PETER R. BERGETHON, M.D.
To the editor: Facticious etiologies of disease syndromes or signs are considered frequently in the differential diagnosis of patients with paradoxical histories and findings. As medicine has developed an ever-increasing "high-tech" sophistication, so have patients who present with facticious disease.
A 33-year-old man presented to our hospital wth epigastric pain, hematemesis, melanotic stools, and dizziness for 2 days. He reported recent discharge from an Arkansas hospital after undergoing treatment for a bleeding ulcer that required transfusion. On physical examination he was orthostatic to both blood pressure and pulse. Except for epigastric discomfort on deep palpation his examination was normal. Rectal
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BERGETHON PR. Facticious Ventricular Tachycardia. Ann Intern Med. 1987;107:593–594. doi: 10.7326/0003-4819-107-4-593
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Published: Ann Intern Med. 1987;107(4):593-594.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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