Factitious disorder Quiz: Ace Your Exams
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A 3-year-old boy is brought to the emergency department to evaluate a cough. The mother states, “he’s been coughing all week, and I’m so worried he has pneumonia. We saw our pediatrician earlier today who said everything was fine, but he must be missing something!” The patient has a past medical history of NICU admission for respiratory distress in the newborn. He has since been without complications or recurrent hospitalizations. Chart review indicates that this is the patient's fourth emergency department visit for these symptoms over several months. Vital signs are within normal limits. Physical examination demonstrates a toddler playing with trucks on the ground with clear rhinorrhea from the nares. Cardiopulmonary auscultation is within normal limits. A chest radiograph is unremarkable. Which of the following is the most likely diagnosis?
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