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Flashcards in Munchausen's Disorder Deck (22):
1

3 Types of Munchausen's Disorder

Munchausen's Syndrome
Munchausen's Syndrome by Proxy (MSBP)
Munchausen's Syndrome by Internet (CyberMunch)

2

Define Munchausen's

Factitious disorder in which a person exaggerates or creates symptoms of illnesses in themselves to gain investigation, treatment, attention, sympathy, & comfort from medical personnel

3

Define Malingering

Feigning illness & has an external incentive (Avoiding work, obtaining money)

4

Define Factitious Disorder

No other incentive than to be a patient & experience the sick role (looking for attention)
Patient's know they are not sick

5

Hypochondriasis

Patients believe they actually have the disease

6

Etiologies of Munchausen's Disorder

History of abuse or neglect as a child
History of frequent illness requiring hospitalization when they were younger

7

Symptoms of Munchausen's Disorder

Dramatic but inconsistent medical history
Unclear symptoms that are not controllable
Predictable relapses
Extensive knowledge of hospitals or med terms (textbook descriptions of illnesses)
Multiple surgical scars
New/additional symptoms following negative tests
Presence of symptoms only when patient is alone
Willingness to have medical tests, operations, or procedures
Seeking treatment at numerous hospitals
Reluctance by patient to meet with family or prior doctors

8

Common Presentation of Muchausen's Syndrome by Proxy

Illness that is unexplained, unusual, prolonged, & resistant to treatment
Problem only originates in presence of perpetrator
Perpetrator less concerned about child's illness than clinicians providing care

9

Signs/Symptoms of Munchausen's Syndrome by Proxy

Bleeding from various sites
Seizures
CNS depression
Apnea

10

Self-induced Infections

Wounds
Abscesses
Bacteremia
Sepsis
Fever

11

Surreptitious Ingestion of Medicines, Vitamins, Minerals

Diarrhea
Vomiting
Hypokalemia
Renal failure
Hypomagnesemia
Salt poisoning
Bartter's syndrome
Hypoglycemia
Pheochromocytoma
Hyperthyroidism
Bleeding or purport from coagulation disorder
Bone marrow depression
Liver Disease

12

Self-Induced Injury

Unhealed wounds
Deformities
Dermatoses
Reflex sympathetic dystrophy

13

Phlebotomy (Self or Animal)

Anemia
Melena
Hematochezia
Hematemesis
Hematuria

14

Thermometer Manipulation or Substitution fo Thermomter

Fever

15

Simulation of the Clinical Manifestations of Specific Diseases or Syndromes

CA
AIDS
CF
Pancreatitis
Insanity
Depression
MS
Seizures
Pain syndromes
Renal stones
Proteinuria

16

Define Munchausen by Proxy

Fabricating or inducing illness in a child by the parent or primary caregiver in order to get attention

17

Characteristics of Perpetration for Munchausen by Proxy

Biological mother
Usually 20-30
Seem to be loving & caring when around medical staff
Marital conflict
50% have medical training
Little emotion when child in distress/pain

18

Common Presentations of Munchausen's Syndrome by Proxy

GI bleed or UTI
Vomiting or reflux
Diarrhea
Apnea
Hypoglycemia

19

Diagnosis fo Munchausen's Syndrome

Recognition
Common Presentations: feign, simulate, exaggerate, aggrevate, incude
Complete H&P

20

Management of Munchausen's Patient

Multidisciplinary approach
Multidisciplinary child protection team
Hospitalization
Safety of child most important

21

Define Munchausen's by Internet (CyberMunch)

Join support groups on the internet and then falsify stories about themselves so that others will show sympathy towards them & talk to them about their "misfortunes"

22

Conclusion of Munchausen's Syndrome

Real disorder
High chance of serious health problems
70% chance of dying if lifelong
Be loyal & compassionate with these patients
Take time for complete H&P