Lesson: Somatoform disorders(Vinhean)

Objective: student be able to aware the unexplained the somatic symptoms due to mental health problem. Senario 14- A 35 years old woman complaint of fatigue for 1 year. At this time, she had frequently cold and sore throats; sometime she had leg, back, arm pain. The physical examination reveal abnormality in the last 1 year. 1- The excessive preoccupation with having an undiagnosed medical condition could be the clinical feature of:

2-Excessive thought, feeling, and behavior to physical complaints could be the symptom of:

Senario 15- A 30-year-old unemployed man, believes that he suffers from AIDS. He needs to go to a hospital for monthly HIV test despite negative results. 1/-What is the most information you need to explore?

2/-What is the main clinical feature list below?

3/-What is the probable diagnosis?

Scenario 16- A 27-year-old beer promotion woman presents constipation sometime. She believes that her bowel was cut into several pieces and always tells her relatives or friends despite they always confirm that it is impossible. 1/-What is the most information you need to explore?

2/-What is her clinical features?

3/-What is the probable diagnosis?

Senario 17- A 31-year-old widower, farmer, 3 children,had a chronic dysfunctional uterine bleeding,upper abdominal pain and back pain with alternating diarrhea and constipation,urinary frequency and dysuria. GPs could not found any physical illness related. 1/-What is the most information you need to explore?

2/-What is the probable diagnosis?

Senario 18-A 43 years old man complaints of irritable, insomnia, hypervigilance, poor concentration, fearful and palpitation. The symptoms developed 1 week after meeting a man died by traffic accident. 1- What is the probably diagnosis of this patient?