITA ROBINSON,...

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ADOLESCENT EMERGENCIES ANITA ROBINSON, M.D.
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ADOLESCENTEMERGENCIE S Suicide Drug Intoxication Pregnancy rape
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Suicide Background Third leading cause of death for teens and young adults Persons more likely to commit suicide -Older adolescents -Males (4x more than females) Persons more likely to attempt suicide -females
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Etiology and Pathogenesis Normal stresses of adolescence -Biological -Psychological -Social/environmental Society’s view of adolescence Role of socioeconomic factors
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Etiology of Suicide Attempt Predisposing Vulnerable Suicide factors = Adolescent = Attempt ^ Acute Stressors
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Predisposing Factors Abuse – Physical/Sexual Chronic Diseases Chronic substance abuse, teen/parent Family disorganization Poor school performance Family hx of suicide Age/ firearm in the house
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Predisposing Factors (cont.) Recent behavioral changes Feeling of….HALERS Psychiatric illness ADHD Affective Disorder Conduct/ Anxiety Disorder Depression
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Acute Stressors Early/Late psychological maturation Sexuality Anxiety about beginning sex homosexuality pregnancy Death of someone close Recent loss (person/relationship)
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Acute Stressors (cont.) Changes in school performance Victimization, assault,rape Substance use experimentation Major changes in social environment Onset of psychiatric disorder Media
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Vulnerable Adolescent Late adolescent Depression Low self esteem coupled with multiple failures Not fitting in, no friends
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Signs of suicide Changes eating/sleeping habits Withdrawal Chronic drug use Frequent somatic complaints Giving away favorite possessions Feelings of hopelessness,guilt,poor concentration,boredom,school grade drop
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Case Jessie is a 17 y.o. female who you are seeing in the ER at 4PM on a Saturday afternoon. She presents with a known Tylenol overdose earlier that day. She ‘s somewhat drowsy, but is coming to and able to answer basic questions. She is medically stable. Her mother comes with the Tylenol bottle and states that it was recently brought and that
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10 pills were missing (325mg each). After 4 hours, Tylenol levels are in a safe zone, and you have to determine her disposition. What specific points from the hx are
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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AdolEmergencies - ADOLESCENT EMERGENCIES ANITA ROBINSON,...

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