PUO:pain of unknown origin. - okt3

[ArchivalUser]

A 13-year-old boy is admitted to the hospital with a diagnosis of "pain of unknown origin." His parents tell the physician that the child has complained about pain in his legs for about 1 month. Neurologic and orthopedic examinations fail to identify any pathology.
The history reveals that the child was hospitalized on two previous occasions for other pain symptoms for which no cause was found. After 4 days in the hospital, the nurse reports that the child shows little evidence of pain and seems "remarkably content." She also reports that she found a medical textbook in the boy's bedside table with a bookmark in the section entitled "skeletal pain of unknown origin."
1. Which of the following best fits this clinical picture?

A) A sleep disorder

B) A seizure disorder

C) A somatoform disorder

D) Malingering

E) An endocrine disorder

F) A factitious disorder

2. Which of the following best describes symptom production and motivation in this case?

A) Symptom production conscious, motivation primarily conscious

B) Symptom production unconscious, motivation primarily conscious

C) Symptom production conscious, motivation primarily unconscious

D) Symptom production unconscious, motivation primarily unconscious

[ArchivalUser]

1-D
2-A (may be to avoid school)

[ArchivalUser]

1-c: prolonged pain with no physical findings (Pain disorder)
2-d: both illness production n motivation are unconscious drives

[ArchivalUser]

D
C

[ArchivalUser]

d and a bc nurse told he was cotent so he got what he wnted,

[ArchivalUser]

C
D

[ArchivalUser]

1 D

2 A

the boy thoroughly and intentionally studies book. learns how to produce symptoms.

[ArchivalUser]

1 d
2 a

[ArchivalUser]

D
A

[ArchivalUser]

F
C