Presentation
Patient B presented with physical and psychological symptoms. Patient C presented with mainly psychological symptoms. [primarypsychiatry.com]
Commonly presented clinical problems include hallucinations, depression, suicidal ideation, dissociative symptoms, and amnesia. Factitious disorders can cause serious morbidity and mortality. [scopemed.org]
The distinction between material and psychological incentives is an important one for "care behaviour" (Henderson 1974) in others is an important incentive, always present in such cases. [priory.com]
Furthermore, patients may have actual medical conditions which complicate the presentation. [clinicaladvisor.com]
[…] in the clinical presentation 300.19 With Combined Psychological and Physical Signs and Symptoms: if both psychological and physical signs and symptoms are present but neither predominates in the clinical presentation Reprinted with permission from the [behavenet.com]
Entire Body System
- Malingering
Malingering or factitious disorder is the faking or intentional exaggerating of symptoms of a psychiatric illness. [forensicpanel.com]
Davey is malingering, which occurs when a person fakes or makes him or herself sick for a clear motive. Malingering is not considered a psychological disorder. [study.com]
Malingering is not a form of mental illness. However, people who adopt malingering behaviors often have a diagnosable mental illness called antisocial personality disorder. [elementsbehavioralhealth.com]
Malingering is not a psychiatric diagnosis, and may be easier to identify than factitious disorder as the motivation for feigning illness in malingering is usually much more clear. [clinicaladvisor.com]
Regarding malingering, there were no specific secondary gains as she had a stable housing and financial situation. [primarypsychiatry.com]
- Epilepsy
For example, a person with epilepsy may then have non-epilepsy related seizures after a traumatic event has happened. Anxiety disorders, especially panic disorder, and depression are both common. [pbmhmr.com]
The "thyroid carcinoma" proved to be a benign nodule, there was no definite evidence for epilepsy (the EEG presented non-specific abnormalities and he never had seizures while in hospital). [priory.com]
[…] infection or ingesting central nervous system [CNS]-active medications to induce psychiatric symptoms); individuals with an actual medical condition may provide a fictitious history consistent with their condition (eg, pseudoseizures in a patient with epilepsy [emedicine.medscape.com]
[…] with health care workers as child; rejecting family; illness --> recreate desired bond Factitious Disorder - Clinical Features (physical) excellent at feigning symptoms; motivation to assume sick role; commonly feigned illnesses - cancer, diarrhea, epilepsy [quizlet.com]
Meadow, R. (1984), 'Fictitious epilepsy', Lancet, vol. 2, pp. 2-28. Meadow, R. (1985), 'Management of Munchausen Syndrome by Proxy', Archives of Disease in Childhood, vol. 60, pp. 385-393. Meadow, R. (1997), 'Fatal abuse and smothering' in R. [aifs.gov.au]
- Weakness
If they don't, physical therapy can be used for symptoms such as having trouble walking or muscle weakness. Psychotherapy can be very helpful in order to look at and change the thoughts that may be affecting the person. [pbmhmr.com]
They may be searching for a way to escape the stress of a demanding life by pretending to be weak, frail and sick. [futuresofpalmbeach.com]
A person with somatization disorder might complain of joint aches, vomiting, nausea, muscle weakness, as well as sexual dysfunction. [open.lib.umn.edu]
- Asymptomatic
Published in Internet: 13-12-2018 - Visits: 8394 Abstract A ten-year-old girl who consulted for the appearance of spots spread on the skin, of varied morphology, asymptomatic and of evanescent character, of two months of evolution. [pap.es]
Gastrointestinal
- Diarrhea
We report here the case of a 6-year-old boy who presented with possible pneumonia, nausea, vomiting, and diarrhea and whose mother was suspected of Munchausen syndrome by proxy. Some JCP and PCC articles are available in PDF format only. [psychiatrist.com]
[…] the victim's signs and symptoms are undetectable (when exaggerated or imagined) or inconsistent (when induced or fabricated).[4] For example, signs of dehydration may be undetectable in a toddler whose caretaker exaggerates the severity of the child's diarrhea [medscape.com]
