ABC of Medically Unexplained Symptoms by Christopher Burton

By Christopher Burton

This fresh name addresses the complicated concerns confronted by way of fundamental wellbeing and fitness care practitioners in treating and dealing with sufferers with ‘medically unexplained symptoms'. It goals to increase instructions and rules to assist determine sufferers with medically unexplained signs, as they're commonly underdiagnosed, and to regulate signs extra successfully with lively sufferer involvement.

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Example text

History and examination tips The ideal is to examine the patient, and obtain an ECG, when they have their symptoms but this is usually not possible. 1 Probability of arrythymia associated with clinical features in patients with palpitation. 7 Interpreting likelihood ratios: likelihood ratio >1 indicates increased probability of organic tachycardia; likelihood ratio <1 indicates reduced probability. consultation, the patient suddenly appears concerned it is worth asking if their symptoms are present and checking the pulse.

Furthermore, the patient has control over how they answer this and if a symptom did begin at a stressful time, the patient may wish to disguise this, in case the doctor jumps to conclusions. You will want to know about patients’ ideas, concerns and expectations. ’ If the patient does not volunteer this – as in the example above – then listen to what the patient is asking you for. If they suggest an explanation, then that is most likely what they want. If they suggest an investigation, then you need to discuss that.

Gastrointestinal Symptoms Explanation Start by addressing any concerns that the patient has mentioned. Ensure that your explanation is in keeping with the patient’s concerns and deal with these concerns by discussing with the patient why his symptoms do not indicate an underlying disease rather than dismissing it as an unnecessary worry. You can only effectively reassure the patients, if you have taken note of his concerns, and have done all the necessary tests (although this may be limited to a thorough history taking and physical examination).

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