, 5 tweets, 2 min read Read on Twitter
Very disappointed by Medscape's USMLE practice question of the week. Asked to diagnose woman with unexplained pain and they don't even give a physical disorder as an option. Their 'correct' answer = Munchausen Syndrome. This is the bullshit we're teaching our docs?!
Munchausen Syndrome is considered rare, but the case of a woman with unexplained pain is anything but. There are numerous conditions that cause pain but are difficult to dx & don't show up on anything but the most specialized testing, if at all. A cbc does not show all, people!
Autoimmune diseases, mast cell activation disorders, Ehlers-Danlos Syndrome, #MyalgicEncephalomyelitis for example
Getting educated and trying to get better by suggesting treatment options when you have been suffering for months (in real life, oftentimes years) and given no treatment options from your doctors is a perfectly rational response the situation
Also, WebMD lists fevers as a possible presentation of Munchausens Syndrome. How in the fresh hell does someone voluntarily conjure up a fever? This is such utter baloney. I just can't. Nope. Bye.
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