Discuss on symptoms - headache, dizziness, blurry vision


Assignment task: A 38-year old mother of four walks into an Emergency Room (ER) five hours from where she lives. She complains of a severe headache, dizziness and blurry vision. An ER nurse takes her vitals and everything is normal, but the mother insists she is really sick. The ER doctor orders a full blood work panel, and they come back normal as well. The mother gets more angry and agitated, then falls to the floor in what appears to be a seizure. The ER doctor orders Electroencephalography (EEG) of her brain, and this is also normal. The doctors decide to admit her to the hospital and continue to monitor her and notify her immediate family. Her husband responds to the nurse with "she is in the hospital again?! Where now?". The nurse asks what he means, and he goes on to explain that she has been hospitalized in four different hospitals on four separate occasions in the last 6 months with the same symptoms and that nothing has come back abnormal. He then goes on to say that these symptoms arose soon after he told her he wanted to file for divorce. He said she became "hysterical" begging him not to leave her and throwing items at the wall. He told her she needed to spend the night at a hotel to "cool off" and that they could discuss it further the next day. The next morning when she came back, she told him she felt ill, then suddenly fell to the floor seizing. He called 9-1-1, and she was admitted over night. He agreed he would not file for divorce as she was not physically well and needed help with the children. This then happened 3 more times while he brought up marital issues. He told the nurse "this is the last straw. She is manipulating me so I won't file for divorce." After hanging up with the patient's husband, the nurse notifies the doctors, and they refer the patient to psychiatry. She tells the hospital psychiatrist that it's her husband's fault. If he would just be a "good husband" and give her the attention she needs, none of this would have happened. The psychiatrist follows up asking what she means. She gets flustered and says she is feeling ill again and doesn't want to talk anymore. While the psychiatrist is leaving her room the patient experiences another "seizure". Doctors run additional tests and still find nothing wrong and release her from the hospital. Most likely the mother is experiencing symptoms of   [ Select ]  ["Dissociative Fugue", "Munchausen Syndrome", "Epilepsy", "Panic Disorder", "Dissociative Amnesia", "Conversion Disorder"]  . The best treatment from the options below would be:   [ Select ]  ["Hospitalization", "Anticonvulsants", "No reliable treatment currently exists", "Electroconvulsive Therapy", "Antianxiety Medication"]  .

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Other Subject: Discuss on symptoms - headache, dizziness, blurry vision
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