BH,a guy in his early 20s is presented with symptoms such as extreme boredom,binch eating and excessive sleeping.He had history of extreme stress,lack of sleep,imbalance diet, consumed 4-5 cups of coffee daily and lastly he did not excercise for the past 3 weeks.Earlier this week,he was diagnosed with Post Examination syndrome by the GP.

Definition:

The PE syndrome is a clinical manifestation whereby the individual is in the extreme state of boredom.

Signs and Symptoms:

Apart from the symptoms described above,other symptoms such as long hours of stoning,facebooking,you tubing,kepo-ing people's blogs are some of the common symptoms observed in patient suffering from PE syndrome.

Aetiology:

The main cause of PE syndrome is always attributed to long period of stress.

Epidemiology:

PE syndrome is often seen in undergraduate students and students who happened to be BPharmers in XXU have a higher risk of suffering from this syndrome.

Pathophysiology:

PE syndrome arises when the individual is subjected to extreme stress or depression for a long period of time.Excessive memorizing activities often precede the symptoms of stress and depression.An overwhelming flow of information into the brain causes the enlargement of neurons or better known as neuro megaly.At this stage,the individual will experience palpitation of the heart,irregular heart beats, and high blood pressure.Then,the compensatory mechanism is activated,the blood vessel is dilated,reduced in pre-load,workload of the heart decreases,myocardial oxygen demand also decreases and result in the reduction of blood pressure.After 6 days of examination,the fast flow of information out of the brain leads to the desensitization of the neurons.The sudden reduction in the brain's activities leads to PE syndrome.

Prognosis:

Patient with PE syndrome has a high chance of recovery provided that appropriate measures are taken at the early stage.

Treatment and Management

Pharmacological treatment:

Patient with PE syndrome is prescribed with 100g of Love Drug aka Mood Enhancer drug aka chocolate to be taken once daily.The therapeutic effect can be enhanced by taking the Love Drug with milk and emo songs/music in the background.The active ingredients of Love Drug are Cannabinoids, or marijuana-like substances and Caffeine, a natural picker-upper.

Side Effect:

CAUTION:Love Drug can cause you to grow horizontally if taken overdose.XD

Non-Pharmacological treatment:

Patients are encouraged to check out their local cinema,lepak-ing at Starbucks with gossip kakis,running in the park can increase the secretion of endorphin(to give you this feel good effect),share some lame jokes with some lame people etc etc

Roles of Pharmacist:

Counsel the patients on appropriate activities that can be undertaken by them.Accompany them for movies,be their gossip kakis,running kakis,lame kakis ,whatever kakis.In extreme cases,play bom cha cha with the patients.XD

PBL session for today ends here.Thank you for participation.