Discussions By Condition: I cannot get a diagnosis.

GI Issues Paired with Behavioral Issues--NOT Autism

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: Anonymous
  • November 22, 2010
  • 03:07 AM

I am looking for a diagnosis but I don’t see an apparent constellation of symptoms that exists to explain the issues. I am the patient's sister and a current medical student. I am happy to provide any pertinent information surrounding the patient.

Patient Background:

Physical:
-18 y/o female
-5' 8"
-135 lbs.
-Thin/Lanky stature and high muscle tone (*unusual considering the lifestyle)
-Normal HR, BP, & BR
-Moderate Acne
-No other apparent anomalies

Lifestyle:
-Unbalanced diet-- lots of carbohydrates ("junk food")
-Does not exercise
-Unemployed Student at a local college
-Does not smoke, drink, or use drugs

History:
-Several early childhood ear infections
-Chronic GI issues: irregular connective tissue that was removed during an appendectomy; blood in stool (initially thought to be endometriosis, ruled out); frequent hemorrhoids
-Kidney Stones (2 passed in July 2010)
-Irregular Menses (~3/year)
-History of sexual abuse
-Severe reactions to benzodiazepines and allergic to penicillin
-Multiple stays in the pediatric and adult psychiatric wards

Lab: (more to come)
-Irregular FSH levels
-Extremely low vitamin D levels
-Microcytic Anemia detected

Behavioral Issues: (in each behavioral case, onset was seen before the abuse occurred)
-Attention Deficit Disorder
-Diagnosed with Narcissism
-Frustrates Easily
-Self-Destructive Behavior (bangs her head on the floor when frustrated)
-General immature behavior

Ruled Out Dx:
-Crohn's Disease
-Autism Spectrum Disorder
-Endometriosis


Pt. refuses test for Pelvic Inflammatory Disease or any internal exam for that matter.

Is there a GI issue that would explain the physical and behavioral symptoms?

Thank you in advance for your help!

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