muchausen by proxy handout
TRANSCRIPT
-
8/19/2019 Muchausen by Proxy Handout
1/11
!"##"$%
$
MunchausenSyndrome by Proxy
!"! $ %&'()()*+, -),*./0. 123*,0/ *4 !4*(50. 6%-1!7
8&40( 9&5)::; K)::)4A L @0&. *:/ ,*4M&.40(( N@ 3*),*4)4A 5)2 C)(5 ,&:(
H
14/+'0/ 5)A5 O+&4()()0, *> ,&:( )4(* 6+440'0,,&.@7,(*2&'5 (+N0
H
IP E),)(, (* 5*,3)(&: N0>*.0 M&.40((Q, /0&(5
H 14(0.&'(0/ C)(5 5+4/.0/, *> 20/)'&: 3.*>0,,)*4&:,
H F&'0@ & 50&E@ ,*')&: N:*AA0.
H 8+/A0 ,&)/ ,50 5&/ RS<
-0T4)()*4
H ! /&4A0.*+, (@30 K)4/ *> 2&:(.0&(204( )4C5)'5 '&.0A)E0., /0:)N0.&(0:@ &4/ .030&(0/:@0U&AA0.&(0,; >&N.)'&(0,; &4/V*. )4/+'0, &3.*N:02 *. 3.*N:02, )4 ,*20*40 +4/0. (50).'&.0=
14 (50 N0A)44)4AW
H X50.0 C&, S&.*4 E*4R+4'5&+,04=
H F)E0/ >.*2 YJIZ[YJ\J
H *. &/+:( 0E)/04')4A & _,)'K .*:0` N@ >&N.)'&()4A/.&2&()' 35@,)'&: &):204(,=
H
a0 .0>0..0/ (* (5), &, R+4'5&+,04 G@4/.*20H 14 Y\JJ; B*@ R0&/*C, $ & 30/)&(.)')&4 $ '*)40/ (50
(0.2 R+4'5&+,04 G@4/.*20 N@ &N.)'&(0/ *.)4/+'0/ ,)'K40,, )4 &4*(50. )4 (50). '5&.A0 (*200( (50). *C4 400/, >*. &((04()*4
! -),*./0. C)(5 R&4@b&20,
H R+4'55&+,04 -),*./0.[ !,50. Y\LY[ )4 -GR 111&4/ 1c
H R+4'5&+,04 N@
-
8/19/2019 Muchausen by Proxy Handout
2/11
!"##"$%
#
RS< (* %-1!
%).,( RS<
H R+4'5&+,04 N@ 3.*U@6RS&'()()*+, /),*./0.N@ 3.*U@
H W &4/ T4&::@ %&'()()*+,-),*./0. 123*,0/ *4!4*(50. 6%-1!7
-GRe XB
H
%&'()()*+, -),*./0.[ 4*( *(50.C),0 ,30')T0/X50 -GR[1c 3:&'0, %- N@ 3.*U@ 6RS0)A4)4A *>35@,)'&: *. 3,@'5*:*A)'&: ,)A4, *. ,@23(*2, )4&4*(50. 30.,*4 C5* ), +4/0. (50 )4/)E)/+&:g,'&.0 >*. (50 3+.3*,0 *> )4/).0'(:@ &,,+2)4A (50,)'K .*:0`=
-GR L
H PZZ=Y\ %&'()()*+, -),*./0. 123*,0/ *4 !4*(50.H ! $ %&:,)T'&()*4 *> 35@,)'&: *. 3,@'5*:*A)'&: ,)A4, *.
,@23(*2,; *. )4/+'()*4 *> )4d+.@ *. /),0&,0; )4 &4*(50.;&,,*')&(0/ C)(5 )/04()T0/ /0'03()*4
H S= X50 )4/)E)/+&: 3.0,04(, &4*(50. )4/)E)/+&: 6E)'()27 (* *(50.,&, )::; )23&).0/ *. )4d+.0/=
H X50 /0'03()E0 N05&E)*. ), 0E)/04( 0E04 )4 &N,04'0 *> *NE)*+,0U(0.4&: .0C&./,
H X50 N05&E)*. ), 4*( N0((0. 0U3:&)40/ N@ &4*(50. 204(&:/),*./0.; ,+'5 &, /0:+,)*4&: /),*./0. *. &4*(50. 3,@'5*()'/),*./0.
