Hello below is the case study that

Hello below is the case study that we as students first have to guess the case study by list your top three differential diagnoses. Choose the most likely diagnosis. Support your decision with scholarly sources that represent a logical link between the case study and article information. Use sources published within the last five years or the most current clinical practice guidelines.So basically we are responding to the other student discussion in interactive way by using guidelines as mentioned above and covering the information also mentioned above. Below is the discussion from my class from one of my friend and she told me she had Generalised anxiety disorder. Please help me writing this interactive guessing post with references from last five years from US peer reviewed and scholarly. Week 2 Case Study Template Patient Information Initials – A. J Age – 17 years Race – African American Gender – Male CC: “I’ve been having a lot of stomach aches and diarrhea lately”. HPI: A. J is a 17-year-old male high school student who presents to the clinic with his father for complaints of frequent stomach aches and diarrhea. His symptoms began shortly after his mother died 2 months ago. He relocated to live with his father in a new town and started a new highschool. He states that he hates his new school and has not made any new friends. He reports that his grades has drop and he has missed 2-3 days of school due to an upset stomach and nervousness. He denies nausea and vomiting. The symptoms seem to began in the morning just before the school bus arrives. His father reports that his son seems withdrawn and irritable. He also mentions that his son’s teachers reported that he lacks concentration and does not participate in class. A.J reports eating and drinking well. Though, he misses his mother he understands that she is no longer suffering. He reports feeling worried that he may lose his father and become an orphan. Denies taking medications and OTC medications. Denies alcohol use yet used illicit drugs a few times at a house party previously. Denies having girlfriend/boyfriend and not sexually active. PMH: A. J did not have any previous mental health issues. Surgical History: A. J has no surgical history Hospitalizations: No hospitalization. Immunizations: up to date on all childhood immunization Allergies: A. J has no allergies. Medications: No medications Demographics: A. J’s family relocated from Ghana to Atlanta, Georgia USA when he was two years old. He belongs to the African American ethnicity. Family History: Mother deceaced at age 48 cervical cancer. Mother had mental illness as a teenager and attempted suicide once at the age of 19 years. There is no history of mental health issues from A. J’s paternal side. Father 50 years old living, no medical illnesses. Parents divorced when he was 12 years old. No siblings. Maternal and Paternal grandparents deceased from natural causes. Social History/Lifestyle: A. J is a recluse who has no friends. He spends most of his time playing video games in his room. He is a high school junior and irregular at school. Denies alcohol consumption. Tried illicit drugs 2-3 times at a house party in his old town. He denies being sexually active. Review of Systems (Subjective): General: Appears restless, tense and nervous, A &O x 4, rocking back and forth HEENT: Denies headache, denies vision impairment, denies hearing impairment, denies nasal congestion, denies difficulty swallowing. Respiratory: Denies dyspena and labored breathing, denies cough, denies rapid breathing Cardiovascular: Reports heart beats fast simultaneously with GI sx, Denies chest pain Musculoskeletal: Denies musculoskeletal pain and difficulty ambulating Gastrointestinal: He reports frequent stomach cramps and diarrhea Genitourinary: Denies urinary urgency and difficulty voiding Endocrine: Deny heat and cold intolerance Heme/Lymp: Denies bleeding gums, and swollen glands Integumentary: Reports acne, Denies rash Psych: Nervous, agitated, and worrisome, Denies suicidal ideation Neuro: Denies headache and tremors, denies vertigo, Physical Exam (Objective): Vital signs: BP – > 140/90 mmHg HR – > 100 beats RR – 15 breaths per minute O2sat % – < 99 % RA Height - 5 feet 8 inches Weight - 140 pounds BMI - < 18.5 Pain - No pain General appearance: Dress appropriate for weather, Clothes dirty, no odor, tense and ridgid HEENT: Normocephalic, clear sclera, moist and pink conjunctiva , PERRLA, EOMI. Tympanic Membrane normal, Patent nares, maxillary sinuses nontender. Oropharynx moist without exudate or erythema. Neck midline, supple. No lymphadenopathy or thyromegaly Respiratory: RR 15 breaths per minute, Lungs CTA bilaterally, Respirations even and unlabored. Cardiovascular: Tachycardia, normal S1 and S2 , RRR, no murmurs or gallops, chest symmetrical, normal tactile fremitus Musculoskeletal: Rigid and tense, steady gait and equal strength in extremities bilaterally, no stiffness of the joints, Muscle bulk normal Gastrointestinal: ABD soft NTND bowel sound present, no mass or lumps, No hepatosplenomegaly Genitourinary: Deferred Integumentary: Skin intact warm and dry to touch, facial acne, no bruise or nevi Endocrine/Heme: Lymphatic No bruise or hx of blood disorders. No bleeding gums, No swollen glands, or No lymphadenopathy Psych: Irritable and lack concentration, alert and oriented x 4, answers questions appropriately Neuro: Normocephalic, No lumps or bumps on the head, no vertigo, Cranial nerves 1-12 intact Diagnostics: GAD-7 PHQ-9 DSM-5 PROMIS TSH- CBC- BMP EKG Urine -Drug Screening SCIENCE HEALTH SCIENCE NURSING NURSING NR603

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