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PUO:pain of unknown origin. - okt3
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09-01-2009, 06:39 AM
best fits factitious dirorder FFFFFFFF because px counsciously creates physical or physcological sx in order to assume "sick role " and get medical attention, doesn't fit maligering because he doesn't refuse treatment and doesn'nt complain about it, and usually sx ceased after gain.
then F and A because both are created consciously
09-01-2009, 07:31 AM
The answer is F. and C.
This clinical presentation is an example of factitious disorder (note: most axis I disorders can also be seen in children). In contrast to patients with somatoform disorders who really believe that they are ill, patients with factitious disorder are conscious of the fact that they are feigning their illness. Pain is one of the most commonly feigned illnesses and this patient's nighttime reading is providing him with specific knowledge of how to feign the symptoms realistically. Although he is consciously producing his symptoms, this boy is not receiving tangible benefit for his behavior. Thus, in contrast to individuals who are consciously feigning illness for obvious gain, i.e., malingering (When there is financial or other obvious gain to be obtained from an illness, the possibility that the person is malingering should be considered), the motivation for this patient's faking behavior is primarily unconscious. |
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