Starvation , suffocation , inflicted vaginal / rectal injuries in to produce bleeding , altered laboratory reports , adding fat to stool collection , putting parent 's blood into urine and the injection of contaminated material intravenously , are some of the mechanisms employed by MSBP cases ( Mehl et al , 1990 Pearl , 1995 ) Murray , 1997 . Treatment , Prognosis and Prevention Because MS is a complex dis , often diagnosed after extensive historical investigation , the treatment is also difficult . Because of its very nature , the need to be perpetually sick...











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