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A 15-Year-Old Boy Is Brought to the Office Due to Unusual

question 112

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A 15-year-old boy is brought to the office due to unusual behavior.  The patient's mother reports that his behavior began to change 2 months ago, when he started withdrawing from his friends and losing interest in his classes and school activities.  During this time, his grades declined, and he spent hours each day developing a code in which certain colors had specific, personal meanings.  His mother says, "He insists on wearing the same blue shirt every day.  He doesn't even wash it anymore."  The patient refuses to ride in the family's gray car because "only primary colors are good."  His mother has heard him talking to himself late at night and worries that he is not getting enough sleep.  The patient does not use alcohol or illicit drugs.  Medical and family history are unremarkable.  Vital signs are within normal limits.  The patient is tracking appropriately on growth curves.  On physical examination, the patient is wearing a stained blue shirt and jeans.  Cardiopulmonary examination is normal, and the abdomen is soft and nontender with no hepatosplenomegaly.  Neurologic examination is unremarkable.  The patient makes minimal eye contact and is slow to respond, but he becomes eager to describe his color system when asked about it.  Which of the following is the most likely diagnosis for this patient?


Definitions:

Adjusting Entries

Journal entries made at the end of an accounting period to update accounts before the financial statements are prepared.

Net Income

The residual earnings of a company after all costs including expenses and taxes are taken out from the total revenue.

Accrued Revenue

Revenue earned in one accounting period but not received until a later period, recognized in the financial statements when earned, not when received.

Services Provided

The act or process of delivering professional, technical, or operational assistance to customers or clients.

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