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Behavioral 8

A 34-year-old woman presents to your clinic to establish care. When asked about her medical history, she explains that she recently moved herself into a studio apartment and that she has fallen in love with the people in her neighborhood and already has so many friends. She explains that she hasn't been to the doctor since she was in her early 20s but recently has been experiencing a cough for the past week and desires evaluation for this. Her temperature is 36.6°C (97.9°F), heart rate 64 beats/minute, blood pressure 110/64 mmHg, respirations 16/minute, and pulse oximetry 99% on room air. As the physical examination begins, she asks if she can go to the bathroom to make sure there is nothing in her teeth. She also asks for a glass of water for her hoarse voice. While in the bathroom, she can be heard singing and talking through the door to the nurse. When she comes back in the room, she stumbles slightly getting onto the exam table and falls into the physician and grabs his shoulder to catch her balance and starts laughing to herself, saying “I'm so clumsy!” Examination of the mouth reveals moist mucous membranes, no tonsillar swelling or exudate, and no erythema in the posterior oropharynx. When these findings are explained, she tells the physician “Wow you are such a smart doctor. I'm so lucky I found you!”

Which of the following best describes this patient's presentation?

  • A) Dependent personality disorder
  • B) Facititious disorder
  • C) Histrionic personality disorder
  • D) Malingering
  • E) Schizotypal personality disorder

Authors

Dr. Ted O'Connell

Christopher Lewis

Editor

Dr. Ted O'Connell

Last updated

May 10, 2022

Source

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