Munchausen Syndrome and Munchausen Syndrome by Proxy

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Cases of hypoglycemia Low blood glucose Seen in patients with insulinoma Also seen in patients taking insulin or oral hypoglycemic meds Case report in Pediatrics 2005 of patient undergoing pancreatectomy
Vomiting and ipecac Most common reported toxin in MSBP cases Available on Amazon.com for $2.79 Can detect emetine and cephaeline in the urine for several weeks If given chronically, can cause GI bleed, electrolyte abnormalities, skeletal and cardiac myopathy Cardiomyopathy deaths reported
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 and 16: Simulating illness State false his
Page 17 and 18: Victims Usually less than 5 years
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: Poisonings Very difficult to diffe
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: Questions

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