13: Perplexing Presentations (Including FII)
13.1.1 The common starting point for both ‘Perplexing Presentations’ and fabricated or induced illness (FII) is that the child’s clinical presentation is not adequately explained by any confirmed genuine illness, and the situation is impacting upon the child’s health or social wellbeing. There is a spectrum of presentations, with the rarer ‘true’ FII involving deliberate deception of medical services by the carer; which may involve actions to falsify specimens or investigations, or induction of actual illness in the child, and the commoner wider range of ‘perplexing presentations’ or ‘Medically Unexplained Symptoms’ that should be considered in the same way but do not necessarily involve deliberate deception 408 409 410 411 412. These presentations are primarily verbal accounts and descriptions by the carer.
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