Life first presentation of bipolar disorder. Patients who receive mental health care however, it is rare for a late ![]() Mania symptoms are found in 5% to 19% of geriatric Medical mimics should be of particular concern when psychiatric problemsĪrise in a geriatric patient as they are at an elevated risk for encephalopathyĪnd polypharmacy. Of anxiolytic medication, a history of multiple psychiatric diagnoses andĬhanging diagnoses, changes in vision, new onset hallucinations, dysarthria or aphasia, unusual body movement and a difficult patient. Headache, a decline in functioning after being prescribed an antipsychotic History of these symptoms worsening in the past, the existence of a comorbidĬhronic disease, history of traumatic brain injury, a change in typical No previous mental health history, no history of these symptoms in the past, no Patient presenting with psychiatric concerns: greater than 40 years of age with Symptoms should raise a red flag for medical mimics when encountering a Normal functioning prior to symptom onset, are presenting with symptoms atĪn unusual age of onset, or there is sudden onset of symptoms. Mimics should be higher priority on the differential list when the patient had Providers need to create a comprehensive differential diagnosisįor psychiatric symptoms that considers medical mimics. Psychiatric symptoms, especially when mania or psychosis are included in the ![]() This is further complicated by the distress and noise of the Presenting in the primary care setting often present with a variety of symptomsĪnd the picture becomes more muddied when psychiatric symptoms are ![]() It looks like a duck, quacks like a duck, but it is really a goose. The term medical mimic has been used to describe the clinical condition of an underlying medical condition masquerading as another disorder. Medical providers need to develop a comprehensive differential diagnosis for patients presenting with behavioral health concerns including medical mimics of these conditions. This process becomes more complicated as patients age because of physical fragility and patients often present with poly pharmacy. Instead of running, try a version where the players have to skip, hop or crawl around the circle.The act of diagnosing medical conditions is complex and can become difficult as patients present with behavioral health symptoms such as mania and psychosis. The game continues as per the previous steps.īut if the “It” is tagged by the “Goose”, he has to sit in the centre of the circle.ģ- The person in the middle can’t leave until another person is tagged to replace him.ĭuck Duck Goose is a popular active game suitable for groups of young children in school, kindergarten, preschool adapted for all ages. ![]() If he succeeds, then the 2 players switch roles and the “Goose” becomes “It”. He should walk around the circle formed by the children gently tapping on the head or shoulder on each player and saying “Duck” each time… But at one point, “It” will decide to tap on the head of one of his comrades saying “Goose”.Ģ- Then the player selected as “Goose” stands up and runs after “It” who must go around the circle and take the place vacated by the child. Game sheetġ- Children form a circle and sit down facing each other… One child is chosen to be “It”. Keep children busy and active with this chasing game, that is played outside. Duck Duck Goose game also known as Duck Duck Gray Duck is a party game to energise children of all ages.
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