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Factitious disorder (Munchausen's syndrome) (Pathophysiology…
Factitious disorder
(Munchausen's syndrome)
Definition
Psychological disorder of
intentional production of physical or
psychological signs and symptoms
Epidemiology
Rare
Pathophysiology
Maladaptive coping
Disrupted illness behaviour and sick role
No external incentive (unlike malingering)
Trauma history
Abuse, neglect, medical problems,
medical mismanagement
Psychological
Type of PD
Clinical
presentation
Physical
Pain
Pyrexia
Dermatoses
Diarrhoea
Infection
Intoxication
By proxy
Parent to child
Psychological
Pseudo-seizures
Psychosis, mania
Diagnosis
Examination
Discrepancies between findings
Investigations
Mostly nil findings
History
Inconsistent, changing
Management
Initial ABCDE
Definitive
Explanation and support
Manage comorbid problems