morport fix 17 maret 2014 fiiiix
TRANSCRIPT
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MORNING REPORT
Monday, 17thMarch 2014
SUPERVISOR dr. Sabar P. Siregar, Sp.KJ
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Identity
• Name : Mr. S• Age : 32 years old• Gender : Male• Address : Grabag,
Magelang• Occupation : Unemployed • Marriage status : Single• Last education : Junior High School
• Name : Mr. MS• Age : 65 years old• Relation : Father
GUARDIANPATIENT
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The reason patient was brought to the hospital• Keep kicking the door’s house• Easily got angry
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STRESSOR
Unclear
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PRESENT HISTORYPatient was graduated from junior high school and wanted to continue at Taruna Nusantara High School but he was failed in the admission test. Since then, he changed behaviour : • Easily got angry• Attack people• Destroy things
2005
Since then he often
admitted to the RSJS
Magelang (9 times)
- He did not continue studying- He did not socialize with neighbours- He poorly utilize his leisure time- He did not took goodcare of himself
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After discharged from hospital, he continued : •Could not sleep•Wandering around in the early morning to buy cigarette.•Often get angry for unknown reason•Saw her sister shadow insulting him and taunt him to fight
He didn’t want to work Poor utilization of leisure time He could take care of himself
February 2014
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•Keep kicking the door•Get angry for unknown reason•Saw shadow taunt and insulting him•Cannot sleep at appropriate time•Wandering around in early morning
Day of admission
Brought to RSJS ER
by his father
He didn’t want to work Poor utilization of leisure time He could take care of himself
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The patient was admitted to the RSJS Magelang for nine times because of paranoid
schizophrenia
Psychiatric history
• Head injury (-)• Hypertension (-)• Convulsion (-)• Asthma (-)• Allergy (-)• History of admission (-)
General medical history
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•Drugs consumption (-)
• Alcohol consumption (-)
• Cigarette Smoking (+)
Drugs, alcohol
abuse, and smoking history
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EARLY CHILDHOOD PHASE (0-3 YEARS OLD)
• Patient’s family can not recall any impairment on growth and development. Other milestone can not be assessed properly.
Psychomotoric (no valid data)There is no valid data when patient:
• first time lifting the head (3-6 months) (rolling over (3-6 months) • Sitting (7-8 months) • Crawling (6-9 months) • Standing (6-9 months) • walking-running (16 months) • holding objects in her hand (3-6 months) • putting everything in her mouth (3-6 months)
• Psychosocial (no valid data) Parents can not recall the times when patient :
• started smiling when seeing another face (3-6 months)• startled by noises(3-6 months)• when the patient first laugh or squirm when asked to play, nor playing claps with others
(6-9 months)
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• Communication (no valid data) • They were forgot on when patient started saying words 1 year like ‘mom’
or ‘dad’. (1 year old)
• Emotion (no valid data) • They were forgot of patient’s reaction when playing, frightened by
strangers, when starting to show jealousy or competitiveness towards other and toilet training.
• Cognitive (no valid data) • They were forgot on which age the patient can follow objects, recognizing
her mother, recognize her family members.• They were forgot on when the patient first copied sounds that were heard,
or understanding simple orders.
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INTERMEDIATE CHILDHOOD (3-11 YEARS OLD)• Psychomotor (no valid data)
forgot on when patient’s first time playing hide and seek or if patient ever involved in any kind of sports.
Psychosocial (no valid data)forgot about patient’s social relation.
• Communication (no valid data) forgot regarding patient ability to make friends at school and how many
friends patient have during his school period
• Emotional (no valid data)forgot on patient’s adaptation under stress, any incidents of bedwetting
were not known.
• Cognitive (no valid data)forgot on patient’s cognitive.
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LATE CHILDHOOD & TEENAGE PHASESexual development signs & activity (no valid data)
Patient first experience of wet dreaming, etc.Psychomotor
Patient had hobby (playing football)Psychosocial • Parents claimed that he had some friends.
Emotional (no valid data) There is no valid data on patient’s reaction on playing, scared,
showed jealously or competitivenessCommunication
Patient can communicate well.
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Erikson’s stages of psychosocial development
Stage Basic Conflict Important EventsInfancy(birth to 18 months)
Trust vs mistrust Feeding
Early childhood(2-3 years)
Autonomy vs shame and doubt
Toilet training
Preschool(3-5 years)
Initiative vs guilt Exploration
School age(6-11 years)
Industry vs inferiority School
Adolescence(12-18 years)
Identity vs role confusion Social relationships
Young Adulthood(19-40 years)
Intimacy vs isolation Relationship
Middle adulthood(40-65 years)
Generativity vs stagnation Work and parenthood
Maturity(65- death)
Ego integrity vs despair Reflection on life
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Family history• Patient is the fifth child with four siblings• Psychiatry history in the family (-)
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Genogram
Patient
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• Patient knows that he is male, his behavior is appropriate for male, he’s attracted to woman.
