Medical Management Of A Patient Needing A Diagnosis Of Exclusion

Document Type

Conference Proceeding

Publication Date



A 14-year-old boy was admitted to the pediatrics floor with an ascending bilateral lower and upper extremity weakness. The patient was unable to walk without assistance and deep tendon reflexes were absent. A neurology consult could not confirm he had Guillain Barre syndrome because he did not fit the classic picture. He told the pediatric team that he had a big school assignment due but had not started it. This prompted the team to believe he had factitious disorder, a diagnosis of exclusion. This case discussion will go over professionalism concerns when faced with diagnoses of exclusion.


American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.