Somatic Symptoms and related disorders

Question 1

Somatic symptom disorder ?

Answer 1

Somatic symptom disorder is when a person has a significant focus on physical symptoms, such as pain, weakness or shortness of breath, to a level that results in major distress and/or problems functioning

Question 2

See the classification

Answer 2

Question 3

a middle-aged man with a history of depression presents with multiple unrelated physical symptoms over the past 5 years

Dx?

Answer 3

Somatisation disorder

Question 4

What is Somatic Symptom Disorder?

Answer 4

Patients often present with excessive thoughts, anxiety, and behaviors driven by the presence of somatic symptoms that is distressing and negatively affects daily life.

This may occur with or without any medical illness present. High health care utilization is often present.

Question 5

a young athlete presents with paralysis of his right leg before an athletics meet. Neurological examination is inconsistent

Dx?

Answer 5

Conversion disorder

Conversion disorder is a mental condition in which a person has blindness, paralysis, or other nervous system (neurologic) symptoms that cannot be explained by medical evaluation.

Question 6

a patient is suspected of injecting her mother’s insulin to cause repeated episodes of hypoglycaemia

Dx?

Answer 6

Factitious disorder

Factitious disorder is when someone deceives others by appearing sick, by purposely getting sick or by self-injury.

Question 7

a middle-aged patient is convinced he has an underlying malignancy despite multiple investigations and reassurance

Dx?

Answer 7

Illness anxiety disorder

Illness anxiety disorder, sometimes called hypochondriasis or health anxiety, is worrying excessively that he is or may become seriously ill. He may have no physical symptoms.

Question 8

What is malingering disorder?

Answer 8

Malingering is the intentional fabrication of medical symptoms for the purpose of external (( gain )), secondary benefit!

Along similar lines as malingering, factitious disorder is the intentional creation or exaggeration of symptoms, but (( without )) intent for a concrete benefit.

Question 9

What is factitious disorder imposed on another?

Answer 9

Factitious disorder imposed on another (formerly Munchausen by
proxy):

Caregiver exaggerates or falsifies medical/psychiatric symptoms
or intentionally induces illness in someone else (( to receive benefit )) by
taking on the role of concerned caregiver.