H b*(0[ (50 30.30(.&(*.; 4*( (50 E)'()2; .0'0)E0, (5), /)&A4*,),
H G30')>@f G)4A:0 03),*/0 *. .0'+..04( 03),*/0
-GR L b&..&()E0
H X50 _&4*(50.` '*+:/ N0 & '5):/; &/+:( *. 30(=
H X50 E)'()2 A0(, &4 &N+,0 /)&A4*,),
H -*0, 4*( 3.0':+/0 &'(+&: '*4/)()*4 $ '*+:/ N0 ):: $ N+()::40,, ), 0U&AA0.&(0/ (5.*+A5 /0'03()*4
H Yh >*.&:: *> >&'()()*+, /),*./0.
H B+:0 *+(H R&:)4A0.)4A[ 63.0,04'0 *> *NE)*+, 0U(0.4&: .0C&./,7
H G*2&()' ,@23(*2 /),*./0.H S*./0.:)40 30.,*4&:)(@ /),*./0.
b*(0 (50 !N,04'0 *>14(04( )4 -GR L
H >&'()()*+, /),*./0.0235&,)j0, (50 *Nd0'()E0 )/04()T'&()*4 *>>&:,)T'&()*4 *> ,)A4, &4/ ,@23(*2, *> )::40,,;.&(50. (5&4 &4 )4>0.04'0 &N*+( )4(04( *.
3*,,)N:0 +4/0.:@)4A 2*()E&()*4=`
H -GR L &:,* &:,* %-1! (* N0 N*(5 & '.)20 &4/ &204(&: )::40,,=
9*.0 9*23*404(, *>-0T4)()*4
H %-1! ), /&4A0.*+,
H 1( ), 2&:(.0&(204(
H
1, /0:)N0.&(0; /0'0)(>+: N05&E)*. $ '&:'+:&(0/&4/ 3:&440/ +,)4A
H
?U&AA0.&()*4
H
%&N.)'&()*4
H
14/+'()*4
-
8/19/2019 Muchausen by Proxy Handout
3/11
!"##"$%
'
35@,)'&: &N+,0 &.0 .0&'()E06>*.K &4/ '5)'K04 )4')/04(7
H S@ '*4(.&,( $ 2*,( %-1! ), 3:&440/ &4//0:)N0.&(0 $ 4*( 3.*E*K0/ N@ (50 '5):/Q,N05&E)*.=
R*.0 9*22*4 (504 ^0X5)4K
H
LLZ 3+N:),50/ '&,0 .03*.(,
H 14 PZ '*+4(.)0,
H !4/ ':)2N)4A
H F&,50. &4/ G50.)/&4 N0:)0E0 )( ), 4*( .&.0 )4'5):/ &N+,0= X50 .&.)(@ ), '&('5)4A (5030.30(.&(*.
-02*A.&35)',
H D,+&::@ (50 2*(50. 6&N*+( JLh7 >&(50. $ Jh
H !E0.&A0 &A0 *> /)&A4*,), $ e
H LZh +4/0. Ie 2*4(5,
H -0&(5 .&(0 i[YZh
R*,( 9*22*4G@23(*2,
H !340&
H %00/)4A 3.*N:02,
H -)&..50&
H G0)j+.0,
H 9@&4*,),
H S05&E)*. 3.*N:02,
H !,(52&
H %&):+.0 (* X5.)E0
H c*2)()4A
H S:00/)4A
H B&,5
H 14>0'()*4,
H !::0.A@
H >0E0.,
9&4 G3.0&/ (* *(50. ")/,
H k> (5*,0 ILh *> ,)N:)4AK4*C4 (* N0 /0&/
H iZ *> ,)N:)4A, 5&/)::40,,0, C)(5 4* ':0&.
'&+,0,
?420,5204( *> 50&:(5 '&.03.*>0,,)*4&:,
H -)]'+:( (* /0(0.2)40 '&.0A)E0. ), :@)4A
H X.)'K0/ )4(* A)E)4A 2*.0 )4(.+,)E0 &4/ 0U*()'(0,(, &4/ (.0&(204(,
H
k>(04 50&:(5 3.*>0,,)*4&:, C):: &/E*'&(0 >*.2*.0 (.0&(204( &A&)4,( (50 d+/A204( *> *(50.50&:(5 3.*>0,,)*4&:=
-
8/19/2019 Muchausen by Proxy Handout
4/11
!"##"$%
(
*.2 *> )4(&4A)N:0A.&()T'&()*4 >*. (5030.30(.&(*. (5.*+A5 (503.*N:02, *> ,*20*40
0:,0=
H !((04()*4 &4/ ,@23&(5@=
H k. '*4(.*: &4/2&4)3+:&()*4
H B0E04A0 &A&)4,( *(50.3&.04(
H G0:>[ 2*()E&()*4f
H 0U(0.4&: A&)4,5*+:/ 4*( 0:)2)4&(0%-1!=
H D4'0.(&)4(@ *E0.2*()E&()*4 ,5*+:/ 4*(0:)2)4&(0 %-1!
