Jacqueline Russell iHuman Case Study: "Fatigue" “A 17 Year Old Female”

Jacqueline Russell is a 17-year-old female who comes in the clinic with complaints of
generalized fatigue which started two months ago. Accompanying symptoms include anxiety,
anhedonia, irritability, and problems concentrating. Major life changes include recent breakup
with her boyfriend and pressure in school while expected by her parents to have a scholarship.
She stated that she gets enough sleep but still feel tired upon waking up. Key findings include
being overweight, easily cries, unintentional 25-30 weight gain last year, history of marijuana
use, Acanthosis Nigricans, and striae on abdomen and buttocks. She denies taking any
medications other than Ibuprofen for menstrual cramps.