Psychosexual history
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Socio-economic history
• Economic scale : average
Validity
• Alloanamnesis : valid• Autoanamnesis : not valid
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Progression of disorder
Symptom
Role function
2005 2014
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Mental State(Monday 17th March 2014)
Appearance • A man, appropriate to his age,
completely clothedState of Consciousness• Clear
Speech• Quantity : increased• Quality : decreased
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Behaviour
•Hypoactive•Hyperactive•Echopraxia•Catatonia•Active negativism•Cataplexy•Streotypy•Mannerism•Automatism•Bizzare
•Command automatism•Mutism•Acathysia•Tic•Somnabulism•Psychomotor agitation•Compulsive•Ataxia•Mimicry•Aggresive•Impulsive•Abulia
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ATTITUDE
Non-cooperative
• Indiferrent• Apathy• Tension• Dependent• Passive
•Infantile•Distrust•Labile•Rigid•Passive negativism•Stereotypy•Catalepsy•Cerea flexibility•Excitement
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Emotion
Mood• Dysphoric• Euthymic• Elevated• Euphoria• Expansive• Irritable• Agitation• Can’t be assesed
Affect• Appropriate• Inappropriate• Restrictive• Blunted• Flat• Labile
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Disturbance of perception
Hallucination
• Auditory (+) • Visual (+) • Olfactory (-)• Gustatory (-)• Tactile (-)• Somatic (-)
Illusion
• Auditory (-)• Visual (-)• Olfactory (-)• Gustatory (-)• Tactile (-)• Somatic (-)
Depersonalization (-) Derealization (-)
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Thought progressionQuantity
• Logorrhea• Blocking• Remming• Mutism• Talkative
Quality
• Coherence• Irrelevant answer• Incoherence• Flight of idea• Poverty of speech• Confabulation• Loosening of association• Neologisme• Circumtansiality• Tangential • Verbigrasi • Perseverasi • Sound association• Word salad• Echolalia
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Content of thought• Idea of Reference• Idea of Guilt• Preoccupation• Obsession• Phobia • Delusion of Persecution• Delusion of Reference• Delusion of Envious• Delusion of Hipochondry• Delusion of magic-mystic
• Delusion of grandiose• Delusion of Control• Delusion of Influence• Delusion of Passivity• Delusion of Perception• Delusion of Suspicious• Thought of Echo• Thought of Insertion /
withdrawal• Thought of Broadcasting• Idea of suicide
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Form of thought•Realistic•Non Realistic•Dereistic•Autistic
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Sensorium and Cognition Level of education : Good General knowledge : Good Orientation of time : Good Orientations of place : Good Orientations of peoples : Good Orientations of situation : Good Working/short/long memory: Good Writing and reading skills : Good Visuospatial : - Abstract thinking :- Ability to self care :Good
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Impulse control when examined• Self control: Enough• Patient response to
examiners question: Good
Insight • Impaired insight• Intellectual Insight• True Insight
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Internal StatusConsciousnes : compos mentisVital sign :
◦Blood pressure : 120/80 mmHg◦Pulse rate : 98 x/mnt◦Temperature : Afebris◦RR : 20 x/mnt, regular
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Head : normocephali
Eyes : anemic conjungtiva -/-, icteric sclera -/-, pupil isocore
Neck : normal, no rigidity, no palpable lymph nodes
Thorax:
Cor : S 1,2 Sound and normal
Lung : vesicular sound, wheezing -/-, ronchi-/-
Abdomen : Pain (-) , normal peristaltic, tympany sound
Extremity : Warm acral, capp refill <2”, tremor (-)
Neurological exam : not examined
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RESUMEDAY OF ADMISSION
Symptoms
Mental Status
• Mood: irritable, inappopriate.
• Talk active
• Loosening of association
• Auditory and visual hallucination
• Dellusion of magic-mystic, suspicious, and grandiose
• Impaired insight
Impairment
He didn’t want to workPoor utilization of leisure time
•Keep kicking the door•Get angry for unknown reason•Saw shadow taunt and insulting him•Cannot sleep at appropriate time•Wandering around in early morning
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Differential DiagnosisF20.0 Paranoid SchizophreniaF25.0 Schizoaffective Manic Type
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Multiaxial DiagnosisAxis I :F20.0 Paranoid SchizophreniaAxis II : skizotipal Axis III : -Axis IV : unclearAxis V : GAF on admission 30-21
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Problem related to the patient• 1. Problem about patient’s family
He was failed to continue his study at high school
• 2. Problem abour social economyhis economic condition is average
• 3. Problem about patient’s biological stateIn Schizophrenia there is abnormal balancing of the neurotransmitter (increasing of dopamine) which has the contribution for the positive symptoms : destroy thins, have delusion and hallucination. We need pharmacotherapy for re-balancing the neurotransmitter
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PLANNING MANAGEMENT
Inpatient (hospitalization)Purpose of hospitalization is to decrease
the symptoms :Wandering around, Destroy things
Response Remission
Recovery
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RESPONSE PHASE
Target therapy : 50% decrease of symptom (wandered around, destroy things, hallucination, delusions)
Emergency departmentAntipsychotics : Inj. Haloperidol 5mg i.m.because the patient has positive symptom(wandered around, destroy things , hallucination, delusions)
MaintanceHaloperidol 2x5mg per oral
Suggest : ECTRe-assess patient
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REMISSION PHASETarget therapy : 100% remission of symptom within 4-9 months (wandered around, destroy things, hallucination, delusions)
Inpatient management1. Continue the pharmacotherapy: Haloperidol 2x5 mg po2. Improving the patient quality of life : •teach patient to care about himself (took a bath, toothbrushing)Teach patient about his social & environment( moping, clean the floor, washing the dishes)
•Outpatient management1. Pharmacotherapy2. Psychosocial therapy
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RECOVERY PHASE
Target therapy : 100% remission of symptom within 1 year.(wandered around, hallucination, delusions)
Continue the medication, control to psychiatric
Rehabilitation : help patient to got & apply his skill
Family education
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Thank you