[…] caretaker may: Add blood to the child's urine or stool Withhold food so the child looks like they can't gain weight Heat up thermometers so it looks like the child has a fever Make up lab results Give the child drugs to make the child throw up or have diarrhea [mountsinai.org]
- Vomiting
We report here the case of a 6-year-old boy who presented with possible pneumonia, nausea, vomiting, and diarrhea and whose mother was suspected of Munchausen syndrome by proxy. Some JCP and PCC articles are available in PDF format only. [psychiatrist.com]
In intense Munchausen syndrome by proxy, the person resorts to measures such as inducing vomiting, poisoning, removing blood from the child, and suffocation. [medscape.com]
She eats food that she knows will make her vomit, and once or twice, she's taken drugs that will cause symptoms. [study.com]
According to experts, common conditions and symptoms that are created or fabricated by parents or caregivers with MBPS can include: failure to thrive, allergies, asthma, vomiting, diarrhea, seizures, and infections. [childrensmn.org]
Gastrointestinal disorders such as vomiting and diarrhoea. Respiratory problems often with breathlessness and hyperventilation. Self-mutilation causing extensive scarring or loss of body parts, such as fingers. Malnutrition and anaemia. [patient.info]
- Blood in Stool
Blood samples do not match the child's blood type. Drugs or chemicals are found in the child's urine, blood, or stool. Exams and Tests To diagnose Munchausen syndrome by proxy, providers have to see the clues. [mountsinai.org]
Blood samples do not match the child's blood type. Drugs or chemicals are found in the child's urine, blood, or stool. To diagnose Munchausen syndrome by proxy, providers have to see the clues. [medlineplus.gov]
Psychiatrical
- Denial
Munchausen patients cling to denial, even with overwhelming evidence that they have been the source of their own illness or injury. [ojp.gov]
Such denials are sometimes contradicted by surgical scars, by other evidence from the physical examination, or by laboratory, radiologic, or other test findings that suggest a significant medical or surgical history (eg, the presence of benign surgical [emedicine.medscape.com]
1.0 out of 5 stars Absurd book Reviewed in the United Kingdom on May 16, 2012 Having read `Sickened' by Julie Gregory immediately before this book, and having conducted some minor research online into the aftermath of Julie's story and discovering the denial [amazon.com]
This form of treatment can be unsuccessful if the family is uncooperative or displays signs of denial and/or antisocial disorder. Psychotherapy is another method used to treat the disorder. [en.wikipedia.org]
However, even in situations where patients are caught “red-handed,” there may be an impressive level of denial with patients going so far as to assert that events never actually took place. [primarypsychiatry.com]
Neurologic
- Seizure
[…] by an individual with a previous history of seizure disorder), or any combination or variation of these. [psychone.net]
For example, a person with epilepsy may then have non-epilepsy related seizures after a traumatic event has happened. Anxiety disorders, especially panic disorder, and depression are both common. [pbmhmr.com]
These include: faking symptoms - for example, choosing symptoms that are difficult to disprove, such as having a severe headache or pretending to have a seizure or to pass out tampering with test results - for example, heating a thermometer to suggest [www2.hse.ie]
According to experts, common conditions and symptoms that are created or fabricated by parents or caregivers with MBPS can include: failure to thrive, allergies, asthma, vomiting, diarrhea, seizures, and infections. [childrensmn.org]
- Confusion
There's too much confusion, I can't get no relief.. . ."" [psychiatrictimes.com]
The person may appear confused, make absurd statements, and report hallucinations (the experience of sensing things that are not there; for example, hearing voices). [my.clevelandclinic.org]
Ganser syndrome is a form of factitious disorder that was first observed in prison which involves making absurd statements, appearing confused and experiencing things that are not there. 3 Factitious disorder with predominant physical signs and symptoms [ietherapy.com]
