Selective Mutism Due to Dog Bite Trauma in a 4 Year Old Girl

In: Science

Submitted By ashley1201
Words 315
Pages 2
Journal: Journal of Medical Case Reports
Volume: 3
Page: 100
Year: 2009
Author(s): Dimtrios Anyfantakis
Article Title: Selective Mutism Due To Dog Bite Trauma in a 4 Year Old Girl


Summary:
After a dog attack while playing in her neighborhood, a young 4 year old girl was rushed to a hospital. When she arrived she needed intravenous fluid administration and blood transfusion. During her healing process the child started showing a depressed mood and wasn’t communicating normally with others, she would use nonverbal gestures and this behavior was also present during her psychiatric evaluation. Even after being released from the emergency room she refuses to speak with physicians or anyone outside her home setting. She would avoid talking about the attack and where it occurred, and has anxiety outburst when left alone and also difficulty concentrating. Her case fulfilled the criteria for selective mutism and PTSD. Selective mutism is the voluntary decision not speaking certain situations; in situations where speech is expected. There are a lot of theories about why selective mutism occurs, especially in traumatic experiences. In children selective mutism is poorly understood and un-recognized. Since most physicians are unfamiliar with the disorder, it’s often misdiagnosed, and wrongly attributed to shyness. PSTD, post traumatic stress, is a highly prevalent condition among children that are exposed to a life threatening event. It causes emotional distress and psychological disorders, and in most cases in children psychological support was not provided. For both selective mutism and PTSD early detection and treatment is the key to managing the disorders.

Your opinion of the article:
This article was very informative; knowing about each of these disorders will be helpful for early detection and should not be under estimated. I would like…...

Similar Documents

35 Year Old Female with a Gunshot Wound

... past any pt with suspected peritoneal violation was taken to laparotomy, but for properly selected pts nonop approaches are gaining favor. ~1/3 of pts w/ GSWs to the anterior abdomen and 2/3 w/ GSWs t the back have no sig intra-abdominal injuries and can be safely managed nonoperatively Retroperitoneal hematoma Blood contained w/in or emanating from the retroperitoneum due to injury of retroperitoneal structures. TP: retroperitoneal hematomas are found on CT or at the time of operation. Early in the course of a laparotomy, the surgeon should investigate this anatomic space. It is divided into three zones: zone 1 = great vessels and is flanked on the left and right by zone II which extends out to the kidneys. Zone III defines the pelvic retroperitoneum. -pts w/ a GSW to the flank and back are difficult to eval due to the potential injury to retroperitoneal structures, which DPL, US, or DL are not able to provide definitive info regarding injury to these structures. -thoracoabdominal injuries: wounds of the upper abdomen and lower chest are esp difficult to eval due to the potential for ricochet off ribs and movement of the diaphragm. Tx: like all vascular injuries, the first step in treating these injuries is adequate exposure, with proximal and distal control. Care must be taken when exploring the zones so as not to injure other retroperitoneal structures such as the pancreas and the ureters. In some cases, angiographic embolization can be employed to control......

Words: 1703 - Pages: 7

4-Year Strategic Management Plan

...You have held conversations with Precision Part's leaders and obtained the following information, which you want to use in the development of a 4-year strategic management plan. PPQ Parts employees now number 5,000, and all are currently employed in the United States. It plans to grow to 10,000 employees in 4 years. New facilities will be needed in international expansion, and PPQ Parts anticipates building most of those (80%) outside the United States. PPQ Parts holds 5% of the world market share on small SUVs, but its goal is 9% in 4 years. Current stock price is $10 per share. The goal is $22 a share. Profit margin 3-year average is 6%. Industry average during this time has also been 6%. The company goal is 13% in 4 years. PPQ Parts has averaged 28% employee turnover during the last 3 years. This is compared to an industry average of 25%. The company’s goal is to increase employee retention by lowering annual turnover to 17%. PPQ Parts contributes to all the local communities in which it is doing business. This is one of its corporate values. Current charity is 0.5% of total profits, but the company would like to raise that to 5% in 4 years. ABSTRACT With the investment in technology and the power of the Internet has made it easier for businesses, big or small, to take their company and globalize it. It used to be that the most profitable and largest companies were the ones who were able to afford in building a multinational corporation. Thanks to...

