Correct!
5. All of the above
The differential diagnosis in this clinical situation is quite broad. Teenage adjustment disorder is a stress-related condition that is short-term and occurs within 3 months of an event or situation. Teens with adjustment disorder experience depressed and irritable mood, sleep disturbances, and poor performance in school. The stress could be any adjustment from a loss, a breakup with a significant other, financial stress in the family, moving to a new town, to coping with divorce. Patients rarely have a BMI < 16. A BMI of < 16 in a teenager might suggest anorexia nervosa. Cervical lymph nodes can be prominent in teenagers but enlargement might suggest lymphoma and tuberculosis which can cause cervical lymphadenopathy and a low-grade fever.
Which of the following are not appropriate at this time? (Click on the correct answer to proceed to the third of seven panels)