Match each clinical presentation to the most appropriate diagnostic category.
- A 45-year-old man constantly worries he has a brain tumor despite multiple normal MRI scans and only experiencing occasional mild headaches.Illness anxiety disorder
- A 28-year-old woman develops sudden weakness in her right leg, but physical examination reveals normal muscle tone and a positive Hoover's sign.Conversion disorder (Functional neurological symptom disorder)
- A 32-year-old nurse presents with recurrent unexplained polymicrobial bacteremia and is found to be injecting feces into her central line to stay in the hospital.Factitious disorder
- A 50-year-old man claims debilitating whiplash following a minor car accident and is seeking disability payments, but surveillance video shows him lifting heavy boxes.Malingering
Cevap
The correct matches are: The patient with health worries has Illness anxiety disorder; the patient with incompatible weakness has Conversion disorder; the patient intentionally making herself sick for the sick role has Factitious disorder; and the patient faking injury for money is Malingering.
Each presentation uniquely aligns with one diagnosis based on the presence of intent and the type of gain. The man with headache worries has illness anxiety disorder due to high health anxiety without significant somatic symptoms. The woman with weakness has conversion disorder due to neurological symptoms clinically incompatible with anatomical pathways. The nurse with bacteremia has factitious disorder due to intentional self-harm to assume the sick role without external reward. The man seeking disability payments exhibits malingering due to intentional symptom exaggeration for secondary gain.
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Anahtar Kavram
Differentiating somatic symptom and related disorders based on symptom origin, patient intent, and secondary gain.