During a family conference all members of the team are

A 30-year-old woman presents with abdominal pain for two weeks. She provides a medical record stating that she has gastric carcinoma. She compliments your “attention to details” unlike her previous family physician. On physical exam, she is noted to be completely normal. Laboratory studies are within normal limits. Computed tomography of the abdomen reveals no abnormality. When questioned with evidence of falsification, she becomes very disruptive and departs against medical advice. After reviewing the medical records from the previous clinician, a similar behavior pattern was described without a clear motive of benefit. Which of the following is the most likely diagnosis? Conversion disorder Delusional disorder Factitious disorder Malingering

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