Friday, November 21, 2008

Case Study 10: A 36-year-old man and his young son were driving through an intersection when another car ran through a red traffic light and struck them. The two were trapped in the car until a fire department rescue team freed them. The patient was bruised but not seriously hurt. His son had a broken leg. The first few days after the accident the patient was preoccupied with arranging care for his son and getting the car repaired. A few days later he began having recurrent distressing thoughts and images of the accident. Theses symptoms lasted for several weeks. The memory of his son’s screams after the car was struck seemed particularly vivid. The patient became irritable, had difficulty concentrating, and avoided talking about the accident. He went out of his way to avoid driving down the street where the accident occurred. As time went on he could no longer remember whether the traffic light was red or green when he approached it.


From what i have noticed, this patient has a Post traumatic stress disorder. He has "vivid memories of the accident" he is irritable, has difficulty concentrating, and avoids anything to do with the accident.

To treat this patient i would recommend giving him antidepressants such as Imipramine and Phenelzine. I would also recommend a therapist as well.

7 comments:

Shaadi A. said...

Nice job.
It was a little short, but you still covered most everything.

Ivy Chiu said...

Nice highlighting :) Very accurate diagnosis but try to be more descriptive next time!

Anonymous said...

very to the point, but a little too brief. i wanted to know more about the relation of the accident to the disorder. but like shaadi said, you covered mostly everything. good job!

Zeenat M. said...

A little short. It would be nice to see how you tied the symptoms to your case a little more. That way, the problem will be considered nothing but post-traumatic. Good job!

Hazel said...

I thought your post was interesting. However, I think you could've have elaborated a bit more. Overall, it was great!

Patrick N. said...

Nice, I like the points you made, it was interesting for me.

Dickson T said...

Good diagnosis and recommendation on the course of treatment. Could have more analysis of the symptoms and linking it to the disease. But overall, you did a great job.