Somatisation disorders

Question 1

Somatisation and Medically Unexplained Symptoms

Answer 1

Persistent physical complaints but cannot find a problem with the body that could be the cause of this

Main concern- want to get a diagnosis to validate their experiences and find an appropriate treatment

Question 2

Somatisation disorder

Answer 2

Recurrent presentation with medically unexplained symptoms
Affects multiple organ systems
Suggestible history
Non specific and atypical
Can be influential about your q’s so keep open q’s
Deny any emotional stress / are not registering the stress so it manifests itself physically
Personality disorder and substance abuse

Question 3

Conversion disorder

Answer 3

Motor or sensory function
Disturbance of normal function
Not malingering- no secondary gain
High rates of anxiety /depression
Paralysis, non epileptic seizures (VBG lactate normal, no postdrome), loss of sensation, aphonia, amnesia, fugue states

Question 4

Chronic Fatigue Syndrome

Answer 4

persistent or recurrent fatigue, ruled out other causes/conditions
Diagnosis of exclusion
Post exertion malaise

Question 5

Factitious disorders

Answer 5

Munchausen’s syndrome
Intentionally fabricating clinical signs or symptoms
Exaggerate history
Can be comorbid with a personality disorder
Want to obtain medical attention and treatments
Link with paramedical