A mother brings her 9-month-old son to the emergency department because he stopped breathing at home.She demands that he receive a full diagnostic work-up.When asked for the name of her pediatrician,she states she has not found one she is satisfied with.The nurse suspects:

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Factitious disorder by proxy (Munchausen's syndrome by proxy)most often involve a caregiver who induces signs of illness in a child and presents the child for medical care.Diagnosis is difficult because offenders commonly remove their victims as soon as the disorder is suspected.

A Mother Brings Her 9-Month-Old Son to the Emergency Department