H R&@ 40E0. >+::@+4/0.,(&4/ 2*()E&()*4=
R&:)4A0.)4A ), >&N.)'&()4A,@23(*2, >*. 0U(0.4&: A&)4=
G+'5 &, GG1 *. &E*)/)4A.0,3*4,)N):)(@
%-1! E,= %&'()*+,-),*./0.
H X5), /),()4'()*4 ), )23*.(&4(&4/ .0O+).0, /)m0.04(0U30.(),0=
H %&'()*+,$ 0U&AA0.&()4A *.)4/+'()*4 & ,@23(*2 )4,0:>[
H R*()E&()*4 ), N040T(, *>,)'K .*:0
H !N*+( YZh &:,* 5&E0 %-1!
H %-1! $ *4 ,*20*40 0:,0
H %-[ ':&,,)T0/ &, 3,@'5)&(.)'/),*./0.
H %-1! &, 2&:(.0&(204( &4/3,@'5)&(.)' /),*./0.
%*+. '*4'03(,
H %-1! $ ), N*(5 2&:(.0&(204( &4/ '&4 N0/)&A4*,0/ &, & 3,@'5)&(.)' /),*./0.
H G5*+:/ 4*( N0 '*4T.20/ *. /04)0/ *4 N&,), *>2*()E&()*4
H G5*+:/ 4*( N0 '*4T.20/ *. /04)0/ *4 (50N&,), *> )4')/04(&: 0U(0.4&: A&)4=
H R&@ '*[*''+. C)(5 & E&.)0(@ *> 204(&: 50&:(5/),*./0.,
-)&A4*,), S&,0/ D3*4 S05&E)*.
H B0A&./:0,, *> 2*()E&()*4 &4/ A&)4; %-1!,5*+:/ N0 /)&A4*,0/ N&,0/ +3*4 &4 *Nd0'()E03&((0.4 *> N05&E)*. C)(5f
H
-0'03()*4
H
?U&AA0.&()*4
H
%&N.)'&()*4
H
14/+'0204(
-
8/19/2019 Muchausen by Proxy Handout
5/11
!"##"$%
%
*. (50'5):/[+,+&::@ 2*(50.,6JL[\nh *> ()207
X50@ ,+30.T')&::@ 3.0,04(&, _4*.2&:` &4/ _A**/'&.0(&K0.,` $ (50).3,@'5*:*A)'&: 0E&:+&()*4,&.0 *>(04 4*.2&:=
H
X50 &.0 &''*23:),50/:)&.,; /0'0)E0., &4/2&4)3+:&(*.,
H X50@ 2&@ &330&. (* N0*E0.&4U)*+, &4/*E0.3.*(0'()E0
H X50@ *>(04 5&E0 ,*20N&'KA.*+4/, &, 50&:(53.*>0,,)*4&:,=
.*2 & E&.)0(@ *> 30*3:0
H X50@ 2&@ _/*'(*. ,5*3` *.4*(
H X50@ +,+&::@ /04@ C5&( (50@5&E0 /*40; /0,3)(0*E0.C50:2)4A 0E)/04'0
H X50@ *>(04 /* 4*( ,(*3 (50).N05&E)*., C504 (50@ &.0'&+A5(
H
X50@ 2&@ 4*( )4E*:E0/ )49 0U&AA0.&(0/)::40,,=
H !4/ 2*,( )23*.(&4(:@ [(50@ &.0 +,+&::@ (50 *4:@*40, '*4,),(04(:@ 3.0,04( &(*. )4 &,,*')&()*4 C)(5 (50*4,0( *> ,@23(*2,= ̂ 504(50@ &.0 &N,04(; ,@23(*2,&4/ )::40,, &.0 4*( .03*.(0/*. 2&@ N0A)4 (* )23.*E0=
-),3.*3*.()*4&(0:@R*2,
H !N*+( JLh &4/ +3
H a&E0 3.)2&.@ '&.0(&K0..*:0
H k>(04 3+,50/ *(50.'&.0A)E0., *+( *> >&2):@
_b*.2&:` ?E&:+&()*4,
H 9*230(04( 3.*>0,,)*4&:2&K0 4*( 3)'K +3 (50,@23(*2,
H X50@ 3.0,04( &,>+4'()*4&: $ *>(04 5)A5:@0/+'&(0/ &4/ C0::,3*K04
H "4*C 5*C (* 3.0,04((50). 5),(*.@
H k>(04 /* C0:: /+.)4A3,@'5*:*A)'&: &4/3,@'5)&(.)' 0U&2,
GK)::0/ F)&., &4/R&4)3+:&(*.,
H /0:)N0.&(0 /0'0)(
H c0.@ ,K)::0/ $ C):: *2)( *. &// )4>*.2&()*4 >.*23.)*. /*'(*.,
H
^):: 2),.03.0,04( (0,( .0,+:(,
H G(.03 (5.*&( 0U&23:0
G+30.2*2,
H k>(04 &4U)*+, &4/ *E0.3.*(0'()E0
H
-
8/19/2019 Muchausen by Proxy Handout
6/11
!"##"$%
!
