Read e-book online ABC of Medically Unexplained Symptoms PDF

By Christopher Burton

ISBN-10: 1119967252

ISBN-13: 9781119967255

This fresh name addresses the advanced matters confronted via basic future health care practitioners in treating and coping with sufferers with ‘medically unexplained symptoms'. It goals to improve instructions and rules to assist determine sufferers with medically unexplained signs, as they're ordinarily underdiagnosed, and to regulate signs extra successfully with lively sufferer involvement.

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Example text

It is the commonest cause of a headache that is present all day every day. Patients with tensiontype headache will keep going, in contrast to those with migraine who will want to lie down in a quiet, darkened room. Tension-type headache often coexists with migraine and some argue that in many cases tension-type headache is part of the migraine spectrum and based on similar neural mechanisms. 1 Estimates of the incidence of some important headache presentations in primary care. 8 1 Up to 10% of primary headaches can be complicated by medication overuse headache.

Examination tips Listen for any unusual breathing patterns while the patient is telling you their history. Stopping for breath, or unusual breaths or sighs, during speech should make you suspicious. Look for the patient becoming uncomfortable or short of breath as you listen to their chest – if in doubt have them take a few more deep breaths or have them take 20 deep breaths ‘as if you’ve just gone upstairs quickly’. Breathlessness brought on by deeper breathing is likely to indicate dysfunctional breathing.

Offer to see the patient after they have been for investigation. A small number of trials have shown that when patients receive information before tests that offers acceptable mechanisms for negative results this is associated with greater reassurance. Explanation Remember that successful reassurance needs two components: why the patient does not have a serious condition and why (probably) their current symptom is happening. 2 Score for risk of heart disease in primary care patients with chest pain.

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ABC of Medically Unexplained Symptoms by Christopher Burton

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