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Old 07-31-2011
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Psyche Can you diagnose this Somatoform Disorder?

A 19-year-old female presents to her outpatient clinic complaining of 2 months of abdominal discomfort, chest pain, nausea, vomiting, headaches, musculoskeletal pain and abnormal menstrual cycles. She also complains of vague symptoms of an ataxic episode that occurred a few weeks ago. Her urine pregnancy test is negative. A CT scan of her abdomen is also normal. A gastroenterology consult is obtained and their results do not show any problems with the patient. Upon further questioning, it is noted she has visited several other emergency rooms with the same complaints. What is her diagnosis?
A. Somatization disorder
B. Pain disorder
C. Body dysmorphic disorder
D. Hypochondriasis
E. Conversion disorder
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Old 07-31-2011
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the answer is D
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  #3  
Old 07-31-2011
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Default analysed!

its A....
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Old 07-31-2011
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ricko
where are u getting these questions from ? can i know the source ?
thanks
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Old 07-31-2011
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Answer: A : Somatization disorder
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Old 07-31-2011
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seems as a) somatization ->> more than 4 symptoms; including neuro, menstrual (sexual); GI and Pain.; but the period does not match (just 2 months; it should be years)...

So I go with D...as she visited medical centers and been evaluated and reassured (FA).

Last edited by jahn77; 07-31-2011 at 06:47 PM.
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Old 07-31-2011
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A.. somatization.
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Old 07-31-2011
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i had a similar que wrong on UW .... i think its Somatization disorder...
can som1 explain why is it not E). conversion disorder- where d patient actually has all the symptoms i.e. the patient aint faking it, but you cant com to a diagonosis based on all the investigations as in this case?
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Old 07-31-2011
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i think its A. somatization disorder.
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Old 07-31-2011
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A. somatization disorder.
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Old 07-31-2011
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Star A

A. Somatization disorder

4 pain symptoms+2 GI+1 sexual+1 pseudoneurological= Somatization
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  #12  
Old 08-01-2011
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A.Somatization syndrome.
i think in hypochondriasis patient belives that he has major illness like cancer,etc.
Here all complains are vague and more of like somatization disorder.
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Old 08-01-2011
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could b a or d... but i'm leaning more towards a
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Old 08-01-2011
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I agree answer

@ hope 2 pass i am currently in a university in sweden and we have many offline and online q banks and along wid it some frm pretest series


The correct answer is A.
The patient described has somatization disorder. Somatization disorder is defined as the presence of:
-4 Pain sxs: e.g. abdominal, joint, head, chest
-2 GI sxs: nausea, vomiting, diarrhea
-1 Sexual sx: irregular menses, erectile dysfunction
-1 Pseudoneurological sx: isolated paralysis, ataxia, etc

Body dysmorphic disorder presents with normal-appearing patients who believe they are physically abnormal. Conversion disorder presents with a sudden loss of sensory or motor function with patients appearing relatively unconcerned: "la belle indifference." Hypochondriasis presents with exaggerated concern with health and illness with concerns centered on the presence of an illness, and is associated with "doctor shopping." Pain disorder presents as intense, prolonged pain without or not explained completely by physical disease.
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  #15  
Old 08-01-2011
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Quote:
Originally Posted by ricko335 View Post
@ hope 2 pass i am currently in a university in sweden and we have many offline and online q banks and along wid it some frm pretest series


The correct answer is A.
The patient described has somatization disorder. Somatization disorder is defined as the presence of:
-4 Pain sxs: e.g. abdominal, joint, head, chest
-2 GI sxs: nausea, vomiting, diarrhea
-1 Sexual sx: irregular menses, erectile dysfunction
-1 Pseudoneurological sx: isolated paralysis, ataxia, etc

Body dysmorphic disorder presents with normal-appearing patients who believe they are physically abnormal. Conversion disorder presents with a sudden loss of sensory or motor function with patients appearing relatively unconcerned: "la belle indifference." Hypochondriasis presents with exaggerated concern with health and illness with concerns centered on the presence of an illness, and is associated with "doctor shopping." Pain disorder presents as intense, prolonged pain without or not explained completely by physical disease.
is it tht a pt with hypochondriasis will nt ve these symptoms of headache n vomiting....???
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