title: School dysfunction: evaluative aspects.
abstract: Inability of a child to function in a formal school setting necessitates a review of potential physical, mental, emotional, and behavioral etiologies. A thorough, systematic history and examination is expected; the time of onset, age, and grade of the patient helps to narrow the differential diagnosis. A careful assessment should determine the work-up, correct diagnosis, and treatment. Additional primary care physician responsibilities in school dysfunction cases include patient education, family support, and specialist referral, if necessary.
authors.affiliation: Ambulatory Care Building, Department of Family & Community Medicine, University of Louisville, Louisville, Kentucky 40292, USA. karenkrigger@louisville.edu
authors.forename: Karen W
authors.initials: KW
authors.lastname: Krigger
authors.forename: Hasan
authors.initials: H
authors.lastname: Shahab
authors.forename: Karim
authors.initials: K
authors.lastname: Sedky
authors.forename: Osman
authors.initials: O
authors.lastname: Saeed
authors.forename: Steven B
authors.initials: SB
authors.lastname: Lippmann
mesh_terms: D000293:Adolescent; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D012574:Schools