Medically Unexplained Symptoms and the General Practitioner
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…
Considering Organic Disease
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…
Palpitations, Chest Pain and Breathlessness
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…
Sources of Referral and Support for Domestic Violence
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…
Sexual Violence: What to Consider First
Chapter 18Sexual Violence: What to Consider First Catherine White Sexual Assault Referral Centre, St Mary’s Manchester, UK OVERVIEW Sexual assault is common but hard for victims to disclose Physical and…
Rape and Sexual Assault: Medical and Psychosocial Care
Chapter 19Rape and Sexual Assault: Medical and Psychosocial Care Hannah Loftus and Karen Rogstad Genitourinary Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, UK OVERVIEW Individuals presenting following sexual assault are…
Moving Forward: Pursuing a Career and Implementing Better Services
Chapter 26Moving Forward: Pursuing a Career and Implementing Better Services Maureen Dalton SARC Commissioning South West, UK OVERVIEW All doctors now have to have basic competence from registration More is…
Domestic Violence and Abuse
Chapter 3Domestic Violence and Abuse Fiona Duxbury General Practice, Oxford, UK OVERVIEW This chapter uses the Duluth model to help understand who is at risk of domestic violence and abuse…
Going to Court
Chapter 23Going to Court Bernadette Butler The Haven Camberwell Sexual Assault Referral Centre, King’s College Hospital NHS Foundation Trust, UK OVERVIEW Clinicians may be required to give evidence in court…
