munchausen syndrome by proxy…

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munchausen syndrome by proxy, form of child abuse, a parent induces real, apparent symptoms of a disease, child, this syndrome always, mother abusing her child by seeking unneeded medical attention, rare, poorly understood, mother, fake symptoms of illness in her child by adding blood, child's urine, stool, withholding food, falsifying fevers, surreptitiously giving emetics, cathartics to simulate vomiting, diarrhea, using other maneuvers, infecting iv lines to make the child appear, become ill, children, hospitalized, groups of symptoms that don't quite fit classical disease findings, children, made to suffer, unneccessary tests, surgeries, uncomfortable procedures, parent, in the hospital setting, appreciated by the nursing staff, the care she gives her child, is commonly, devoted, unusually self-sacrificing, make medical professionals unlikely to suspect the diagnosis, frequent visits unfortunately also make the child accessible to her so that, induce further symptoms, changes in physical exam, vital signs, never witnessed by hospital staff, always occur in presence, the mother, munchausen syndrome occurs, psychological problems, in the adult, generally an attention-seeking behavior, syndrome, life-threatening, the child involved, this unusual behavior, escalate, point of severe physical harm, death, symptoms, see the discussion under the causes, section, , child's symptoms, not fit a classical picture of illness, not fit together well, child's symptoms improve, hospital but reappear on return, blood in lab specimens, does not match the patient's blood type, presence of drugs, chemicals in serum, stool, urine samples cannot be accounted, parent is overattentive, "too helpful", raises suspicion, in the face of other findings, parent, involved, health-care field, nursing, once the syndrome is recognized, child needs to be protected, removed from direct care, the parent, parent should not be accused, offered help, form of child abuse, syndrome must be reported, authorities, psychiatric counseling, the parent involved, the disorder is rare, very little is known, effective treatment, difficult disorder to treat in parents, little information on the best types of care, outcomes, years of psychiatric support, children, require medical care to treat the injuries which were inflicted, psychiatric care to deal, depression, anxiety, provoked by child abuse, children, die from infections, injuries inflicted by parents, munchausen's by proxy, child, have complications from injuries, infections, medications, surgeries, risk, psychological complications, depression, anxiety, post-traumatic stress disorder, others is increased in survivors of child abuse, this condition is diagnosed by the health care provider, the child is treated, various symptoms, find, urges to harm child, seek psychiatric care, recognition of munchausen syndrome, in the child-parent relationship, prevent continued abuse, unnecessary, expensive, possibly dangerous medical testing.