Module 15: Mental Health Problems (Assessment)
A 34-yearold married woman has sought your advice on recurrent episodes of nausea, vomiting, abdominal pain, bloating and diarrhoea but OGDs and ultrasound was normal. She tells you that she has been ?sickly? for most of the past 15 years since her early adulthood. She has had numerous gynaecological investigations done for severe dysmenorrhoea, menstrual bleeding and dyspareunia. She had also consulted a number of neurologists for difficulty breathing and muscle weakness but no diagnosis was made. She had also seen a cardiologist for palpitations and chest pain and again the cardiologist was unable to find a cause. Your physical examination revealed that she is apparently tense and anxious despite diazepam 15 mg daily and that she has abdominal scars from a previous appendectomy and a separate hysterectomy.
The most likely diagnosis that this woman has is
A. hypochondriasis
B. somatisation disorder
C. munchausen syndrome
D. factitious illness
E. conversion disorder
A 34-yearold married woman has sought your advice on recurrent episodes of nausea, vomiting, abdominal pain, bloating and diarrhoea but OGDs and ultrasound was normal. She tells you that she has been ?sickly? for most of the past 15 years since her early adulthood. She has had numerous gynaecological investigations done for severe dysmenorrhoea, menstrual bleeding and dyspareunia. She had also consulted a number of neurologists for difficulty breathing and muscle weakness but no diagnosis was made. She had also seen a cardiologist for palpitations and chest pain and again the cardiologist was unable to find a cause. Your physical examination revealed that she is apparently tense and anxious despite diazepam 15 mg daily and that she has abdominal scars from a previous appendectomy and a separate hysterectomy.
The most likely diagnosis that this woman has is
A. hypochondriasis
B. somatisation disorder
C. munchausen syndrome
D. factitious illness
E. conversion disorder