Words: 2294 - Pages: 10

Girl

...The relationship between the girl and the mother is controlling, poor bonding, and one sided. Due to the mother being from Jamaica her traditions was instilled in her from her parents, so she attempts to instill those same traditions to her daughter. But, she fails to realize that what was foster in her is different by the time period her daughter lives her life. The girl seem to be annoyed with all the “you must do this, and you must act like this, and don’t sing Calypso in church better yet not on Sunday’s at all” rules of how a Jamaican girl should conduct herself in order to have a good reputation and name around the community. Indeed, the main influences that enforce her mother strict rules are her lower proletarian class structure identity. Its bad enough they are poor (father having to wear khaki jeans for work, suggesting he works in a place with little hierarchy and mobility), but being poor with no class is disgraceful towards their reputation. This mother just cares for her daughter and wants the best for her for when she grows up. This particular situation I can relate to because my mother is from Haiti and raised me in a similar way the mother in the story is trying to raise her daughter. Twenty years old now and I finally realized what my mother was trying to instill in me. She wasn’t trying to be the strictest mother out of all Haitian mothers, but didn’t want me to make the same mistakes that she had made in her country and rather for me to seek my own......

Words: 336 - Pages: 2

Girl

...’ ability to harbor red ants and therefore okra should not be planted near by. The warning of red ant harboring shrubs have a greater meaning and link a woman’s household responsibility to caring for their families. Much of the advice and lessons taught to the young girl could be assumed that were passed on from generation to generation. In many ways, food will also be a mother’s greatest legacy as her old family recipes and remedies are passed down to her daughter and future generations of women to come. ​The world of women is not only comprised solely of properly setting the table or determining which day of the week to wash the white or colored clothes; there is an ominous side to their lives. Such examples are exemplified when the mother gives her daughter advice on how to handle men and how to compose an abortion-inducing drug, which indicate how women must resort to deceitful means in order to maintain their respectable image. The mother stressed the importance of appearance of her daughter by advising her to buy the appropriate cotton to make a decent blouse but also goes as far as protecting the image seen by society by getting rid of an unborn child. ​Although much has been lectured to the young girl, there is much motherly guidance left unsaid. The mother never mentions anything about how to make oneself happy but instead only focuses on the young girl’s domestic role and her duties to her husband and family. It is evident that the relationship that concerns the......

Words: 1155 - Pages: 5

Strength Training Exercise for a 35 Year Old

...Response: My strength training program is for a 35 year old male, who is interested in furthering his current level of fitness by improving his overall strength and increasing his lean body mass. He is pre-hypertensive and wants to be preemptive in taking action against high blood pressure. His goals are: * Strength train three times a week for six weeks. * Increase maximum bench press by 15% over six-week period. * Increase lean body mass by five pounds within three months. * Lower blood pressure from 139/80 to desired range of 90-119/ 60-79 in six weeks. These goals will be measured in the following ways: 1. A calendar will be used to track daily/weekly participation in the program. Client has agreed to log all exercise to track results. 2. Client currently bench presses 160 pounds. I will track his progress as the program continues, noting his progress after two, four, and six weeks. 3. I will measure the client’s current lean body mass (total weight x 1.082)-(waist measurement x 4.15) + 94.42. We will measure and weigh the client at the three week and six week marks. 4. Client monitors his blood pressure on a daily program, checking it in the morning and early evening. I will ask the client to log this information on his training chart. The program I have selected demonstrates a relationship between my client’s goals and the exercise I have selected. a. The program focuses on the entire body, including balance...

