Winter dizziness - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-19-2012
koolkiller88's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 864
Threads: 62
Thanked 372 Times in 224 Posts
Reputation: 382
Wink Winter dizziness

A patient's past medical history indicates numerous admissions to a local public hospital mostly during the winter months. On each occasion, he has been brought to the hospital after passing out in a public location. His appearance is disheveled and his clothes are torn. He complains that the cold makes him dizzy and asks the physician, with tears in his eyes, to "please help him get better." Neurologic exam is unable to uncover any underlying cause for his reported symptoms. The most likely preliminary diagnosis for this patient would be

A. Dysthymia
B. Somatoform disorder
C. Delusional disorder
D. Factitious disorder
E. Malingering
__________________
One day i will infect these microbes and they will search for "Anti-MEbiotic"....
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message



  #2  
Old 08-19-2012
imgchuchu's Avatar
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 218
Threads: 4
Thanked 74 Times in 55 Posts
Reputation: 84
Default

Quote:
Originally Posted by koolkiller88 View Post
A patient's past medical history indicates numerous admissions to a local public hospital mostly during the winter months. On each occasion, he has been brought to the hospital after passing out in a public location. His appearance is disheveled and his clothes are torn. He complains that the cold makes him dizzy and asks the physician, with tears in his eyes, to "please help him get better." Neurologic exam is unable to uncover any underlying cause for his reported symptoms. The most likely preliminary diagnosis for this patient would be

A. Dysthymia
B. Somatoform disorder
C. Delusional disorder
D. Factitious disorder
E. Malingering
Bbb...but this should be classic seasonal affective disorder?
Reply With Quote Quick reply to this message
  #3  
Old 08-19-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,039
Threads: 189
Thanked 561 Times in 319 Posts
Reputation: 571
Default my answer

hmm...I don't want sound obsessed but why does this man have torn clothes? he's is complaining about cold...I would be suspicious and I would say it's malingering. He's coming back to the hospitals in winter time so maybe he's homeless? looking for a secondary gain/shelter? My answer is

E) Malingering
Reply With Quote Quick reply to this message
The above post was thanked by:
bilal.sheikh (10-18-2012), koolkiller88 (08-19-2012)
 
  #4  
Old 08-19-2012
Guest
 
Steps History: ---
Posts: 197
Threads: 9
Thanked 98 Times in 64 Posts
Reputation: 108
Default

This is malingering. And I think this question is from Kaplan's behavioural science LN.
Reply With Quote Quick reply to this message
  #5  
Old 08-19-2012
koolkiller88's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 864
Threads: 62
Thanked 372 Times in 224 Posts
Reputation: 382
Thumbs Up good

Quote:
Originally Posted by Casandra View Post
hmm...I don't want sound obsessed but why does this man have torn clothes? he's is complaining about cold...I would be suspicious and I would say it's malingering. He's coming back to the hospitals in winter time so maybe he's homeless? looking for a secondary gain/shelter? My answer is

E) Malingering
Thats a promising explanation. Please inform kaplan people and tell them to give some sensible explanation like this.
__________________
One day i will infect these microbes and they will search for "Anti-MEbiotic"....
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
  #6  
Old 08-20-2012
USMLE Forums Guru
 
Steps History: Not yet
Posts: 375
Threads: 17
Thanked 131 Times in 81 Posts
Reputation: 147
Default

Casandra is right...Its E.
Reply With Quote Quick reply to this message
  #7  
Old 08-20-2012
venky2600's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,186
Threads: 119
Thanked 816 Times in 434 Posts
Reputation: 826
Send a message via Yahoo to venky2600
Question

Quote:
Originally Posted by Casandra View Post
hmm...I don't want sound obsessed but why does this man have torn clothes? he's is complaining about cold...I would be suspicious and I would say it's malingering. He's coming back to the hospitals in winter time so maybe he's homeless? looking for a secondary gain/shelter? My answer is

E) Malingering
hey buddy....i think ur right...but can u xplain why not it's factitious disorder( munchausen syndrome--chronic factitious disorder of physical illness with history of multiple admissions for sake of medical benefit( primary gain)]

thanx in advance...!!
Reply With Quote Quick reply to this message
The above post was thanked by:
bilal.sheikh (10-18-2012)
  #8  
Old 08-20-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,039
Threads: 189
Thanked 561 Times in 319 Posts
Reputation: 571
Default .

Quote:
Originally Posted by venky2600 View Post
hey buddy....i think ur right...but can u xplain why not it's factitious disorder( munchausen syndrome--chronic factitious disorder of physical illness with history of multiple admissions for sake of medical benefit( primary gain)]

thanx in advance...!!
first of all I'm not a buddy, I'm a gal

second of all in fasctitious pt's motivation is unconscious while in malingering it's fully conscious.
to me what he's seeking is totally a secondary gain - he wants to stay in the hospital in winter so he wants to avoid cold.
Reply With Quote Quick reply to this message
  #9  
Old 08-20-2012
venky2600's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,186
Threads: 119
Thanked 816 Times in 434 Posts
Reputation: 826
Send a message via Yahoo to venky2600
Info

Quote:
Originally Posted by Casandra View Post
first of all I'm not a buddy, I'm a gal

second of all in fasctitious pt's motivation is unconscious while in malingering it's fully conscious.
to me what he's seeking is totally a secondary gain - he wants to stay in the hospital in winter so he wants to avoid cold.
thanx....but first aid gave in factitious disorder also pt. consciously create illness......anyways i also agree with ur explanation abt malingering,but i jus wanted 2 know the diffrence so i asked it.....n btw i apologise not knowing u a gal...
Reply With Quote Quick reply to this message
The above post was thanked by:
bilal.sheikh (10-18-2012)
  #10  
Old 08-20-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,039
Threads: 189
Thanked 561 Times in 319 Posts
Reputation: 571
Default .

Quote:
Originally Posted by venky2600 View Post
thanx....but first aid gave in factitious disorder also pt. consciously create illness......anyways i also agree with ur explanation abt malingering,but i jus wanted 2 know the diffrence so i asked it.....n btw i apologise not knowing u a gal...
FA is correct. Conscious motivation and conscious actions are two different things.
In malingering pts are simulating symptoms and they know exactly why (in this question a pt wants to avoid cold).
In factitious disorder they are faking the symptoms but they don't know why.
I was watching Kaplan videos on that recently and Dr. D. called it kind of "compulsion". They know that they're doing it (that's what FA says) but they don't know why (that's what I was talking about before).
Reply With Quote Quick reply to this message
The above post was thanked by:
bilal.sheikh (10-18-2012), salem (12-27-2012), venky2600 (08-20-2012)



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
nice meal with a headache, dizziness, and blood pressure Novobiocin USMLE Step 2 CK Forum 6 06-23-2012 07:50 AM
Case of dizziness; should do orthostatic BPs! oti nogonno USMLE Step 2 CS Forum 2 01-19-2012 07:46 PM
Testing for dizziness a.k. USMLE Step 2 CS Forum 5 08-18-2011 06:21 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)