Factitious biochemical measurements resulting from hematologic conditions.
نویسندگان
چکیده
Factitious laboratory results often lead to unnecessary testing or treatment. This brief review of factitious biochemical results due to preexisting hematologic conditions focuses on the mechanisms underlying the factitious results and suggests ways to prevent them. An observant pathologist identifies these errors, intervenes in a timely fashion, investigates the sources of error diligently, and institutes measures to prevent their recurrence.
منابع مشابه
Factitious disease: clinical lessons from case studies at Baylor University Medical Center.
Factitious disease is defined as the intentional production (or feigning) of disease in oneself to relieve emotional distress by assuming the role of a sick person. Although the self-induction of disease is a conscious act, the underlying motivation is usually unconscious. It has been estimated that 3% to 5% of physician-patient encounters involve factitious disease. This article presents 6 cas...
متن کاملRecognizing factitious hypoglycemia in the family practice setting.
BACKGROUND Factitious hypoglycemia is a deliberate attempt to induce a low serum glucose level using either insulin or oral hypoglycemic agents. Sulfonylurea-induced hypoglycemia is more common than incidents of insulin abuse, and hypoglycemia caused by these oral agents is biochemically indistinguishable from insulinoma. METHODS We describe a case of factitious hypoglycemia resulting from in...
متن کاملDifferentiating Factitious from Malingered Symptomatology: the Development of a Psychometric Approach
Psychometric symptom validity assessment is becoming increasingly part and parcel of psychological and neuropsychological assessments. An unresolved and rarely addressed issue concerns the differentiation between factitious and malingered symptom presentations: present-day symptom validity tests can assess whether an examinee presents with noncredible symptomatology, but not why an examinee doe...
متن کاملChanges in electrocardiographic, hematologic and biochemical indices of Markhoz goat breed in experimental hypocalcemia
Background: Milk fever in cattle, sheep and goats occurs around the time of parturition and is caused by hypocalcemia. OBJECTIVES: The aim of this study was to investigate the physiological effects of experimental hypocalcemia on electrocardiography, hematology and serum biochemical changes in Markhoz goat breed. METHODS: Ethylene diamine tetra- acetate solution 4.6% was intravenously infused ...
متن کاملMunchausen syndrome as scorpion biting:a misdiagnosis
Factitious disorder as Munchausen syndrome is a time and money consuming condition that is presented with different signs and symptoms. In emergent situations, it is not a differential diagnosis with high priority, but when it becomes recurrent with atypical symptoms, factitious disorder and malingering should be considered as well. In this survey, we report an odd and interesting presentation ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- American journal of clinical pathology
دوره 131 2 شماره
صفحات -
تاریخ انتشار 2009