AssessmentsPhysical and sexual abuse
Physical and sexual abuse
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 27-year-old woman is brought to the emergency department by the police. The police officers mention that they found the patient sitting naked near the beach. When asking the patient about her personal information, she has no recollection of who she is, where she is from, or what happened prior to being found on the beach. Upon further interrogation, the patient seems confused, disoriented and has to be reminded several times that she is in the hospital. Exhaustive physical examination shows extragenital injury, vaginal bleeding, and minimal signs of dehydration. Her temperature is 36.6°C (97.8°F), pulse is 102/min, respirations are 20/min, blood pressure is 110/80 mmHg. Laboratory studies are normal and the toxicology screen is negative. Which of the following is the most likely diagnosis?