Factitious disorder may be confused with another type of mental disorder called somatoform disorder. If a person has this disorder, then they are not pretending to be sick. The person really believes that there is something physically wrong. [wmhs.com]
- Convulsions
Fabricated psychiatric form Many fictitious somatic symptoms have been described, with a predominance of bleeding, apnea, fever, convulsions, and hypoglycaemia. [omicsonline.org]
Urogenital
- Hematuria
Chew BH, Pace KT, Honey RJ: Munchausen syndrome presenting as gross hematuria in two women. Urology 2002;59:601. [karger.com]
[…] substances to simulate bleeding; Vomiting precipitated by ipecac administration; Diarrhea induced by laxatives or salt administration; Hypoglycemia from administration of insulin or hypoglycemic agents; Rashes from caustic substances applied to the skin; Hematuria [medscape.com]
[…] factitious history plus the manipulation of assessment instruments (eg, claiming illness and manipulating a thermometer to show fever) A factitious history plus the use of external agents that mimic disease (eg, adding exogenous blood to urine and claiming hematuria [emedicine.medscape.com]
[…] child; rejecting family; illness --> recreate desired bond Factitious Disorder - Clinical Features (physical) excellent at feigning symptoms; motivation to assume sick role; commonly feigned illnesses - cancer, diarrhea, epilepsy, hypoglycemia, FUO, hematuria [quizlet.com]
Patients may also falsify objective signs by tampering with equipment or laboratory specimens, such as by manipulating a thermometer to produce evidence of a fever, or by adding blood to a urine sample to simulate hematuria. [clinicaladvisor.com]
- Macroscopic Hematuria
Munchausen syndrome in the act of creating and enacting macroscopic hematuria. Urol Int. 2014;93(3):371-2. 18 Goldfarb J, Lawry KW, Steffen R, Sabella C. [scielo.br]
Workup
Preliminary workups reveal that there is no cyst or obstruction, no infection, and no apparent reason for the pain. The young woman demands surgery to remove her appendix. [luxury.rehabs.com]
[…] angry, disruptive, or attention-seeking behavior during hospitalization Evidence of pathologic lying in areas other than the presenting symptoms Fluctuating clinical course, including rapid development of complications or a new pathology if the initial workup [emedicine.medscape.com]
[…] biological and neuropsychological factors important (impaired hemispheric communication); pre-existing psychiatric illness, depressive disorders, anxiety disorders, schizophrenia, somatization disorder Conversion Disorder - management thorough medical workup [quizlet.com]
[…] complications of Factitious Disorder Imposed on Self (FDIOS) / Factitious Disorder Imposed on Another (FDIOA) include: The artificial production of illness can lead to emotional distress in the individual (or victim) and their family members Multiple workups [dovemed.com]
Serum
- Hyperglycemia
Further, patients may intentionally not comply with medical therapy in order to aggravate a pre-existing condition, such as by deliberately not taking prescribed insulin in order to exacerbate hyperglycemia. [clinicaladvisor.com]
Treatment
[…] advice for patient management, summarising treatment specifics with tables and treatment flowcharts). [books.google.com]
Invention of psychological symptoms never felt before by the patient and deliberate intervention in the psychiatric treatment to modify the evolution of the illness were less frequent. [ncbi.nlm.nih.gov]
Prognosis
Pain Disorder - course and prognosis varies; can be chronic and disabling; prognosis worse when: patient has characterological (personality) traits, is involved in litigation, is receiving financial compensation, using addictive substances Pain Disorder [quizlet.com]
ONGOING CARE PROGNOSIS Fair to poor especially if etiology underlying the disorder cannot be addressed The long-term outcomes of untreated factitious disorder worse than other severe mental disorders su... REFERENCES 1 Pulman A, Taylor J. [5minuteconsult.com]
ICD codes for this diseases: F68.1 Munchausen syndrome cases in Germany Map Recommended specialists Experts by Cities Your Location Munchausen syndrome cases in Germany 124 cases in the year 2020 124 cases in the year 2023 ( Prognosis ) The predicted [leading-medicine-guide.com]
