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When renal colic is really malingering.

R Moldwin1

  • 1Department of Urology, Long Island Jewish Medical Center, New Hyde Park, NY 11042.

Postgraduate Medicine
|November 15, 1987
PubMed
Summary
This summary is machine-generated.

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Malingerers fake renal colic symptoms like pain and hematuria to obtain narcotics. Early identification by physicians is crucial to prevent unnecessary emergency department resource use.

Area of Science:

  • Nephrology
  • Emergency Medicine
  • Psychiatry

Background:

  • Renal colic malingering involves feigning pain and hematuria to obtain opioid analgesics.
  • Early identification of malingerers is essential to optimize emergency department (ED) resources.
  • Malingerers employ deceptive tactics to evade diagnostic procedures that could expose their deception.

Observation:

  • Patients feigning renal colic present diagnostic challenges.
  • Distinguishing malingering from somatization disorders and difficult-to-diagnose renal conditions is complex.
  • Physicians must be vigilant for subtle indicators of malingering.

Findings:

  • Malingerers often avoid diagnostic tests that could reveal their deception.
  • The primary motivation for malingering renal colic is often the acquisition of parenteral narcotics.

Related Experiment Videos

  • Differentiating true renal disease from feigned symptoms requires careful clinical assessment.

    • Implications:

    • Accurate diagnosis of malingering prevents unnecessary medical interventions and resource allocation.
    • Physician awareness and suspicion are key to uncovering malingering.
    • Effective strategies are needed to manage patients who feign medical conditions for drug-seeking behavior.