Munchausen Syndrome and Munchausen Syndrome by Proxy

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Stems from a case at Vanderbilt Philip Patrick Died at 11 months of age Mother, Julie, started the webpage She was exonerated after review of autopsy showed he died of peritonitis MSBP was given as initial cause of death and parents were only allowed limited visitations
AAP Recognize MSBP States that CVS is not the gold standard for diagnosis of MSBP Advises use of multidisciplinary team approach to cases of suspected MSBP
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 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: Per the website www.msbp.com “The
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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