Munchausen Syndrome and Munchausen Syndrome by Proxy

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Producing illness Caregiver causes a condition in the child Poisoning child Asphyxiating child Much more common than simulating illness Rosenberg study showed 70% producing illness
Victims Usually less than 5 years old Mean age 20 months No gender predominance Signs/symptoms disappear when removed from offender
Page 1 and 2: Munchausen Syndrome and Munchausen
Page 3 and 4: Fatal child abuse Typically from P
Page 5 and 6: Malingering vs. Muchausen Malinger
Page 7 and 8: Munchausen Syndrome Need to assume
Page 9 and 10: Recent changes to nomenclature APS
Page 11 and 12: MSBP Typically seen in children Fo
Page 13 and 14: Epidemiology True numbers unknown
Page 15: Simulating illness State false his
Page 19 and 20: Common Characteristics MSBP Offende
Page 21 and 22: Suspicions for MSBP Child with mul
Page 23 and 24: Suspicions for MSBP Symptoms not p
Page 25 and 26: Poisonings Very difficult to diffe
Page 27 and 28: Vomiting and ipecac Most common re
Page 29 and 30: Difficulties in recognition Majori
Page 31 and 32: Covert Video Surveillance Allows f
Page 33 and 34: Role of Physician Usually the firs
Page 35 and 36: Role of Risk Management Evaluate t
Page 37 and 38: Role of Attorney Work with risk ma
Page 39 and 40: Team approach “The complexities i
Page 41 and 42: CHOA cases 23 of the 41 cases were
Page 43 and 44: Mothers’ behaviors Remarkable fo
Page 45 and 46: Atlanta presenting signs/symptoms
Page 47 and 48: MSBP ruled out by CVS 4 cases with
Page 49 and 50: As in the AJC 3/12/07 Father caught
Page 51 and 52: Per the website www.msbp.com “The
Page 53 and 54: AAP Recognize MSBP States that CV
Page 55 and 56: A diagnosis is made, now what? Fir
Page 57 and 58: Survivors of MSBP Many suffer from
Page 59 and 60: Confusion and misdiagnosis Patient
Page 61 and 62: Role of community Recognize that M
Page 63 and 64: Case of MSBP in PICU Not previousl
Page 65 and 66: Summary of MSBP Caregiver, typical
Page 67:
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Munchausen Syndrome and Munchausen Syndrome by Proxy

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