Four main subtypes are distinguished in DSM-IV. (13>

1. Factitious disorder with predominantly psychological signs and symptoms. This is more difficult to diagnose than factitious disorder with physical complaints, because there is no way of excluding a 'true' psychiatric disorder by physical examination or laboratory investigation: see below under malingering.

2. Factitious disorder with predominantly physical signs and symptoms. Almost every illness has been produced factitiously. However, four subgroups described most cases: ^J

a. self-induced infections;

b. simulated illnesses, for example adding blood to urine;

c. interference with pre-existing lesions or wounds;

d. surreptitious self-medication, for example self-injection of insulin.

These categories are not mutually exclusive or jointly exhaustive.

3. Factitious disorder with combined psychological and physical symptoms.

4. Factitious disorder not otherwise specified. This includes factitious disorder by proxy (see below and Chapter...9.3..!). Another recent example is 'electronic' factitious disorder/1.5) used to describe patients who falsify their electronic medical records to create a factitious report (e.g. of cancer).

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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