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".Neurological examination 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
jean robert Forum Guru
Topics: 144 Posts: 596
02/17/08 - 05:18 AM
#2
E
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pr20 Forum Senior
Topics: 18 Posts: 162
02/17/08 - 10:30 PM
#3
Yep it is E.
macintosh Forum Elite
Topics: 38 Posts: 178
03/14/08 - 02:07 PM
#4
Please provide the explanation dear pr20.
pr20 Forum Senior
Topics: 18 Posts: 162
03/14/08 - 02:48 PM
#5
The only explanation given in the answer is---->The timing during the winter months and the public venue for passing out are all suggestive of the secondary gain of malingering.
macintosh Forum Elite
Topics: 38 Posts: 178
03/14/08 - 02:51 PM
#6
or is it that the patient is trying to find refuge from the cold weather, especially because his clothes are also torn.
macintosh Forum Elite
Topics: 38 Posts: 178
03/14/08 - 02:52 PM
#7
or is it that the patient is trying to find refuge from the cold weather, especially because his clothes are also torn.
Tiff Forum Guru
Topics: 49 Posts: 500
03/16/08 - 11:59 AM
#8
macintosh wrote: or is it that the patient is trying to find refuge from the cold weather, especially because his clothes are also torn.
Isn't that characteristic of malingering especially since this has happened numerous times and he's looking for something to gain, like shelter. Just a thought.
