“Medically unexplained” symptoms and symptom disorders in primary care: prognosis-based recognition and classification

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“Medically unexplained” symptoms and symptom disorders in primary care: prognosis-based recognition and classification

BACKGROUND Many patients consult their GP because they experience bodily symptoms. In a substantial proportion of cases, the clinical picture does not meet the existing diagnostic criteria for diseases or disorders. This may be because symptoms are recent and evolving or because symptoms are persistent but, either by their character or the negative results of clinical investigation cannot be at...

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Medically unexplained symptoms in primary care.

Fourteen common physical symptoms are responsible for almost half of all primary care visits. Only about 10% to 15% of these symptoms are found to be caused by an organic illness over a 1-year period. Patients with medically unexplained symptoms are frequently frustrating to primary care physicians and utilize medical visits and costs disproportionately. This paper will review the relationship ...

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Medically unexplained symptoms in primary care

An estimated 15–30% of all primary care consul­ tations are for medically unexplained symptoms (Kirmayer et al, 2004). Patients with such symptoms receive large amounts of symptomatic investigation and treatment (Barsky & Borus, 1999). The number of medically unexplained symptoms over a per­ son’s lifetime correlates linearly with the number of depressive and anxiety disorders experi enced (Kat...

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Medically unexplained symptoms and somatoform disorders: diagnostic challenges to psychiatrists.

BACKGROUND Clinical limitations of the criteria of somatoform disorders (SDs) have been criticized. However, little objective evidence supports this notion. We aimed to examine the prevalence of SDs in a population with medically unexplained symptoms (MUS), which was expected to have higher probabilities meriting such diagnoses, and to evaluate factors that may influence the clinical judgment o...

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Medically unexplained neurological symptoms

A 56-year-old woman with seronegative polyarthritis presented with a four-year history of lower back pain and right-sided sciatica. On examination she had reduced power and impaired sensation in her right leg. Magnetic resonance imaging (MRI) of the spine revealed anterior degenerative slip of L4 on L5 with moderate overall reduction in canal calibre and osteophyte encroachment in the right lat...

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ژورنال

عنوان ژورنال: BMC Family Practice

سال: 2017

ISSN: 1471-2296

DOI: 10.1186/s12875-017-0592-6