Approach to somatic symptom and related disorders Quiz: Ace Your Exams
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A 38-year-old man presents to the primary care clinic with 8 months of abdominal pain. The patient describes persistent, sharp pain that worsens after eating. The patient has been evaluated by multiple specialists, undergone several imaging studies, and tried various dietary modifications without relief. He is frustrated that he has not yet received an explanation for this pain. He reports anxiety only when thinking about the pain and has not experienced excessive worry about other aspects of life. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 15/min, and blood pressure is 135/85 mmHg. Cardiopulmonary and abdominal examinations are unremarkable. Mental status examination reveals a frustrated individual with restricted affect and linear and logical thought processes. Complete blood count, basic metabolic panel, and abdominal ultrasound are normal. Which of the following is the most likely diagnosis?
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