Words: 553 - Pages: 3

Trauma

...Tsunami – Natural Disaster – Effects on the Survivor Tsunami is a sea waves that is caused by an underwater earthquake. The water quickly move under water until it reaches land with waves reaching 50 feet or higher resulting in individuals losing their family members, home, money or business from the tsunami. People who encounter a Tsunami event struggle with psychological problems days and weeks after the traumatic event such as depression and different levels of post traumatic stress disorder (PTSD). Survivors constantly experience feelings of anxiousness and stress because of the fear of danger from another tsunami. Murdered Child – Personal Trauma causing Crisis - Effects on the Survivor The murder of a child can be devastating especially when it’s your own. The hurt and pain can be compound when the death is determined by a heartless human being. Parents and the family faces complicated issues such as trying to understand “why” someone would want to kill their child who they love and will miss. Coping with the “miss” is the challenging part. A parent of a murdered child handles grief differently. Some parents try to continue normalcy while others have extreme difficulty coping with the lost such as obsessive thinking, suicide, anger, fears and anxiety. The hard part is grieving; however; everyone grief’s differently must. Effects on First Responders First Responders are vulnerable to stress and trauma as they are exposed to events every day in their work...

Words: 805 - Pages: 4

Selective Mutism Due to Dog Bite Trauma in a 4 Year Old Girl

...Journal: Journal of Medical Case Reports Volume: 3 Page: 100 Year: 2009 Author(s): Dimtrios Anyfantakis Article Title: Selective Mutism Due To Dog Bite Trauma in a 4 Year Old Girl Summary: After a dog attack while playing in her neighborhood, a young 4 year old girl was rushed to a hospital. When she arrived she needed intravenous fluid administration and blood transfusion. During her healing process the child started showing a depressed mood and wasn’t communicating normally with others, she would use nonverbal gestures and this behavior was also present during her psychiatric evaluation. Even after being released from the emergency room she refuses to speak with physicians or anyone outside her home setting. She would avoid talking about the attack and where it occurred, and has anxiety outburst when left alone and also difficulty concentrating. Her case fulfilled the criteria for selective mutism and PTSD. Selective mutism is the voluntary decision not speaking certain situations; in situations where speech is expected. There are a lot of theories about why selective mutism occurs, especially in traumatic experiences. In children selective mutism is poorly understood and un-recognized. Since most physicians are unfamiliar with the disorder, it’s often misdiagnosed, and wrongly attributed to shyness. PSTD, post traumatic stress, is a highly prevalent condition among children that are exposed to a life threatening event. It causes emotional distress......

Words: 315 - Pages: 2

Physical and Psychological Needs of a 3 Year Old

...In order for a three year old child to be physically, emotionally and psychologically healthy childcare centres or parents/carers should fulfil their child’s physical needs together with psychological needs. We are going to point out and discuss on a three year old child’s physical and psychological needs and how they can affect the child’s physical, emotional and psychological health. A three year old child needs to be well fed, given ample of rest and should be encouraged doing physical exercise. They should also be given precautions of safety everywhere. For a child to be clean, childcare centres or parents/carers should reinforce personal hygiene in a child’s daily routine. A child needs to be emotionally and psychologically strong to fight their weaknesses. They need to be showered with lots of love, affection and respect. They also need to socialise with the environment that they are in. If these needs are fulfilled then the child would be emotionally and socially strong and healthy. What is a need? A need is defined as a requirement, something that you have to have, a thing necessary for life. There are basic needs which every living thing needs in order to live. Some examples of basic needs are shelter, fresh air to breath, food and water. Therefore a physical need is “something that is necessary for organisms to live a healthy and productive life” (What Is the Meaning of Physical Needs, undated). Children also have their own physical needs as an individual to...

Words: 2019 - Pages: 9

Scenario of Traumatic Brain Injury in 45 Year Old May

... consequences faced by patient and their family. The discussion will be in relation to a 45 year old male who for the purpose of this essay will be referred to as Sam, who has sustained a traumatic head injury through a fall. In order to understand injuries and to assess and implement care, it is important that the nurse has knowledge, awareness and be able to comprehend the anatomy and normal physiology of the skull and brain, in conjunction with the physiological processes that allow homeostasis and how injury/illness can affect this (Dolan & Holt, 2013). The brain can be divided into three areas; the hindbrain (cerebellum), the midbrain (pons varolii, medulla oblongata and brain stem) and the forebrain (Cerebrum) (Porth, 2011). Within the brain there is a ventricular system containing four connected cavities which contain cerebrospinal fluid (CSF). The CSF is a clear fluid of water, protein, oxygen, carbon dioxide, sodium, potassium, chloride and glucose, (Dolan & Holt, 2013) that enables the brain to float within the cavity of the bony structure of the rigid skull. Between the skull and the brain there are three membranes; dura, arachnoid and pia mater collectively known as meninges, which also provide protection and cushioning of the brain (Porth, 2011). The brain has high energy requirements and in normal conditions, mostly provided by adenosine triphosphate (ATP) from the circulation (Belanger et al. 2011). ATP is produced by the metabolic...

