A patient has sharply geometric ulcers on accessible sites, inconsistent histories and repeated negative investigations. She denies manipulating the

Question

A patient has sharply geometric ulcers on accessible sites, inconsistent histories and repeated negative investigations. She denies manipulating the skin. Which consultation strategy is most appropriate?

Accepted Answer

Provide neutral wound care and maintain therapeutic continuity

Answer

Discharge after documenting suspected factitious disorder

Answer

Transfer care immediately to psychiatry without follow-up

Answer

Use occlusive dressings solely to prove manipulation

Answer

Require an admission of self-injury before further treatment

Dermatitis Artefacta — SCE Dermatology MCQ

A patient has sharply geometric ulcers on accessible sites, inconsistent histories and repeated negative investigations. She denies manipulating the skin. Which consultation strategy is most appropriate?