03-07-2008, 03:59 PM
A 70-year-old woman comes to the physician
because of fatigue
and increasing difficulty in her daily functioning
over the past 2
months. During the day, she lies in bed for hours and
cries. She has had a
10.9-kg (24-lb) weight loss over the past 4 weeks,
eats only cookies,
has lost interest in almost everything, and wishes to
kill herself. Her
husband died 4 months ago. Physical examination and
laboratory studies
show normal findings except for decreased serum
albumin and total
protein levels. Which of the following is the most
likely diagnosis?
A
) Adjustment disorder with depressed mood
B
) Bereavement
C
) Bipolar disorder, depressed
D
) Dysthymic disorder
E
) Major depressive disorder
because of fatigue
and increasing difficulty in her daily functioning
over the past 2
months. During the day, she lies in bed for hours and
cries. She has had a
10.9-kg (24-lb) weight loss over the past 4 weeks,
eats only cookies,
has lost interest in almost everything, and wishes to
kill herself. Her
husband died 4 months ago. Physical examination and
laboratory studies
show normal findings except for decreased serum
albumin and total
protein levels. Which of the following is the most
likely diagnosis?
A
) Adjustment disorder with depressed mood
B
) Bereavement
C
) Bipolar disorder, depressed
D
) Dysthymic disorder
E
) Major depressive disorder
