Dissociative Identity Disorder Workup

Updated: Sep 25, 2018
  • Author: Muhammad Waseem, MBBS, MS, FAAP, FACEP, FAHA; Chief Editor: Caroly Pataki, MD  more...
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Workup

Laboratory Studies

Although no laboratory studies are specifically indicated for the diagnosis of dissociative disorder, studies can be performed to check for abuse.

  • Obtain screening tests in all cases of bruising to rule out a bleeding diathesis, but remember that children with bleeding problems may also be abused.

  • Screen urine and stool for blood if abdominal trauma is suspected.

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Imaging Studies

As with laboratory studies, no imaging studies are indicated for the diagnosis of dissociative disorder; however, results of imaging studies can indicate abuse.

A bone survey consisting of multiple views of the skull, thorax, long bones, hands, feet, pelvis, and spine is necessary with children younger than 2 years if abuse is suspected. If suspicion is strong, repeat the survey in 7-10 days to examine for healing or fractures not observed on the initial radiographs.

Bone scanning may be of value in detecting new fractures of hands, feet, or ribs. They are not valuable in detecting skull fractures.

Perform head CT scanning if the child has been severely injured.

Abdominal CT scanning may reveal damage to internal organs.

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