After witnessing a violent argument between her parents, a young woman develops sudden blindness, but does not appear as distraught as would be expected by this development. Her pupils react normally to light, and she manages to somehow avoid obstacles when walking. Her parents, who are in the middle of a bitter divorce, put aside their differences to focus on their daughter's illness. Most likely diagnosis?
B. Malingering
C. Somatization disorder
D. Conversion disorder
The
Answer is. (D). Conversion
disorder
Conversion disorder Pesudoblindness
.Conversion disorder is made only after history of stressor and pt will
complain of some bodily problem of motor type like pseudoparalysis,
pseudoseizure , pseudoaphonia or sensory type like pseudoblindness not
explained by any organic problem. The hall mark of hysteria == conversion disorder or == dissociated disorder is Astia Absia & Labella indifference. In this case she is
not appear as distraught
as would be expected by this. Which is emotional
indifference.Malingering -pt is pretending illness with some bad motive like to
gain money from health insurance company Factitious disorder- Pt is pretending illness
without any external motive but just want to show him sick to gain sympathy from doctor & others Somatization
- Pt presents with multiple physical problems like pains, GIT problems etc even
though physical
examination and investigations r repeatedly normal.