Words: 4424 - Pages: 18

Absurd to Vote as a 16 Year Old

... - and especially in adolescents. After completing primary school young people are prepared for active participation, joint responsibility, rights and duties in a society, based on freedom and democracy. Thousands of young people aged 16 to 17 years old pay taxes and contribute to the economy. Therefore, they should have something to say in how the money is spent, because democratic rights and obligations should go together. ”Recognising that the important issues equally affect young people, acknowledging they are capable of making decisions, and encouraging them to be part of society - those are the reasons why 16- and 17-year-olds should be allowed to vote.” * Grant Costello MSYP, Scottish Youth Parliament (SYP) says. If a 16 year old has the right to vote, should they also be allowed to buy cigarettes, alcohol and drive? They can’t do this due to the age limit. A number of European countries have already introduced 16-year right to vote, and more countries are considering changing the voting age to be at 16 years old. The European experience is good – which inspires Scotland to follow the trend as to involve more young people in democracy. More young people should vote to avoid a democratic bias. In the future, there will be significantly more elderly, which means that at the elections the elderly have increased influence. Of course there will always be immature people in the age of 16 and 17 years old – we can’t ignore that. Some young people have...

Words: 794 - Pages: 4

Girl

...Luis M. Rojas Professor Jose Rodriguez ENC1102 Composition II February 3, 2015 “Girl” The story "Girl", shows family togetherness and the love of a mothers like raise her daughter in order to teach her how she could carry out the duties when she will be an adult woman. Still, the story shows a complex relation of mother-daughter in this monologue story. Moreover, the story shows a mother, who always is giving orders to her daughter all the time, since the beginning to the end of the story. However, the mother’s character is of the a smart woman, with high command over her daughter, and very worried about to prepare her daughter very well at all household chores. In the story "Girl", stands the character of a smart mother who devotes much of her time to teach her daughter the main activities that she must learn in order to succeed in household chores, as well as the behavior that she should to take on the street, also how to behave as a woman and not a man: for example, when her mother says: “don’t eat fruits on the street”; “on Sundays try walk like a lady and not like the slut you are so bent on becoming”, also she tells her daughter “don’t squat marbles-you are not a boy, you know”(307). Furthermore, the dominant character of the mother is constantly sees reflected through the whole story because of the large amount of commands that she gives to her daughter as a teaching and illustrations in relation to the household chores. For example...

Words: 564 - Pages: 3

Bite

... step there were specialized employees to create the best product possible. (Appendix A) Weaknesses It would be of great expense to expand their company over seas into a brand new customer base, it is risky and the outcome is unknown. By 2000 Modine employed 8,338 people which is significantly more then their original 350 employees, the company is growing and will need more staff but it takes away from their pride of everyone knowing everyone, focus on communication and the atmosphere of a close knit company. Also compared to competitors who were spending about 6% to 8% of sales on technology R&D, Modine was only spending about 2% of sales on their R&D. With the new product development process there were some concerns from employees that the interaction between groups was limited due to the over the wall approach that was being taken, it was leading to less than satisfactory development. (Appendix A) External Opportunities Modine has experienced great success in expansion programs with Modine Europe increasing annually by 20% in the 90’s. This success allows them to continue to explore expansions, which can prove to be helpful considering the economic downturn in the United States that has caused them and their competition to suffer. The opportunity to move to a more stable economic market, if possible, should be taken. There are opportunities for Modine that will arise from political movements. Green movements have created a demand for environmentally friendly...

