SOLVED1888
An otherwise healthy adult patient presents to the hospital because they fear their heartbeat is abnormal. They deny any palpitations. The patient’s EKG, 24-hour telemetry, and echocardiogram indicate normal results. The patient remains convinced that they have a life-threatening arrhythmia despite a normal workup and another normal evaluation from a neighboring hospital 6 months ago. They check their pulse countless times a day to see if their rhythm is irregular. The patient has an outburst at the medical team, demanding more tests. They are currently working part-time until they “get to the bottom of this.” They admit to exaggerating symptoms but remain confident about having an arrhythmia. Psychiatry is consulted. What is the most likely diagnosis? A. Somatic symptom disorder B. Pain disorder C. Functional neurological symptom disorder (conversion disorder) D. Illness anxiety disorder
SCIENCE
HEALTH SCIENCE
NURSING
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