Munchausen Syndrome By Proxy

Munchausen syndrome by proxy (MSBP) is a relatively uncommon form of child abuse in which a parent either induces or fabricates an illness in a child in order to secure for himself or herself prolonged contact with health care providers. 8 Children with MSBP may arrive at the emergency department with reported symptoms such as bleeding, seizures, altered mental status, apnea, diarrhea, vomiting, fever, rash, or multiple organ system involvement. These symptoms may result from administration of agents such as warfarin or ipecac.9 Often the cases are medically perplexing, and families frequently move from hospital to hospital, seemingly in search of diagnosis. Children with MSBP are often subject to multiple unnecessary tests as physicians seek to uncover the etiology of the disorder. The parent (biologic mother in 98 percent of cases) encourages the staff to do more diagnostic procedures and often seems uncharacteristically happy if a test is positive.

Social service and psychologic evaluation is mandatory in the evaluation and management of these children, who should be admitted to the hospital both to assure their safety and to institute needed therapy. Covert video surveillance has been used in some centers to document a parent's invasive actions. 10

How To Get Rid Of Bed Bugs

How To Get Rid Of Bed Bugs

If you seriously want know how to get rid of bed bugs, then this may be the most important letter you'll ever read!... Discover How To Solve Your Dilemma In What You Thought To Be Your Dream Vacation And Easily Taking The First Step To Conquer The Bed Bugs Trauma You May Have At This Moment! It doesn't matter, if you have never have any ideas on how to getting rid of bed bugs and how to banish it quickly in the shortest time possible, then this golden guides will show you everything steps you need to take against bed bugs banishing!

Get My Free Ebook

Post a comment