Words: 2933 - Pages: 12

Girl

...7.05 Exploraciones - En la consulta de médico| A. Match the following:| _______ |1. Ella está muy -----. Su color no es bueno.|a. poner | _______|2. El médico ---- a los pacientes.|b.examina| _______|3. Él también receta ----.|c. medicina| _______|4. Algunas veces tiene que ----- una inyección.|d. pálida| _______|5. Generalmente hay una fiebre muy alta con ---.|e. las pastillas| _______|6. Mi ---- con el médico es a las nueve y media de la mañana.|f. fiebre| _______|7. Me siento malo. Necesito esa ---.|g. descansar| _______|8. Una ---- alta es 104.5°.|h. la gripe| _______|9. No dormí mucho anoche. Necesito --- hoy.|i. cita| B. Fill in the chart using the steps of making an affirmative tú command.| infinitive|él, ella, usted present tense form |+ command|meaning| hablar|habla|habla|Speak.| tomar medicina | |toma|Take medicine.| descansar mucho|descansa| | | |lee| |Read more.| colgar el teléfono|cuelga| | | | |barre el suelo| | decir la verdad|------------| | | |------------|ve a la clase de inglés| | C. Fill in the chart using the steps of making a negative tú command. | infinitive|yo form |- command|meaning| hablar|hablo|No hables.|Don't speak.| |como| |Don't eat paper.| salir tarde|salgo| | | | |No llegues temprano.|Don't arrive early.| colgar el teléfono| |No cuelgues el teléfono. | | decir eso| | |Don't say that.| ir solo|------------| |Don't go alone.| estar nervioso|------------| | | explicar todo| | |Don't explain...

Words: 408 - Pages: 2

4 Year Strategic Plan

...You have held conversations with Precision Part's leaders and obtained the following information, which you want to use in the development of a 4-year strategic management plan. • PPQ Parts employees now number 5,000, and all are currently employed in the United States. It plans to grow to 10,000 employees in 4 years. • New facilities will be needed in international expansion, and PPQ Parts anticipates building most of those (80%) outside the United States. PPQ Parts holds 5% of the world market share on small SUVs, but its goal is 9% in 4 years. • Current stock price is $10 per share. The goal is $22 a share. Profit margin 3-year average is 6%. Industry average during this time has also been 6%. The company goal is 13% in 4 years. • PPQ Parts has averaged 28% employee turnover during the last 3 years. This is compared to an industry average of 25%. The goal of the company is to increase employee retention by lowering annual turnover to 17%. • PPQ Parts contributes to all the local communities in which it is doing business. This is one of its corporate values. Current charity is 0.5% of total profits, but the company would like to raise that to 5% in 4 years. Assignment A strategic management plan is vital for the company business today. Review the company scenario at the beginning of the course for additional information regarding growth goals. Create a basic strategic management plan for PPQ Parts including quantifiable goals and measures. Include the following......

Words: 319 - Pages: 2

13-Year Old with Diabetes

...13-YEAR OLD WITH DIABETES AP2530 09-22-2015 ITT Technical Institute 13-YEAR OLD WITH DIABETES Hi my name is Renee, I am your doctor’s nurse. He wanted me to help you understand your new diagnosis type 1 diabetes. Type 1 diabetes is when the body cannot make insulin. Insulin is important because it helps your body move glucose (sugar) from the food you eat to your beta cells. Glucose is used as energy for your cells so they can work in your body properly. (Renfrew, 2014) Normally the endocrine system works to create insulin using a negative feedback system. The food that is consumed is broken down into sugar and raises your blood sugar level, the pancreas makes insulin, the insulin stimulates glycogen which is processed in the liver and brings the blood sugar levels back down. Your body is not creating insulin. There is nothing to process the sugar to bring energy into the cells and bring your blood sugar levels back down. This can cause feeling tired, increased thirst and urination, extreme hunger, weight loss, irritability, blurry vision, and yeast infections. (Blood Sugar Regulation, n.d.) There are a few different treatments that you will want to combine together to help your blood sugar levels and enable you to get energy. You will need to monitor your blood sugar levels frequently, eat healthy foods, count carbohydrates, exercise, and take your insulin. The idea behind this treatment is to keep your blood sugar level as close to normal as possible so that...

Words: 552 - Pages: 3