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Updated: Aug 11 2022


  • Snapshot
    • A 45-year-old man comes to your office complaining of severe back pain. This is his fourth visit in 2 months. You offer a orthopedic surgery consult which he denies. He has asked you each visit if you would sign a form to receive long-term disability compensation. After much debate during this visit, you decide to sign the form. The patient does not return to your office again.
  • Introduction
    • Clinical definition
      • patient consciously fakes illness in order to attain secondary gain
        • e.g., claim disability compensation, attain drugs
      • patients will avoid treatment
  • Presentation
    • Symptoms
      • vary based on complaint
    • Complaints stop once secondary gain is obtained
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