A 29-year-old woman attends for the fourth time in six months with headache, abdominal pain and difficulty sle…

Question

A 29-year-old woman attends for the fourth time in six months with headache, abdominal pain and difficulty sleeping. Investigations at the previous visits were all normal. Her partner has come to every appointment, sits close beside her and answers most of the questions; today he says she has been making things up again. She has cancelled two specialist referrals. She looks down when he speaks, and her arms are covered despite the heat. Which one of the following should the registrar do first?

Accepted Answer

See her alone and ask about safety

Answer

Arrange a mental health treatment plan

Answer

Commence sertraline 50 mg orally daily

Answer

Refer her to a psychologist for review

Answer

Repeat her blood tests and inflammatory markers

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