Somatic illness in an adolescent in Primary Health Care, a case report
DOI:
https://doi.org/10.5281/zenodo.7901144Keywords:
Adolescent, Primary Health Care, Somatic Illness, Fever, Signs and Symptoms.Abstract
Introduction: adolescence is a transitional stage, marking the end of childhood and the beginning of adulthood. An adolescent is a diverse world of thoughts and actions that can easily be thrown off balance by situations that transgress his comfort zone, create stress and give a response to the stimulus at the psychological level that can in turn be expressed at the somatic level.
Case report: 15-year-old male patient, a high school student, who came to the doctor's office for an unquantified fever of more than 8 hours of evolution. At the time of examination, the patient was afebrile, silent, with no other symptoms that called attention, no direct eye contact, answering guided questions with the help of the mother. Follow-up is indicated. In the second medical visit, the patient reported fever and improvement of the gingival problem, but continued with asthenia and anorexia. In the third follow-up visit, the patient concluded that the patient was an average adolescent, with improvement of systemic symptoms, with evidence of intrafamily problems and school dropout with an extended single-parent family, who experienced evident role changes and school dropout due to intrafamily and school problems. Somatic disease is concluded.
Conclusions: from Primary Health Care it is necessary to provide better coverage to somatic conditions, especially in target populations such as adolescence, with an improvement in the quality of comprehensive evaluation of patients with multiple consultations, required by the same or similar symptoms in the absence of evidence of organic damage.
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References
2. Benarous X, Mazet P. Trastornos psíquicos en la adolescencia. EMC - Tratado Med [Internet]. 2020 [citado 10/11/2022]; 24(1):1–5. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1636541020433471
3. Maldonado Cando JL, Aguilera Mora YM, Cabrera Granda JR. Juicio de tenencia y la repercusión psicológica en niños y adolescentes. Rev Universidad y Sociedad [Internet]. 2022 [citado 10/11/2022]; 14(6):60–70. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2218-36202022000600060
4. Villamil-Gómez W. Protocolo diagnóstico del síndrome febril sin focalidad en áreas geográficas de riesgo endémico de infecciones tropicales. Med - Programa Form Médica Contin Acreditado [Internet]. 2022 [citado 10/11/2022]; 13(58):3426–31. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0304541222001597
5. Fuentes Chacón RM, Simón Saiz MJ, Garrido Abejar M, Serrano Parra MD, Larrañaga Rubio ME, Yubero Jiménez S. Psychosomatic symptoms as an expression of the deterioration of the health-related quality of life in adolescents. Aten primaria [Internet]. 2018 [citado 10/11/2022]; 50(8):493–9. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/29217115
6. Valiente-Barroso C, Marcos-Sánchez R, Arguedas-Morales M, Martínez-Vicente M. Tolerancia a la frustración, estrés y autoestima como predictores de la planificación y toma de decisiones en adolescentes. Rev Estud e Investig en Psicol y Educ [Internet]. 2021 [citado 10/11/2022]; 8(1):1–19. Disponible en: https://revistas.udc.es/index.php/reipe/article/view/reipe.2021.8.1.7077
7. Sosa Hernández J, Hernández Miranda T, Zaldívar Rodríguez JM, Páez Rodríguez Y. Trastorno disocial en niños con déficit de atención e hiperactividad. Rev Ciencias Médicas Pinar del Río [Internet]. 2017 [citado 10/11/2022]; 21(5):e2965. Disponible en: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/2965
8. Herskovic V, Matamala M. Somatización, ansiedad y depresión en niños y adolescentes. Rev Médica Clínica Las Condes [Internet]. 2020 [citado 10/11/2022]; 31(2):183–7. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0716864020300213
9. Císcar Cuñat E, Martínez Vázquez C, Pérez Carbonell A. Aproximación al estudio de la negligencia parental y sus efectos en la infancia y adolescencia. Pedagog Soc Rev Interuniv [Internet]. 2021 [citado 10/11/2022]; 39(2021):e86449. Disponible en: https://recyt.fecyt.es/index.php/PSRI/article/view/86449
10. Moríñigo HM, Vázquez JB, Gutiérrez CH, Marcos GR. Indicaciones para la prevención de las infecciones parasitarias en el viajero a zonas endémicas. Med - Programa Form Médica Contin Acreditado [Internet]. 2022 [citado 10/11/2022]; 13(59):3508–13. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0304541222001743
11. Villamil-Gómez W, Merlano JR, Bonilla-Aldana K, Salas-Matta LA, Rodríguez-Morales AJ. Arbovirosis endemoepidémicas. Med - Programa Form Médica Contin Acreditado [Internet]. 2022 [citado 10/11/2022]; 13(58):3398–414. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0304541222001573
12. Sánchez Boris M. Los trastornos psicosomáticos en el niño y el adolescente. Medisan [Internet]. 2020 [citado 10/11/2022]; 24(5):943–61. Disponible en: https://www.medigraphic.com/pdfs/medisan/mds-2020/mds205n.pdf
13. Segura-Frontelo A, Alvarez García R, López de Lerma Borrué V, Rincón de los Santos F, Baca-García E. Transición de la atención en salud mental infantil y adolescentes a la atención en adultos: un desafío no resuelto y una oportunidad. Rev Psiquiatr Salud Ment [Internet]. 2020 [citado 10/11/2022]; 13(4):180–3. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1888989120300720
14. Inchausti F, MacBeth A, Hasson-Ohayon I, Dimaggio G. Psychological Intervention and COVID-19: What We Know So Far and What We Can Do. J Contemp Psychother [Internet]. 2020 [citado 10/11/2022]; 50(4):243–50. Disponible en: https://link.springer.com/10.1007/s10879-020-09460-w