OVERVIEW Enhanced consultation skills enable doctors to work with patients with medically unexplained symptoms (MUS) in creative, personalised and effective ways Deep listening and empathy strengthen the therapeutic value of…
OVERVIEW Widespread pain involves multisite body pain often with symptoms in other body systems. It includes the syndrome of fibromyalgia Patients with widespread pain often have associated sleep and concentration…
OVERVIEW >50% of patients with chronic pelvic pain (CPP) have no obvious underlying pathology The diagnosis of functional CPP should be given as a positive statement not an expression of…
OVERVIEW Medically unexplained symptoms (MUS) are common in all fields of medicine Many patients have only occasional or mild MUS, but some have either persistent, recurring or changing symptoms In…
OVERVIEW Medically unexplained symptoms (MUS) are a source of diagnostic confusion for GPs MUS can be frustrating for GPs and for patients The main expectation of patients with MUS is…
OVERVIEW Symptoms that appear to be functional will sometimes turn out to indicate serious illness Premature closure of diagnostic reasoning and failure to consider the possibility of serious disease are…
OVERVIEW Palpitations can be managed as a medically unexplained symptom by the GP where the clinical picture is very low risk or investigations show only sinus tachycardia Chest pain, although…
Chapter 9Sources of Referral and Support for Domestic Violence Jackie Barron Women’s Aid Federation of England, UK OVERVIEW All health professionals should be able to respond to victims and survivors…