R&@ a&E0 R0/)'&:S&'KA.*+4/
H
9&4 ,30&K 20/)'&: *. 3,@'5*:*A)'&: :)4A*
H R*.0 .0'04(:@; '*20 )4 C)(5 :*(, *>)4>*.2&()*4 >.*2 (50 )4(0.40(
H 9&4 /0,'.)N0 ,@23(*2, &4/ (.0&(204(,
H 14'.0&,)4A &2*+4( *> 3,@'5*:*A)'&: ,@23(*2,
-04@ )4 %&'0 *> ?E)/04'0
H
?E04 C504 3.0,04(0/C)(5 (0,( .0,+:(,;/*'+204(&()*4; E)/0*,(50@ C):: 4*( 2*E0(50). 3*,)()*4=
H R*2 +,0/ *C4 N:**/)4 N&N@Q, /)&30.= X0,(,'*20 N&'K $ ,()::/04)0/ ,&)/ (50@ C0.0>&K0/=
-*'(*. G5*33)4A
H R&@ *. 2&@ 4*( *''+.=
H 1> '+..04( /*' /*0, C5&((50@ C&4( $ (50@ ,(&@ 3+(=
H 1> 4*( $ ,(&.( ,5*33)4A&.*+4/
H ?U30.)204(&: (.0&(204(
H %&'()()*+,S05&E)*.
H YZ[Yeh 5&E0 ,*20 5),(*.@ *> 30.,*4&: >&'()()*+,)::40,,=
H
b*( (@3)'&: 9 0E0.@(5)4A
-
8/19/2019 Muchausen by Proxy Handout
7/11
!"##"$%
)
G03&.&()*4 X0,(
H
R*,( )23*.(&4( )4/)'&(*. ), (50 ,@23(*2,.0/+'0 $*>(04 /.&2&()'&::@ *4'0 (50 '5):/ ),,03&.&(0/ N@ (50 30.30(.&(*.
H c0.@ )23*.(&4( (5&( ,03&.&()*4 N0 '*23:0(0
H 9&44*( .0:&@ *4 &4@ )4>*.2&()*4 >.*2 (50,+,30'(0/ 30.30(.&(*.
9*22*4 B0/ %:&A,
H
9M .0>+,0, (* :0&E0 ,)/0 *>'5):/ &( 5*,3)(&:
H
G002 2*.0 '*2>*.(&N:0 )4(50 5*,3)(&:
H 14,),( 4* *40 0:,0 '&4 3.*E)/0(50 K)4/ *> '&.0 (50@ '&4
H ^):: '.)()')j0 3.*>0,,)*4&:,C5* /*4Q( &A.00 C)(5 (502=
H D45&33@ C)(5 3*,)()E0 .0,+:(,
H &(50., *.*(50., C5* /*4Q( '**30.&(0
X50 R&,O+0.&/0
H G'5.0)0. &4/ F)N*C $-0,'.)N0/ (5), N05&E)*.&, & 2&,O+0.&/07
H %&:,0 30.'03()*4 (50@&.0 /003:@ '&.)4A &4/'*4'0.40/ &N*+( (50).'5):/.04=
c)'()2 9*4,),(04(95&.&'(0.),()',
H 9&4 0m0'( *40 '5):/ *. ,0E0.&: '5):/.04= 9&4 N0 & ,0.)0,*> E)'()2,=
H D,+&::@ )4>&4(, *. @*+4A '5):/.04 $ '&4Q( '*4(.&/)'('&.0(&K0.
