Hypoglycaemia factitia means also in recent time serious diagnostic and therapeutic problem in medical clinical practice, whereby often repeating episodes of serious hypoglycaemia in patients with diabetes mellitus, but also in patients without diabetes mellitus could be very difficult do resolve. First unsuccessful diagnosis implicit from wrong chose of examination algorithm, can lead to unidentified surgical interventions as are laparotomy and pancreatectomy, respectively. Hypoglycaemia factitia is considered to be one of many manifestations of so called Münchhausen's syndrome for that is typical acting of diabetic patient with goal to intentionally making hypoglycaemia or within suicidal attempt of patient on the basis psychological disease with intention to attract attention of surrounding community to himself due to application of insulin or sulfonylurea drugs. Diagnostic and therapeutic process could be in the case of hypoglycaemia factitia extremely difficult as from time side, than from health and also from economical side and that why necessary to approach with maximum responsibility.
- MeSH
- diabetes mellitus 2. typu farmakoterapie MeSH
- faktitivní poruchy diagnóza psychologie MeSH
- hypoglykemie chemicky indukované psychologie MeSH
- hypoglykemika otrava MeSH
- inzulin otrava MeSH
- lidé MeSH
- Münchhausenův syndrom diagnóza psychologie MeSH
- předávkování léky diagnóza psychologie MeSH
- sulfonylmočovinové sloučeniny otrava MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- hypoglykemika MeSH
- inzulin MeSH
- sulfonylmočovinové sloučeniny MeSH
The paper discusses further cases of somatization (somatization disease, conversion, chronic pains) as distinct from simulation. Views of the somatization disease and conversion are based on a classification of psychopathology which has not been generally used in Czechoslovakia. The paper gives a hypothetical explanation of today's more frequent occurrence of somatization. It describes a simple screening test used for diagnosing somatization (hysteria), and suggests principles of elementary procedure to be applied in patients with subjective somatic complaints.
- MeSH
- faktitivní poruchy diagnóza psychologie MeSH
- lidé MeSH
- somatoformní poruchy diagnóza psychologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- MeSH
- dospělí MeSH
- faktitivní poruchy diagnóza MeSH
- hematurie diagnóza MeSH
- lidé MeSH
- proteinurie diagnóza MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH
- MeSH
- antikoagulancia škodlivé účinky MeSH
- dospělí MeSH
- ethylbiskumacetát škodlivé účinky MeSH
- faktitivní poruchy diagnóza MeSH
- hemoragické poruchy chemicky indukované diagnóza MeSH
- lidé středního věku MeSH
- lidé MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- antikoagulancia MeSH
- ethylbiskumacetát MeSH