Running head: ALEXANDRA KATSAROS
Alexandra Katsaros: An iHuman Case Review
LaTonya Carroll
Regis College
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ALEXANDRA KATSAROS
Alexandra Katsaros: An
... [Show More] iHuman Case Review
Subjective
Chief Complaint
“I was feeling overwhelmed”
HPI
Alexandra is a 22-year old female who presented to the emergency department by
her ex-boyfriend after a witnessed consummation of alcohol, alprazolam, and
acetaminophen with diphenhydramine. The couple had been having an argument
regarding their recent breakup. Prior to ingesting the medications, she had be
smoking marijuana, drinking beer as well as hard liquor. Afterwards, she went
home and had the fight. Initially, she ingested four acetaminophen with
diphenhydramine followed by two 1 mg alprazolam in an attempt to go to sleep.
Alexandra denies wanting to harm herself and suicidal ideations. She denies
homicidal ideations. States she is overwhelmed due to the stressful breakup due to
not having separate living accommodations. Alexandra also reports symptoms of
anxiety, insomnia, headaches, poor concentration, and muscle tension. The poor
concentration has affected two other areas of her live, school and work. She has a
valid prescribed for alprazolam for insomnia as needed.
Past Medical History
Hypothyroidism
Psychiatric History
Previous depression in high school with no psychopharmacologic support.
Possible undiagnosed ADHD based on instructor observation. Denies physical,
verbal, or sexual abuse. Avoiding social life. No family psychiatric history.
Surgical History
None
Obstetric History
G0P0
Family History
No significant family history.
Social History
Status: Community college student taking basic health science classes. Works in
an art gallery 5 hours per week.
Lives with mom and two sisters.
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ALEXANDRA KATSAROS
Religion: Catholic
Alcohol: Drinks a few beers a few nights per week.
Sexual activity: Not disclosed.
Denies illicit drug use.
Hospitalizations
None
Medications
Prescription: Xanax-PRN insomnia; Synthroid- daily hypothyroidism [Show Less]