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Old 08-08-2011
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Default diagnose and treat

A 15-year-old female is brought into the emergency room with sudden paralysis of her legs. Her parents state that there was no trauma and her paralysis occurred while she was watching television. On examination she has no motor strength and perception of sensation in her legs. She is not concerned about her paralysis. What is her most likely diagnosis?
A. Body dysmorphic disorder
B. Pain disorder
C. Somatization disorder
D. Hypochondriasis
E. Conversion disorder
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Old 08-08-2011
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Quote:
Originally Posted by ricko335 View Post
A 15-year-old female is brought into the emergency room with sudden paralysis of her legs. Her parents state that there was no trauma and her paralysis occurred while she was watching television. On examination she has no motor strength and perception of sensation in her legs. She is not concerned about her paralysis. What is her most likely diagnosis?
A. Body dysmorphic disorder
B. Pain disorder
C. Somatization disorder
D. Hypochondriasis
E. Conversion disorder
conversion disorder....
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Old 08-08-2011
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conversion d-r
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Old 08-08-2011
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E.conversion disorder
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  #5  
Old 08-09-2011
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The correct answer is E.
The patient described has a diagnosis of conversion disorder. Conversion disorder presents with a sudden loss of sensory or motor function with patients appearing relatively unconcerned: "la belle indifference." Somatization disorder presents with multiple physical symptoms (nausea, dyspnea, menstrual problems) and is associated with "doctor shopping." Hypochondriasis presents with exaggerated concern with health and illness and is associated with "doctor shopping." Body dysmorphic disorder is normal-appearing patients who believe they are physically abnormal. Pain disorder presents as intense, prolonged pain without or not explained completely by physical disease.
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