▁in fe ctions . ▁Many ▁of ▁these ▁sympt oms ▁are ▁easy ▁to ▁fake ▁because ▁they ▁are ▁subject ive . ▁A ▁parent ▁reporting ▁that ▁their ▁child ▁had ▁a ▁fe ver ▁in ▁the ▁past ▁ 2 4 ▁hours ▁is ▁making ▁a ▁claim ▁that ▁is ▁impossible ▁to ▁prove ▁or ▁dis pro ve . ▁The ▁number ▁and ▁variety ▁of ▁presented ▁sympt oms ▁contribute ▁to ▁the ▁difficulty ▁in ▁reaching ▁a ▁proper ▁diagn osis . ▁ ▁As ide ▁from ▁the ▁mot ive ▁( which ▁is ▁to ▁gain ▁attention ▁or ▁sympathy ), ▁another ▁feature ▁that ▁differenti ates ▁F DI A ▁from ▁" typ ical " ▁physical ▁child ▁ab use ▁is ▁the ▁degree ▁of ▁pre med itation ▁involved . ▁Where as ▁most ▁physical ▁ab use ▁ent ails ▁l ash ing ▁out ▁at ▁a ▁child ▁in ▁response ▁to ▁some ▁behavior ▁( e . g ., ▁cry ing , ▁bed w et ting , ▁sp illing ▁food ), ▁assault s ▁on ▁the ▁F DI A ▁victim ▁tend ▁to ▁be ▁un prov oked ▁and ▁planned . ▁ ▁Also ▁unique ▁to ▁this ▁form ▁of ▁ab use ▁is ▁the ▁role ▁that ▁health ▁care ▁prov iders ▁play ▁by ▁act ively , ▁al beit ▁un int ention ally , ▁en abling ▁the ▁ab use . ▁By ▁react ing ▁to ▁the ▁concerns ▁and ▁dem ands ▁of ▁perpet rat ors , ▁medical ▁profession als ▁are ▁manip ulated ▁into ▁a ▁partners hip ▁of ▁child ▁m alt re at ment . ▁Ch alleng ing ▁cases ▁that ▁def y ▁simple ▁medical ▁explan ations ▁may ▁prompt ▁health ▁care ▁prov iders ▁to ▁purs ue ▁unusual