How would the pediatrician assess georgia

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Question

Georgia is 10 and lives with her mom , Emma, her dad, Nick and her younger brother Sam, aged 7. Emma is a teaching assistant at the local school and Nick is an accountant. Georgia attends the local junior school and will be moving up to high school within the next year. At a recent parents evening, Emma and Nick were concerned to hear that Georgia has been struggling with her schoolwork and has fallen significantly behind in some subjects. There have also been some difficulties in friendship groups and Georgia is often involved in arguments in the playground. On a positive note, her teacher is pleased to report that she is doing exceptionally well at sporting activities .Emma and Nick have noticed that Georgia has become more and more disorganized overt he past 18 months. She has lost many items of school equipment and is often late leaving the house for school and for social events, as it takes her so long to get ready. Georgia is often restless and finds it difficult to concentrate, even on things that she finds enjoyable; for example, it is unusual for her to be able to sit and watch a film through to its conclusion. Emma remembers that she was a lot like this when she was a child, and has not been particularly worried until now. Both she and Nick are concerned about the fact that Georgia is struggling academically but are more worried about the fact that she appears to be having problems making and keeping friends.

1. Are Georgia's experiences unusual for a child of this age? What would be the final diagnosis for Georgia?

Georgia did not have this many problems with academic work before this year and although she was not top of the class, she always managed to meet the expected level of work with a lot of help and tutoring. When Emma and Nick ask Georgia about what is happening at school, Georgia tells her parents that she is finding it difficult to concentrate and that she often misses instructions given by the teacher

2. Why would the school counselor refer Georgia to a pediatrician rather than a mental health service?

3. How would the pediatrician assess Georgia?

4. What is the purpose of rating scales used in this diagnosis ?

5. Are rating scales a reliable way to diagnose problems that are presented in the case study?

6. What medications would be used in the treatment of the diagnosis ? Do the differ in another country, discuss which country.

7. Are Georgia symptoms inherited? Is Sam also likely to be affected?

8. Does the diagnosis carry on into adulthood?

9. What other things if any would be brought up to the parents or Georgia ?

Reference no: EM133907401

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