01-13-2007, 06:28 PM
17. A 47-year-old man is brought to emergency room by paramedics after he complain of dizziness and headache. Emergency room examination shows a mydriasis of the right eye with right pupillary diameter of 5 mm and left pupillary diameter of 2 mm. The patient denies any precipitating events or general medical condition. While awaiting further examination, he is observed surreptitiously placing eye drops in his right eye. When questioned about this action, he becomes angry, denies the behavior, and abruptly leaves the hospital. Which of the following is the most likely diagnosis?
a. Conversion disorder
b. Dependent personality disorder
c. Malingering
d. Factitious disorder
a. Conversion disorder
b. Dependent personality disorder
c. Malingering
d. Factitious disorder