Prognosis The prognosis of factitious disorder varies by subcategory. Males diagnosed with the psychological subtype of FD are generally considered to have the worst prognosis. Self-mutilation and suicide attempts are common in these individuals. [minddisorders.com]
However, every effort should be taken to protect them from doing further damage to themselves (or victims) The prognosis varies from fair to poor depending on the severity and chronicity (prolonged period). [dovemed.com]
Etiology
Clayton Springer Science & Business Media, ١٥/٠٥/٢٠٠٨ - 799 من الصفحات Psychiatry has emerged as a burgeoning scientific field with major advances in etiology and treatment of several disorders. [books.google.com]
Identification of factitious psychological disorders also may be more difficult than identification of factitious physical disorders because verification of the etiology rests primarily with the patient. [health.am]
Dementia A true Dementia frequently has a demonstrable organic etiology or pathophysiological process. [dsm.wikia.com]
ONGOING CARE PROGNOSIS Fair to poor especially if etiology underlying the disorder cannot be addressed The long-term outcomes of untreated factitious disorder worse than other severe mental disorders su... REFERENCES 1 Pulman A, Taylor J. [5minuteconsult.com]
Epidemiology
Disorders e e e e e s e a e 332 Malingering 340 The Affective Disorders 349 Biological Considerations 369 Biological 375 Delusions a s e e 383 Theories of Delusional Thinking 399 Delusions as Rational Systematic Explanations 402 The Schizophrenias 411 Epidemiology [books.google.com]
Standard epidemiological techniques are constrained by the fact that Factitious Disorder always involves deception… » » In Factitious Disorder With Predominantly Psychological Signs and Symptoms, the intentional giving of approximate answers may occur [recurrentdepression.com]
Bursztajn, MD and Irene Coletsos, MD Reviewed 06/2022 BASICS DESCRIPTION EPIDEMIOLOGY ETIOLOGY AND PATHOPHYSIOLOGY RISK FACTORS COMMONLY ASSOCIATED CONDITIONS DIAGNOSIS HISTORY PHYSICAL EXAM DIFFERENTIAL DIAGNOSIS DIAGNOSTIC TESTS & INTERPRETATION TREATMENT [5minuteconsult.com]
Literature lacks more consistent studies about this syndrome epidemiology, therapeutic management and prognosis. [scielo.br]
To address this issue, we performed a nationwide epidemiological study in Norway on the incidence of these diagnoses in an unselected patient population. [hindawi.com]
Pathophysiology
Dementia A true Dementia frequently has a demonstrable organic etiology or pathophysiological process. [dsm.wikia.com]
Bursztajn, MD and Irene Coletsos, MD Reviewed 06/2022 BASICS DESCRIPTION EPIDEMIOLOGY ETIOLOGY AND PATHOPHYSIOLOGY RISK FACTORS COMMONLY ASSOCIATED CONDITIONS DIAGNOSIS HISTORY PHYSICAL EXAM DIFFERENTIAL DIAGNOSIS DIAGNOSTIC TESTS & INTERPRETATION TREATMENT [5minuteconsult.com]
Definition and Classification Somatization has been defined as the occurrence of one or more physical complaints for which appropriate medical evaluation reveals no explanatory physical pathology or pathophysiologic mechanism. [pedsinreview.aappublications.org]
Response of an individual and his/her family to symptoms pathophysiological process and documentable lesions attention patients give to and how they interpret their bodily symptoms, and what action they take about their symptoms Abnormal Illness Behavior [quizlet.com]
Prevention
Confidentiality requirements prevented the transfer of critical medical information and delayed the diagnosis. Corroboration of the details of personal and medical history may lead to earlier diagnosis and prevent unnecessary medical intervention. [archives-pmr.org]
Prevention There are no current guidelines to prevent factitious disorder. An overview of factitious disorders. Cleveland Clinic website. Available at: https://my.clevelandclinic.org/health/articles/an-overview-of-factitious-disorders. [wmhs.com]
Because the cause of factitious disorder is unknown, there's currently no known way to prevent it. [mayoclinic.org]
Prevention Recognition of Munchausen syndrome by proxy in the child-parent relationship can prevent continued abuse and unnecessary, expensive, and possibly dangerous medical testing. References Dubowitz H, Lane WG. Abused and neglected children. [mountsinai.org]