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. D. Factitious disorderFactitious disorderIt 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).
Bilateral optic neuritis
Posterior inferior cerebellar aery infarct
Malingering
Factitious disorder