Citation

Skinner SR, Ng C, McDonald A, Walters T. Med. J. Aust. 2005; 183(8): 422-424.

Affiliation

School of Paediatrics and Child Health, Princess Margaret Hospital for Children, GPO Box D184, Perth, WA 6840. rachels@ichr.uwa.edu.au

Copyright

(Copyright © 2005, Australian Medical Association, Publisher Australasian Medical Publishing)

DOI

unavailable

PMID

16225449

Abstract

An adolescent with autism and intellectual disability presented with severe depression related to menstruation. Because of the complex medical, psychiatric and ethical issues involved, her care was coordinated by a hospital-based adolescent medicine unit. After trials of other therapies over an extended period and interdisciplinary and intersectoral case conferencing, it was decided that hysterectomy was the most appropriate management. This case highlights the complexity of adolescent health care in a tertiary hospital, the importance of intersectoral cooperation between hospital and community, and the integral role of interdisciplinary care of adolescent patients with chronic conditions.

Language: en