Munchhausen Syndrome & Somatic Symptoms Flashcards

1
Q

Most common symptoms of Munchausen

A

Bleeding from various sites

Seizures

CNS depression

Apnea

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2
Q

Munchausen by Proxy common presentations

A

GI bleed

UTI

Vomiting/reflux

Diarrhea

Apnea (potential for SIDS)

Hypoglycemia

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3
Q

Key to Munchausen Diagnosis

A

Complete history

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4
Q

Somatic Disorder

A

Overly preoccupied w/ health or appearance

Physical complaints w/o medical condition - >6 months

-Somatic sx significantly disrupt daily life

Men are more likely to be Dx w/ antisocial personality

Tx: Assign 1 PCP to cut down specialty visits

-reduce supportive consequences of discussing symptoms at great lengths - redirect them

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5
Q

Conversion Disorder

A

Physical symptoms suggesting neurological problems

  • sensory impairment (blindness)*** w/o identifiable cause
  • Paresthesias (Paralysis, numbness)*** w/o identifiable cause

Onset rare <10 yo and >35 yo

Right hemisphere involved, trauma usually involved

Tx: Attend to trauma, redirect w/ sx, remove secondary gain success

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6
Q

La belle indifference

A

1/3 all conversion disorders

Inappropriate complacent attitude with whatever is going on

More common in women

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7
Q

Illness Anxiety Disorder

A

New term for hypochondriac

No physical sx, serious anxiety about possible having a diagnosis

Over-report bodily sensations as sx of serious disease

-no insight, skewed perception

Chronic course that waxes/wanes

Tx: Challenge illness-related misinterpretations, provide more substantial and sensitive reassurance

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8
Q

Brief somatic disorder or illness anxiety disorder

A

Lasts less than 6 months

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9
Q

Meets all criteria for illness anxiety disorder except D

A

Illness anxiety disorder w/o excessive health-related behaviour

D: Excessive health behaviours or maladaptive avoidance

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10
Q

Pseudocyesis

A

False belief that you are pregnant

Somatoform NOS

All sx of pregnancy w/o actual fetus

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11
Q

Body Dysmorphic Disorder

A

Excessive concern w/ real/imagined defect in appearance - usually face or genitals

Culturally influenced but not bound - plastic surgery common but doesn’t help

Fixation w/ or avoidance of mirrors

Suicidal ideation/behavior is common

Chronic, starts in adolescents

Tx: CBT, SSRI for relief

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