Malingering, factitious disorders and somatoform disorders Quiz: Ace Your Exams
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A 34-year-old man presents to the emergency department for evaluation of difficulty sleeping. The patient states, “Doctor, I can’t sleep. There has to be something wrong. I think I need another CT scan of my brain.” The patient is otherwise healthy and does not take any medications daily. The patient's mother died from glioblastoma multiforme three years ago. When questioned further, the patient has been reading about brain tumors for multiple hours per day and has lost interest in activities he used to enjoy. The patient has started taking nutritional supplements and exercising excessively in an attempt to prevent cancer. This is the patient's 4th emergency department visit with similar presentations in the past six months. Vital signs are within normal limits, and neurologic examination is non-focal. Which of the following is the most likely diagnosis?
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