Pelvic and Reproductive System Symptoms
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…
GENERAL & FAMILY MEDICINE
Epidemiology and Impact in Primary and Secondary Care
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…
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…
