ABC of Medically Unexplained Symptoms

Overview

This brand new title addresses the complex issues faced by primary health care practitioners in treating and managing patients with ‘medically unexplained symptoms'. It aims to develop guidelines and principles to help identify patients with medically unexplained symptoms, as they are typically underdiagnosed, and to manage symptoms more effectively with active patient involvement.

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Overview

This brand new title addresses the complex issues faced by primary health care practitioners in treating and managing patients with ‘medically unexplained symptoms'. It aims to develop guidelines and principles to help identify patients with medically unexplained symptoms, as they are typically underdiagnosed, and to manage symptoms more effectively with active patient involvement.

Read More Show Less

Editorial Reviews

From the Publisher
“The major contribution this monograph makes is to recognize that not all symptoms are readily explainable by a clear diagnosis. To young clinicians, this can be especially important as they face both the straightforward diagnosis and the conundrum. It is an easy read and another tool for working with primary care patients. ” (Doody’s, 30 August 2013)
Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: "This monograph from the U.K. presents an approach to counseling patients about symptoms that defy explanation after investigation. "
Purpose: Every clinician has been in the situation where a diagnosis cannot be found to account for a patient's symptoms. This book outlines both an approach to reach a diagnosis and how to explain to a patient the inability to link symptoms to a particular diagnosis. As this situation is fairly common, this monograph serves as a way to discuss it with a patient in a compassionate manner.
Audience: The audience is essentially general practitioners in the U.K., but there is much to be learned by all clinicians wishing to hone their interview skills with patients.
Features: The book begins by examining the common occurrence of this situation as well as other considerations, such as depression as a cause, even when the symptoms remain unexplainable. This is followed by common complaints of the different organ systems and specific complaints such as headache, pain, fatigue, and faintness.
Assessment: The major contribution this monograph makes is to recognize that not all symptoms are readily explainable by a clear diagnosis. To young clinicians, this can be especially important as they face both the straightforward diagnosis and the conundrum. It is an easy read and another tool for working with primary care patients.
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Product Details

  • ISBN-13: 9781119967255
  • Publisher: Wiley
  • Publication date: 1/29/2013
  • Series: ABC Series , #234
  • Edition number: 1
  • Pages: 88
  • Sales rank: 1,400,998
  • Product dimensions: 8.40 (w) x 10.60 (h) x 0.10 (d)

Meet the Author

Christopher Burton, Senior Lecturer in Primary Care, University of Aberdeen, UK

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Table of Contents

Contributors, vii

Acknowledgements, ix

1 Introduction, 1
Chris Burton

2 Epidemiology and Impact in Primary and Secondary Care, 5
Alexandra Rolfe and Chris Burton

3 Considering Organic Disease, 7
David Weller and Chris Burton

4 Considering Depression and Anxiety, 10
Alan Carson and Jon Stone

5 Medically Unexplained Symptoms and the General Practitioner, 15
Christopher Dowrick

6 Principles of Assessment and Treatment, 18
Chris Burton

7 Palpitations, Chest Pain and Breathlessness, 22
Chris Burton

8 Headache, 27
David P. Kernick

9 Gastrointestinal Symptoms: Functional Dyspepsia and Irritable Bowel Syndrome, 31
Henriette E. van der Horst

10 Pelvic and Reproductive System Symptoms, 36
Nur Amalina Che Bakri, Camille Busby-Earle, Robby Steel and Andrew W. Horne

11 Widespread Musculoskeletal Pain, 40
Barbara Nicholl, John McBeth and Christian Mallen

12 Fatigue, 43
Alison J. Wearden

13 Neurological Symptoms: Weakness, Blackouts and Dizziness, 47
Jon Stone and Alan Carson

14 Managing Medically Unexplained Symptoms in The Consultation, 52
Avril F. Danczak

15 Cognitive Approaches to Treatment, 56
Vincent Deary

16 Behavioural Approaches to Treatment, 60
Vincent Deary

17 Pharmacological Treatment, 64
Killian A. Welch

18 Conclusion, 68
Chris Burton

Appendix: Suggestions for Reflection and Audit, 69
Chris Burton

Index, 71

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