The following case summary is the result of a conspiracy amongst my friends (faizah, sibah, asma’, syahadah & aishah) against me during one of the psychiatric lectures in the 2-week introduction to psychiatry in year 4. The case:
This 23 year old malay lady presented with symptoms of attention deficit disorder.
History of presenting illness:
•Drowsy during the class
Duration: from the beginning until the end of the lecture for 4 years
Onset: acute
Aggravating factor: nik aishah
Relieving factor: faizah, eating, talking
Maintaining factors: lecturers voices especially dr umeed’s and dr hajee’s
•Able to sleep even while eating and nodding head
•Dysarthria due to uncontrolled drowsiness with drooling of saliva
•Sometimes associated with aggressive behavior such as attacking other students while she presents in front
•Motor disorder: has stereotype movement (regular, repeated, purposeless movement), normal posture.
•Stupor in class for a few minutes
•Recurrent history of sleeping disorders
•Recurrent history of being detected by lecturers in the class for being sleepy, yet arousable
•Not on any drugs but likes the smell of petrol at gas stations
•History of allergy to lecture halls at IMC, JHC and Temerloh Hospital
•Lack of motivation in class.
Hehe, okay, I can’t deny some of the facts stated above, but I have to say, drooling of saliva in class tak pernah eh :P huhu, inilah dia hasil kerja kawan-kawan baik ku.