| ADHD, medication and the military service: a pediatrician's dilemma. | |
| | |
MedLine Citation:
|
PMID: 20414078 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
CASE: 19-year old male was admitted to a trauma service after falling from a height of 20 feet while rope climbing during military basic training activity. He climbed to the top of the rope but was unable to navigate a series of other activities at the top, became distracted, and fell. He sustained superficial injuries but was admitted to the hospital for observation. An Adolescent Medicine consult was obtained consistent with the trauma service protocol. During that consultation, a comprehensive past medical history was initially negative. On further inquiry however, when asked "Are you supposed to take any medications?" the patient revealed that several years earlier he was diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). Medication at that time was associated with improvement in school performance. He progressed from being a poor student to successfully completing freshman year at college prior to enlistment. He knew medication for ADHD would prevent enlistment, so he did not reveal the disorder or medication to his recruiter. While obtaining this history the patient was talkative, easily distracted and admitted that his concentration and ability to follow instructions was significantly enhanced on medication. For a consultant, the dilemma became how to handle this potentially important piece of history. Inability to follow instructions may have contributed to this hospitalization and had the potential to put him and his colleagues in greater future jeopardy. Revealing this history might also cause discharge from the military. |
| | |
Authors:
|
Lawrence S Friedman; Gregory S Blaschke; Warren P Klam; Martin T Stein |
Related Documents
:
|
6662358 - Clusters of disaster: superstition and the physician. 6383088 - The history of sports medicine. part i. 15945408 - Aviation medicine in the united kingdom: early years, 1911-1918. 17208648 - Soul, mind, brain: greek philosophy and the birth of neuroscience. 22270978 - The life of john wishart (1850-1926): study of an academic surgical career prior to the... 21914948 - The increasing cesarean rate globally and what we can do about it. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of developmental and behavioral pediatrics : JDBP Volume: 31 ISSN: 1536-7312 ISO Abbreviation: J Dev Behav Pediatr Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-04-23 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8006933 Medline TA: J Dev Behav Pediatr Country: United States |
Other Details:
|
Languages: eng Pagination: S60-3 Citation Subset: IM |
Affiliation:
|
Division of Primary Care, Pediatrics and Adolescent Medicine, University of California, San Diego, CA, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Juan: a 9-year-old Latino boy with ADHD.
Next Document: Discovering gifted children in pediatric practice.