Case #2: 25-year-old Caucasian underweight female college student with anxiety who lives in a dorm with her normal-weight roommate (if you pick this one, you will not discuss caregiver information as this is an adult). Assessment Tools and Diagnostic Tests in Adults and Children Assessment Tools and Diagnostic Tests in Adults and Children • If you are assigned Assignment Option 2 (Child),

Assessment Tools and Diagnostic Tests in Adults and Children

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Patient assessments often give health information that is pivotal in understanding the genesis of their suffering and the causal factor for their health-seeking behavior. Assessment approaches vary with age. Assessment of children often requires collaboration with the parents or guardians. Diagnostic tests augment assessment findings and help confirm the causal factors for the presentations. This paper reviews a case presentation and details further valid assessments of the patients.

Health Issues and Risks Relevant To the Patient in the Assigned Case

The case presented is of a 25-year-old Caucasian female student with anxiety. The patient is underweight and lives in a dorm with her normal-weight roommate. Several health issues and risks have been implicated in underweight adults. Family history is the most common non-pathologic reason for being skinny. Low BMI is more prevalent among individuals whose family members also have a low BMI. Being underweight has also been linked to a high rate of metabolism. This may be due to pathological reasons, as seen in hyperthyroidism, or sustained increased physical activities, as seen with athletes (Swift et al., 2018). Chronic disorders and other physical illnesses are also causal factors for being underweight. Diseases such as cancer, diabetes, and GI pathologies often cause profound decreases in body weight. Physical illnesses that cause frequent nausea, vomiting, and diarrhea also cause significant weight reduction. Mental health illnesses are another causal factor for being underweight. Anxiety, apparent in the case presented, and other mental health illnesses such as diabetes have been found to affect an individual’s ability to eat and maintain good nutrition. These individuals tend to lose weight and become underweight.

There are several risks to being underweight. Being underweight increases the likelihood of females developing osteoporosis. Additionally, being underweight predisposes individuals to lowered immunity as it results in somatic mutations, instability of the immune cells, and suppression of NK cells and cytotoxic T cells. Being underweight also has a strong positive correlation with increased incidence of communicable and non-communicable diseases. Irregular menstruation and premature births have also been linked to being underweight. Furthermore, the patient is at risk for reduced fertility due to hormonal imbalances that often characterize skinny females (Golubnitschaja et al., 2021). Other health risks that may be relevant to this patient because of her gender and age include mental disorders such as depression, anemic disorders, and impaired wound healing.

Additional Information Required To Assess the Patient’s Weight-Related Health Further

To better understand this patient’s presentation, additional information must be obtained from her. Information on her anxiety about onset and severity will enable the caregivers to rule out mental health illnesses as a causal factor for their weight. Information on the patient’s family history may help ascertain whether her condition is a consequence of heredity and not a systemic pathology. The family history of mental health illnesses will also help in ruling out other undiagnosed mental health illnesses that may be apparent in the patient and causal to her condition. Medical and medication history is also valuable in assessing the patient’s weight-related health. Information on the medical history indicates health conditions that the patients had experienced earlier. This information informs on the current condition or an undiagnosed underlying health condition that causes weight loss in the patient. Information on medication history can also advise on any past health condition the patients may have experienced. This information may enable a better and more elaborate understanding of the patient’s weight health and information on causal and risk factors for the patient’s condition.

Questions to Ask To Gather More Information

Being underweight presents specific health risks to individuals. Reproductive dysfunctionalities, the propensity to infectious and non-communicable diseases, and mental health illnesses such as depression are some health risks associated with being underweight. Reproductive constitutionality seen in skinny females includes irregular menstruation, infertility due to hormonal imbalances, and miscarriages or premature births. These presentations are disproportionately seen in females with lower BMI (Boutari et al., 2020). Information on these risks can be obtained during the subjective asses