Rheobase Medicalover 6 years ago

Lets see if you can answer this..

Q. A 26-year-old female 👩 was reported for recent suicide attempts with overdose. Her self-reported history was inconsistent and incomplete. She reported that she was recently given a grave prognosis of her medical condition, Systemic mastocytosis, by her hemato-oncologist. She was convinced that, even with treatment 💊, she would hardly survive more than 1−2 years. Her depression got worse after knowing about this terminal illness. The patient was very dramatic and manipulative and was very defensive about her past medical history. Further inquiries gave evidence of a disturbed personality, chaotic childhood environment, history of physical and sexual abuse, severe family conflicts during growing years, relationship issues, and self-injurious behavior. Her previous medical records 📂 show multiple hospitalizations 🏥, including numerous emergency department (ED) visits, with multiple physical complains, and extensive work-up was done. Each time, when in the ED, she self-reported various past medical diagnoses, which were listed in her medical records without any confirmation of reported diagnosis. Extensive work-up was done without having any positive results. She reported having multiple allergies without mentioning about specific reactions. Her blood tests 🔬 , such as CBC and peripheral blood films, never showed any abnormal immature cells. On contacing 📞 here previous doctor, it came to knowledge that, She was only seen there once, in the ER, for some atypical chest pain, and was diagnosed with muscular chest pain. She was never seen by any hemato-oncologist and was never diagnosed with SM. What is your diagnosis? 💭