former ly ▁M unch aus en ▁synd rome ). ▁ ▁Fact it ious ▁dis order ▁im posed ▁on ▁another ▁– ▁( former ly ▁M unch aus en ▁synd rome ▁by ▁proxy ); ▁diagn osis ▁assigned ▁to ▁the ▁perpet r ator ; ▁the ▁person ▁affected ▁may ▁be ▁assigned ▁an ▁ab use ▁diagn osis ▁( e . g . ▁child ▁ab use ). ▁ ▁Warning ▁signs ▁ ▁Warning ▁signs ▁of ▁the ▁dis order ▁include : ▁▁ ▁A ▁child ▁who ▁has ▁one ▁or ▁more ▁medical ▁problems ▁that ▁do ▁not ▁respond ▁to ▁treatment ▁or ▁that ▁follow ▁an ▁unusual ▁course ▁that ▁is ▁persistent , ▁puzz ling , ▁and ▁un exp la ined . ▁▁ ▁Phys ical ▁or ▁labor atory ▁find ings ▁that ▁are ▁highly ▁unusual , ▁dis cre p ant ▁with ▁patient ' s ▁presentation ▁or ▁history , ▁or ▁phys ically ▁or ▁clin ically ▁impossible . ▁ ▁A ▁parent ▁who ▁appears ▁med ically ▁knowledge able , ▁fasc in ated ▁with ▁medical ▁details ▁and ▁hospital ▁g oss ip , ▁appears ▁to ▁enjoy ▁the ▁hospital ▁environment , ▁and ▁express es ▁interest ▁in ▁the ▁details ▁of ▁other ▁patients ' ▁problems . ▁ ▁A ▁highly ▁att ent ive ▁parent ▁who ▁is ▁rel uct ant ▁to ▁leave ▁their ▁child ' s ▁side ▁and ▁who ▁themselves ▁seem ▁to ▁require ▁constant ▁attention . ▁ ▁A ▁parent ▁who ▁appears ▁unus ually ▁calm ▁in ▁the ▁face ▁of ▁serious ▁difficulties ▁in ▁their ▁child ' s ▁medical ▁course ▁while ▁being ▁highly ▁support ive ▁and ▁encourag ing ▁of ▁the ▁phys ician , ▁or ▁one ▁who ▁is ▁angry , ▁de values