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A 20-year-old woman is well-known to your practice. On this visit she complains of abdominal pain. In the past she has sought treatment for head, back, joint, and chest pain, she has complained of nausea and vomiting, she has a history of irregular menses, and she has complained of localized weakness to her right leg. Her symptoms have never been fully explained and you rule out such diagnoses such a Factitious disorder and Malingering. This woman most likely suffers from (a):
a. Somatization disorder.
b. Body dysmorphic disorder
c. Conversion disorder
d. Somatoform pain disorder.
e. Hypochondriasis
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a. somatisation disorder , four pain symptoms, 2 GI symptoms, one sexual symptom and one pseudo neurological symptom, this woman has them all..
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A. for the very reasons that indiaobgyn has mentioned. In somatoform pain disorder ......the patient is obsessed with pain and nothing else whereas in this patient there are other findins of N/V and weakness
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The answer is A:
The Somatoform disorders are a complex group that is characterized by physical symptoms that suggest a medical condition in the absence of other evidence to support a medical diagnosis. Unlike individuals with a Factitious disorder or Malingering, the symptoms experienced by individuals with Somatoform disorder are not under voluntary control. There are 7 general types of Somatoform disorder, and each has a characteristic feature or features:
Somatization disorder usually begins before age 30 and is characterized by a history of complaints related to pain, gastrointestinal symptoms, sexual problems, and psychoneurological symptoms. Undifferentiated Somatoform disorder, on the other hand, while similar, is characterized by symptoms that are below the threshold in severity or number for a diagnosis of Somatization disorder.
The symptoms that characterize Conversion disorder include unexplained problems involving voluntary motor or sensory functioning. Pain disorder is characterized by symptoms predominately related to pain. Hypochondriasis refers to a preoccupation with the fear of having a serious disease. Body Dysmorphic disorder is characterized by a preoccupation with an imagined physical defect; and Somatoform disorder Not Otherwise Specified is used to describe an individual with symptoms of Somatoform disorder that do not fully meet the criteria for a diagnosis with any specific Somatoform disorder.
