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The Atypical Presentation: Psychiatric Symptoms as Clues to Another Underlying Disease in Children and Adolescents



Dates


Description

Mental health concerns are common in children and adolescents; however, it is essential not to overlook medical and other etiologies when pediatric patients present with psychiatric symptoms. This session will explore key considerations in the differential diagnosis of chief complaints in children and adolescents. Through case-based discussion, we will highlight historical features, mental status exam findings, and physical exam clues that may prompt further medical investigation.

At the conclusion of this activity, learners will be able to:  

  • Describe other health conditions that can present with psychiatric symptoms in children and adolescents 
  • Identify red flags in the patient history, physical exam and mental status exam that suggest a non-psychiatric underlying etiology 
  • Integrate medical, psychosocial, and developmental data to formulate a comprehensive differential diagnosis when kids and teens present with psychiatric symptoms

AzAAP gratefully acknowledges financial support for this PMHCA series from Vitalyst Health Foundation.

Handouts

Faculty

FACILITATOR: Lara Yoblonski, MD, FAAP, MPH, Pediatrician, AzAAP Emotional and Behavioral Health Committee Chair's Profile

FACILITATOR: Lara Yoblonski, MD, FAAP, MPH, Pediatrician, AzAAP Emotional and Behavioral Health Committee Chair


Dr. Lara Yoblonski has worked at Phoenix Children's in the Homeless Youth Outreach program and the Center for Resiliency and Wellbeing for the past eleven years. She currently works with homeless youth and families, foster children and youth, and survivors of sex trafficking. Trauma informed care is an area of interest due to the patients she works with. She has been working with the AzAAP Emotional and Behavioral Health Committee for the past two years.


EXPERT FACULTY: Jacquelin Esque, MD, Assistant Clinical Professor of Psychiatry Clinical Director, Arizona Pediatric Psychiatry Access Line's Profile

EXPERT FACULTY: Jacquelin Esque, MD, Assistant Clinical Professor of Psychiatry Clinical Director, Arizona Pediatric Psychiatry Access Line


Jacquelin Esque, MD, is an outpatient child and adolescent psychiatrist at Banner University Medical Center in Tucson and the clinical director for the Arizona Pediatric Psychiatry Access Line (APAL). Dr. Esque attended medical school at the University of Arizona College of Medicine - Phoenix and completed her general psychiatry residency and child and adolescent psychiatry fellowship at the University of Pittsburgh Medical Center in Pittsburgh, PA.  Dr. Esque is passionate about increasing access to quality mental healthcare for children and teens. In her clinical practice, Dr. Esque has seen the value of working closely with pediatricians in the community, to collaborate and help provide education, resources, and treatment ideas.