preview

Medical Trauma Case Study

Decent Essays

TERMINOLOGY
CLINICAL CLARIFICATION
• Chronic and incapacitating mental condition that is triggered by traumatic events, either experienced or visualized by the patient 1
CLASSIFICATION
• DSM –V criteria for Post-traumatic Stress Disorder 2
○ “A” Stressor criteria
– Exposed to catastrophic event including threatened death, injury, physical abuse
○ “B” Intrusive recollection criteria
– Patients in whom trauma manifests during intrusive daytime images of the event and nightmares known as post- traumatic stress disorder flashbacks
– Trauma-related stimuli may initiate recollections of the original event and trigger mental images and physiological reactions associated with the trauma.
○ “C” Avoidance criteria
– Different behavioral …show more content…

The symptoms can be grouped into four categories:
– Re-experiencing symptoms
□ Flashbacks of trauma
□ Nightmares
– Avoidance Symptoms
□ Try to stay away from things that remind them of the trauma
□ Feel worried, depressed or emotionally …show more content…

□ Negative emotional state and difficulty experiencing positive emotions
.□ Diminished interest in activities
□ Being detached/estranged from others
○ Sometimes, symptoms appear as late as 6 months after the trauma; this is termed delayed post-traumatic stress disorder
○ In children with post-traumaticpost-traumatic Stress Disorder, the following symptoms may be indicative of post- traumaticpost-traumatic Stress Disorder:
– Unusually clingy with parents
– Bedwetting
– Forgetting how to speak 3
• Physical examination
○ May reveal evidence of physical trauma including scars, burns, abrasions etc 4
○ Patients show evidence of fixation with the trauma in the form of seeing flashbacks, nightmares
○ May present avoidance and/ hyperarousal behavior
○ May be reluctant to talk about the problem or may have difficulty explaining the trauma
○ Feeling of detachment and inability to relate to others
○ Significantly reduced interest in participating in various activities
○ Insomnia
○ Irritability and outbursts of anger 4
○ May present with some general medical conditions:
– Headache
– Insomnia
– Stomach ache 5

CAUSES AND RISK FACTORS
• Causes
○ Traumatic experiences in life
○ Lack of good support system to assist in

Get Access