H R*,( '*22*4:@ /)&A4*,0/ N0(C004 P &4/ L @0&., *:/=
H c)'()2, ,5*+:/ 4*( N0 &,,+20/ (* N0 '*::+/)4A C)(59M= k:/0. '5):/.04 ,*20()20, /* (* .0,*:E0 (50)4(04,0 '*4p)'( (50@ &.0 +4/0.
H D,+&::@ /*4Q( 5&E0 *(50. 9&'(*., 6/.+A,; -c;3**. 5*+,)4A7
k40 *. 2+:()3:0,
H D,+&::@ >*'+, *4 *40 &( &( ()20=
H S+( '&4 &'( ,0.)&::@
H
G50.)/&4 6IZZP7 ILh *> K4*C4 ,)N:)4A, /0&/&4/ iYh 5&/ ,@23(*2, *> RS<
b*( X@3)'&: 95):/
-
8/19/2019 Muchausen by Proxy Handout
8/11
!"##"$%
*
k(50. !/+:(,
H
b*4[*m04/)4A 3&.(40. 35@,)'&::@ *. 02*()*4&::@&N,04( $ *. /.)E04 &C&@ C)(5 >&:,0 &::0A&()*4,
H
R&@ N0 3&,,)E0 *. +4'.)()'&:
H
k(50.,; )4':+/)4A ,*20 50&:(5 '&.0 3.*E)/0.,'*4E)4'0/ )( ), .0&:
H
G*20 >&2):@ 202N0., 2&@ N0'*20 0420,50/
H
k(50., &.0 ,+,3)')*+, N+( &>.&)/ (* &'(
?U&23:0
H
%&2):@ X0&2 200()4A
H 14[5*20 C*.K0. C)(52*2 >*. L @0&.,=!((&'K)4A %-1!/)&A4*,),= B0>0..)4A (*30.30(.&(*. &, _X502*,( /0/)'&(0/ 2*(50.1 5&E0 0E0. 20(=`
H F0>( (50 .**2 )4 (0&.,=
H
X5&( 4)A5(; 2*2'&+A5( N@ 4)A5( 4+.,03)4'5)4A (50 *U@A04,+33:@ >*. 50. )4>&4(,*4 $ '&+,)4A 5)2 (*,(*3 N.0&(5)4A &4/(.)AA0. &:&.2,=
H X504 /04)0/ ,50 /)/ )(
a*C (* -)&A4*,0,
H c)/0*,
H G03&.&()*4 (0,(
H ?U(04,)E0 .0'*./ .0E)0C,&4/ )4(0.E)0C[ E0.@ ()20'*4,+2)4A
H b00/ &:: (50 3)0'0, *> (503+jj:0=
H M**/ 20'5&4),2 ), (50*::*C[+3=
H b00/ 20/)'&:;3,@'5*:*A)'&: 0U30.(,&4/ '**30.&()*4 C)(5-!M &4/ 3.*,0'+(*.,
H ?4*.2*+, N+./04 *4'&,0C*.K0.
-)&A4*,()' %)4/)4A,
H 1, (50.0 & 3&((0.4 *> +440'0,,&.@ (.0&(204(l
H 1, 3.)2&.@ ,*+.'0 (50 '&.0A)E0.l
H
-* ,@23(*2, /)2)4),5 &C&@ >.*2 '&.0A)E0.lH 1, (50.0 0E)/04'0 *> /0:)N0.&(0 /0'03()*4l
H X504 '*+:/ N0 %-1!
9&4Q( N0 (** j0&:*+,
H B*@ R0&/*C $ S.)(),530/)&(.)')&4
H R0&/*C, F&C $ P G1-,q 2+./0.
