Reference no: EM134017398
Assignment:
36-year-old Hispanic female from the inner city who presents to the walk-in community charitable clinic with complaints of anxiety and worsening depression. She states she was a victim of sexual assault when she was 14 years old while walking home from school in an area with increased gang activity. She also alleges she was abused by her uncle on multiple occasions and states her family did not believe her at the time. She developed HPV with cervical intraepithelial neoplasia (CIN 1) confirmed by colposcopy. She suffers from anxiety, PTSD, and has developed an eating disorder. She dropped out of high school at the age of 16 and ran away from home multiple times during her teenage years. She feels alone and has distanced herself from her family. Currently, she is not taking any medications for the above conditions. She drinks 5-6 beers on the weekend and uses marijuana daily.
1. What is the primary diagnosis and three prioritized (urgent & emergent) differential diagnoses?
2. What is the pathogenesis and clinical manifestations of the primary diagnosis?
3. What is a holistic clinical management plan, including diagnostic and screening tools, pharmacologic and non-pharmacologic interventions, referrals, community resources, return to clinic follow-up, and patient education?
4. What is the anticipatory guidance, age-appropriate primary, secondary, and tertiary prevention interventions, health promotion, injury prevention recommend?