A 25 years old male c/o recurrent abdominal pain but biochemical assays and ultrasound abdomen is normal. He also complains of constant headache. He suddenly complains of loss of vision of bilateral eyes. Ophthalmologist finds nothing on examination. Symptoms are most probably due to -
Ans. is'd' i.e.,Factitious disorder Factitious disorder (munchausen syndrome)* It is also known as Hospital addiction, hospital hoboes, or Professional patient.* The term Munchausen syndrome is used for those patients who repeatedly simulate or fake diseases (intentionally) for the sole purpose of obtaining medical attention. There is no other recognizable motive (in contrast to malingering).* The typical presentation of Munchausen syndrome is characterized by a restless journing from doctor to doctor and hospital to hospital, an ever-changing list of complaints and symptoms. Patient tries to maintain sick role to obtain medical attention. There may be evidence of earlier treatment usually surgical procedure, for example multiple surgical scars (grid iron abdomen).* Person can mimic any physical or psychiatric illness. The patients distort their clinical histories, laboratory tests reports and even facts about other aspects of their life i.e., pseudologia fantastica (In contrast, In conversion disorder, somatization disorders and hypochondriasis, there is no distortion of clinical history or labortory tests). Sometimes, they distort physical signs by self-inflicted injuries and secondary infections.* Patient has eagerness to undergo various tests, investigations and procedures
Bilateral optic neuritis
Posterior inferior cerebellar artery infarct
Malingering
Factitious disorder
Somatoform Disorders