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Funny Truth

( case sheet of a ‘ student ‘)

NAME : Student
AGE : 18-25 yrs
OCCUPATION : Studying(supposed to, but do everything else and never this)
RESIDENCE : Found everywhere in the world
CHIEF COMPLAINT : Continuous scoring of below average marks for few months
HISTORY OF PRESENTING ILLNESS:
The student was apparently normal during school days, after which he joined college and started
scoring low marks since the past few months, which was insidious in onset, progressive in nature,
initially scoring in two digits, now always in single digit.
Associated with palpitation on receiving the question paper, hypersomnolescence especially in
class and insomnia during night( ?? huh…??)
AGGRAVATING FACTORS : Internal assessment tests Practical exams, viva
RELIEVING FACTORS : festivals, holidays , culturals, etc.
PAST HISTORY :
1. H/o similar complaints since school days
2. H/o tuition during board exams
3. No h/o of arrears till now
PERSONAL HISTORY:
1. Loss of study hours
2. Always chatting with friends
3. Over usage of mobile phones.
4. Increased appetite and salivation for hotel food
5. Altered sleep habits- prefers to sleep whole day and remain awake throughout the
night.
HISTORY OF ALLERGY : Continuous lectures and questions put forth by the professors.
ADDICTIONS : Facebook, twitter, movies , orkut
EXAMINATION : Not co-operative
DIFFERENTIAL DIAGNOSIS :
1. Idiopathic? 2. College – acquired infections ( college- comial)?
3. Indifference to studies? 4. “ Not bothered” syndrome?
TREATMENT : Research in progress

V. Roshini
2010