Bаsed оn the ultrаsоund imаge оf the placenta it is grade:
Bаckgrоund:Trаevоn, а 28-year-оld man, enters the psychiatric clinic with a history of mood disturbances that began in his late teens. Born into a family with a genetic predisposition to mood disorders, Traevon's mental health journey has been marked by unpredictable shifts between periods of intense euphoria with decreased need for sleep, distractability, and talkativeness. These periods begin with Traevon taking on a great deal of work and usually end in his being hospitalized. and profound depression. He also experiences periods of deep depressed mood with loss of pleasure in all activities, insomnia most nights, loss of energy, and difficulty thinking. Presenting Concerns:Traevon's current presentation is characterized by a profound sense of desolation and lethargy but his mood does brighten when he recalls his recent work accomplishments and upcoming award ceremony. His generally depressed mood has been present for just over a month. Unlike previous episodes, Traevon's symptoms manifest with excessive sleep, significant weight gain, and a heightened sensitivity to rejection. Clinical Assessment:During the assessment, Traevon expresses a pervasive sense of despair and hopelessness that permeates his life. He reports sleeping excessively, often for 12 hours or more per day, and experiencing an insatiable appetite that has led to significant weight gain in recent weeks. Traevon also acknowledges a heightened sensitivity to perceived rejection or criticism, intensifying his feelings of worthlessness and isolation. He acknowledges pervasive thoughts of suicide but no current plan to take his life.