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- ArticleTucker LE, Hayes JR, Viteri AL, Liebermann TR.Dig Dis Sci. 1979 Jul;24(7):570-2.A young female nurse presented with unusual upper and lower-gastrointestinal bleeding, shown to be factitial. Following detection, she was successfully confronted and treated with psychotherapy. A plan for successful management of the Munchausen syndrome is discussed.