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Factitious decompression sickness.

B P Murphy, J C Davis, D L Henderson

Aviation, Space, and Environmental Medicine

|May 1, 1984

Summary

This summary is machine-generated.

Diagnosing decompression sickness relies heavily on patient history, as physical exams and tests offer little support. This study highlights three cases of factitious decompression sickness, emphasizing prompt treatment before detailed investigation.

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Area of Science:

Emergency Medicine
Diving Medicine

Background:

Decompression sickness (DCS) diagnosis is primarily based on patient-reported symptoms.
Objective diagnostic tools for DCS are currently limited, making clinical history paramount.

Observation:

Presents three cases of factitious decompression sickness.
Patients in these cases fabricated a history consistent with DCS.
They subsequently received compression therapy.

Findings:

Factitious DCS can mimic genuine cases, complicating diagnosis.
The diagnostic challenge arises from the reliance on subjective patient history.
No specific physical findings or laboratory tests confirm DCS.

Implications:

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The potential severity of DCS necessitates immediate treatment initiation.
Compression therapy is relatively safe, supporting prompt administration.
Further investigation into suspicious DCS cases should occur after treatment begins.