A parent who seems to have an insatiable need for adulation or who makes self-serving efforts for public acknowledgment of their abilities. A child who inexplicably deteriorates whenever discharge is planned. A child that looks for cueing from a parent in order to feign illness when medical personnel are present. A child that is overly articulate regarding medical terminology and their own disease process for their age. A child that presents to the Emergency Department with a history of repeat illness, injury, or hospitalization. Epidemiology
FDIA is rare. Incidence rate estimates range from 1 to 28 per million children, although some assume that it may be much more common.One study showed that in 93 percent of FDIA cases, the abuser is the mother or another female guardian or caregiver. A psychodynamic model of this kind of maternal abuse exists.Fathers and other male caregivers have been the perpetrators in only seven percent of the cases studied. When they are not actively involved in the abuse, the fathers or male guardians of FDIA victims are often described as being distant, emotionally disengaged, and powerless. These men play a passive role in FDIA by being frequently absent from the home and rarely visiting the hospitalized child. Usually, they vehemently deny the possibility of abuse, even in the face of overwhelming evidence or their childs pleas for help.Overall, male and female children are equally likely to be the victim of FDIA.
Congenital megaesophagus is usually identified when a foal begins to eat solid food from the ground; prior to this, as the foal nurses milk from its mother, the milk passes easily down into the stomach. The most common signs are difficulty swallowing (dysphagia) and inhalational pneumonia. References
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Canine megaesophagus