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ABC of Medically Unexplained Symptoms


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Table of Contents

Contributors vii Acknowledgements ix 1 Introduction 1 Chris Burton 2 Epidemiology and Impact in Primary and Secondary Care 5 Alexandra Rolfe and Chris Burton 3 Considering Organic Disease 7 David Weller and Chris Burton 4 Considering Depression and Anxiety 10 Alan Carson and Jon Stone 5 Medically Unexplained Symptoms and the General Practitioner 15 Christopher Dowrick 6 Principles of Assessment and Treatment 18 Chris Burton 7 Palpitations Chest Pain and Breathlessness 22 Chris Burton 8 Headache 27 David P. Kernick 9 Gastrointestinal Symptoms: Functional Dyspepsia and Irritable Bowel Syndrome 31 Henriette E. van der Horst 10 Pelvic and Reproductive System Symptoms 36 Nur Amalina Che Bakri, Camille Busby-Earle, Robby Steel and Andrew W. Horne 11 Widespread Musculoskeletal Pain 40 Barbara Nicholl, John McBeth and Christian Mallen 12 Fatigue 43 Alison J. Wearden 13 Neurological Symptoms: Weakness Blackouts and Dizziness 47 Jon Stone and Alan Carson 14 Managing Medically Unexplained Symptoms in the Consultation 52 Avril F. Danczak 15 Cognitive Approaches to Treatment 56 Vincent Deary 16 Behavioural Approaches to Treatment 60 Vincent Deary 17 Pharmacological Treatment 64 Killian A. Welch 18 Conclusion 68 Chris Burton Appendix: Suggestions for Reflection and Audit 69 Chris Burton Index 71

About the Author

Christopher Burton, Senior Lecturer in Primary Care, University of Aberdeen, UK


The major contribution this monograph makes is torecognize that not all symptoms are readily explainable by a cleardiagnosis. To young clinicians, this can be especially important asthey face both the straightforward diagnosis and the conundrum. Itis an easy read and another tool for working with primary carepatients. (Doody s, 30 August 2013)

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