A 10-year-old child is brought to the pediatric clinic after exhibiting strange classroom conduct for the last year, which has gotten worse in recent weeks. Despite being largely silent, the patient occasionally interrupts the class with sniffling, frequent throat cleaning, and grunting sounds. His instructor claims that the youngster disrupts other classmates and has poor concentration in class. When he is tired, anxious, or enthusiastic, his actions escalate. The patient's parents are particularly concerned since he has few friends and is mocked by his peers. Recurrent otitis media as a child, atopic dermatitis, and an influenza illness 9 months ago all play a role in the medical history. His mother has a family history of rheumatoid arthritis and anxiety. Temperature is 36.7 C (98 F), pulse is 78/min, blood pressure is 110/72 mm Hg, and respirations are 14/min. Physical examination shows frequent eye blinking and shoulder shrugging but is otherwise normal. Which of the following is the most likely diagnosis?

Question

A 10-year-old child is brought to the pediatric clinic after exhibiting strange classroom conduct for the last year, which has gotten worse in recent weeks. Despite being largely silent, the patient occasionally interrupts the class with sniffling, frequent throat cleaning, and grunting sounds. His instructor claims that the youngster disrupts other classmates and has poor concentration in class. When he is tired, anxious, or enthusiastic, his actions escalate. The patient's parents are particularly concerned since he has few friends and is mocked by his peers. Recurrent otitis media as a child, atopic dermatitis, and an influenza illness 9 months ago all play a role in the medical history. His mother has a family history of rheumatoid arthritis and anxiety. Temperature is 36.7 C (98 F), pulse is 78/min, blood pressure is 110/72 mm Hg, and respirations are 14/min.  Physical examination shows frequent eye blinking and shoulder shrugging but is otherwise normal.  Which of the following is the most likely diagnosis?

Quizplus · Accepted Answer

Eductional Objective: Tourette syndrome is a prevalent neuropsychiatric condition in children that is marked by both verbal and complex physical tics. These tics typically wax and wane, can be briefly repressed, and are accompanied by a premonitory need.

A 10-Year-Old Child Is Brought to the Pediatric Clinic After