Working diagnosis

What is your working diagnosis based on this patient encounter ... 

Psychopharmacotherapy is the combined use of psychoactive medication and psychotherapy. Brent and Kolko (1998) define the latter as a treatment modality in which therapist and patient collaborate to ease functional psychopathological impairment through attention to (1) the therapeutic relationship, (2) the patient s behavior, thoughts, attitudes and affect (the working diagnosis), and (3) the social context and development (this is especially salient in the work of the child and adolescent psychiatrist). 

The elevations of the germ cell tumour markers P-human chorionic gonadotrophin (P-HCG), a-fetoprotein (AFP) and lactate dehydrogenase (LDH) further support the working diagnosis of testicular cancer. The levels of P-HCG and AFP in particular are negligible in males in normal circumstances, but they are raised in patients with testicular cancers as the tumours secrete these substances in large quantities. 

What other questions do you need to ask this patient to help with a working diagnosis ... 

There are many areas in which the passive electrical properties of biological materials are of interest and find application in research work, diagnosis of disease, therapy, and studies of fine structure. 

Once the physician has determined the working diagnosis and developed a plan for the management of the patient, it is necessary to decide on a plan for the use of osteopathic manipulative treatment (OMT). In making a decision as to which techniques to use, it is helpful to determine the goals of this treatment ... 

Advise - of your working diagnosis, plan and timeframe... 

OSHA does not require employers to record these incidents on the 300 Log unless they meet the general recording criteria of death, medical treatment, loss of consciousness, restricted work or motion, days away from work, diagnosis of a significant illness by an HOP — or unless the employee eventually develops an illness caused by bloodborne pathogens (a positive blood test seroconversion ). 

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