H X0,()T0/ &, &4 0U30.(C)(40,, )4 (.)&:,
H F*,( '.0/)N):)(@ )4 G&::@9:&.K (.)&:
H 9&.0>+: *> '*4T.2&()*4N)&,
H
b00/ *N,0.E&N:0 >&'(,&4/ N05&E)*.,
-
8/19/2019 Muchausen by Proxy Handout
9/11
!"##"$%
+
9&,0 %-1! ,+,30'(0/ $'*4(&'()4A >&2):@ T.,( 4*(.0'*2204/0/
H (040,'&:&(0 +4/0. ,+,3)')*4
H b00/ 2*.0 ()20 (5&4+,+&: (* )4E0,()A&(0
H G*')&: 20/)& *>,+,30'(0/ 30.30(.&(*. ),E0.@ )23*.(&4(
H
%).,( ,(03 ), (* 3.*(0'( (50E)'()2[ ,03&.&()*4 (0,(
H G0'*4/ (* A0( (50.0'*./,
H B0'*A4)j0 N*(5 &/),*./0. &4/ & '.)20
H b00/ & (0&2 $9*.'0204(; 20/)'&:;3,@'5*:*A)'&:; -!M
X.0&(204( *> .)04/, *. >&2):@ C)(5*+( ,(.*4AE0(()4A
H k>(04 0U':+/0/ 3&.(40. ), & A**/ .0,*+.'0
H 9 &33.*&'50, C)(5 C0&K ,+33*.(=
H %0:/2&4 &4/ %*./ 6IZZZ7 _a*C0E0.; 4*(&+(5*. 5&, @0( /0,'.)N0/ & '*4,),(04(:@
0m0'()E0 *. ,30')T' (.0&(204( 3.*A.&2 >*. (50>&'()()*+, /),*./0. N@ 3.*U@ 2&:(.0&(0/;0,30')&::@ )> &'K4*C:0/A0204( *> '+:3&N):)(@ ),4*( >*.(5'*2)4A=`
X.0&(204( B0,0&.'5
H c0.@ (5)4=
H b* 0E)/04'0/ N&,0/ 3.*(*'*: $ 2*,( ,(+/)0, ,2&::
H 14 &:: '&,0, $ (50 (50.&3),( 2+,( 4* '*23.),0 ,&>0(@ *> (50 E)'()2=
H
G+''0,, /0304/, *4 30.30(.&(*., C)::)4A40,, (* '5&4A0 &4/)4,)A5(
H B),K *> (50.&3),( N0)4A 0420,50/ C)(5 30.30(.&(*. E0.@ 5)A5
H B&4/ 6Y\\Z7 $(50.&3@ ,* /)]'+:( ,5*+:/4Q( N0 +,0/= D,0 '&,02&4&A0204( )4,(0&/
-
8/19/2019 Muchausen by Proxy Handout
10/11
!"##"$%
$,
G* '&4 (.@
H
X.0&()4A &4@ *(50. '*[2*.N)/ 3,@'5*3&(5*:*A@H -0:+,)*4&: /),*./0.
H .0+4)T'&()*4
H =H B0+4)T'&()*4 ,5*+:/ 4*(
N0 (50 3.)2&.@ '&,0 A*&:H b* '*4(&'( C)(5 '5):/H b* '.)()'),2 *> '+..04(
'&.0A)E0.,
H !((04/)4A (* 50&:(5N05&E)*. *> '5):/
H !33.*3.)&(0 +,0 *> ,*')&:20/)&
H b* &((023(, (* )4p+04'0'5):/ *. 3:&'0204(
X.0&(204( *> c)'()2
H -*4Q( &,,+20 (50.0 5&, (* N0(.0&(204(= ?E04 :0,, .0,0&.'5.0A&./)4A (5),
H +: &,,0,,204( $ )> (50.0 &.0,@23(*2, (.0&( (502 C)(5 &4 ?SX&33.*&'5=
H 1> 4* ,@23(*2, $ /*4Q( (.0&(=
H 9&.0A)E0., ,5*+:/ .0'0)E0 N05&E)*.&:3&.04()4A .0[ /)m0.04()&: .0,3*4,064*( &((04/)4A (* (50 ,)'K .*:07 &4/,K)::, (* 045&4'0 &((&'5204( 60=A= b0C9&.0A)E0.,
H ?/+'&()*4 *4 %-1!
H 0,( ,(.&(0A@ ), X
-
8/19/2019 Muchausen by Proxy Handout
11/11
!"##"$%
$$
D,0>+: .0>0.04'0,
H
!"#$%&' !)*) "+, -$%&.,"+' /#) -)012234/56$"5#%+ 78 9&:;8< =,%+>.?6">.:+' .+>%&@%+>.:+"+, 6"#% A"+"B%A%+>) !:+,:+< C:5>D%,B%)
H
S**:,; 9=b=; b0&:0; S=!= &4/ R0&/*C; B=G= 6Y\\e7=R+4'5&+,04 ,@4/.*20 N@ 3,@'5*3&(5*A@= !"#$% '()*+ ,-% .+/$+012 34;JJP[JJn=
H
%0:2&4; R=-= &4/ %*./; 9=c= 6Y\\e7 >&'()()*+,/),*./0.,= b0Co*.K; ^):0@=
9*4(&'( 14>*.2&()*4
8&40( 9&5)::; &2):@25='*2