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ABC of Medically Unexplained Symptoms
| ABC of Medically Unexplained Symptoms |
| Autore | Burton Christopher |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | New York : , : John Wiley & Sons, Incorporated, , 2013 |
| Descrizione fisica | 1 online resource (90 pages) |
| Disciplina | 616.07/5 |
| Collana | ABC Ser. |
| Soggetto topico | Primary Health Care - methods |
| Soggetto genere / forma | Electronic books. |
| ISBN |
9781118495308
9781119967255 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Medically Unexplained Symptoms -- Contents -- Contributors -- Acknowledgements -- Chapter 1 Introduction -- Aim -- An approach to MUS -- What do we mean by medically unexplained symptoms? -- Symptoms with low probability of disease -- Functional somatic syndromes -- What causes MUS? -- Biological mechanisms -- Symptom awareness and appraisal -- Perpetuating factors -- An integrated model -- What should we call MUS? -- How to use this book -- Further reading -- Chapter 2 Epidemiology and Impact in Primary and Secondary Care -- Epidemiology -- Population prevalence -- GP consultation prevalence -- Referral prevalence -- Prevalence and overlap of syndromes -- Epidemiological associations of MUS -- Impact of MUS -- Quality of life -- Healthcare usage and costs -- Conclusion -- Further reading -- Chapter 3 Considering Organic Disease -- Introduction -- How commonly does MUS turn out to be organic disease? -- What are the factors associated with practitioner delay in diagnosing serious illness? -- Patient characteristics -- Patient healthcare behaviour -- Practitioner response -- Health system factors -- What are the commonest diagnostic errors? -- Cognitive processing errors -- Premature closure -- Availability bias -- Representativeness bias -- Anchoring and conservatism -- Principles for safe practice with suspected MUS -- Summary -- Further reading -- Chapter 4 Considering Depression and Anxiety -- Introduction -- Epidemiology -- Diagnosis -- Depression -- Generalised and phobic anxiety -- Family history, childhood and recent stress -- Suicide and self-harm -- Patients' beliefs -- Questionnaires -- Investigations -- Explaining the diagnosis -- Further reading -- Chapter 5 Medically Unexplained Symptoms and the General Practitioner -- MUS and diagnostic confusion -- Uncertain case definition -- Variable clinical context.
The frustration of MUS -- Patients' expectations of GPs -- How GPs can make the situation worse -- Living with uncertainty -- Further reading -- Chapter 6 Principles of Assessment and Treatment -- Introduction -- Listening to the patient -- Considering the possibility of MUS -- Look for typical features of organic and functional conditions -- Target your examination and investigations -- Give constructive explanations -- Link the explanation to action -- Set appropriate expectations and safety nets -- Expectation of recovery -- Expectation of you -- Setting safety nets -- Bringing it all together -- Further reading -- Chapter 7 Palpitations, Chest Pain and Breathlessness -- Introduction -- Palpitations -- Epidemiology in primary care -- GP assessment -- Typical features of functional symptoms -- Typical features of organic symptoms and red flag symptoms -- History and examination tips -- Clinical decision -- Referral and Investigations -- Explanation -- Specific treatment -- Chest pain -- GP assessment of new chest pain -- History and examination tips -- Investigations and referral -- Explanation -- Specific treatment -- Breathlessness -- Epidemiology in primary care -- GP assessment -- Typical features of functional symptoms -- Examination tips -- Explanation -- Conclusion -- Further reading -- Chapter 8 Headache -- Introduction -- Epidemiology in primary care -- GP assessment -- Typical features of functional symptoms -- Tension-type headache -- Medication-overuse headache -- Typical features of organic symptoms -- Headaches representing serious disease -- Migraine -- Other primary headaches -- History and examination tips -- The examination -- Clinical decision -- Explanation -- Specific treatment -- Further reading -- Chapter 9 Gastrointestinal Symptoms: Functional Dyspepsia and Irritable Bowel Syndrome -- Introduction -- Functional dyspepsia. Epidemiology in primary care -- GP assessment -- History and examination tips -- Investigations and referral -- Explanation -- Specific treatment -- Irritable bowel syndrome -- Epidemiology in primary care -- History and examination -- GP assessment -- Investigations and referral -- Explanation -- Specific treatment -- Other functional gut syndromes -- Conclusion -- Further reading -- Chapter 10 Pelvic and Reproductive System Symptoms -- Introduction -- Chronic pelvic pain -- Epidemiology in primary care -- GP assessment -- Typical features of organic symptoms -- History and examination tips -- Explanations of functional CPP -- Specific management -- Vulvodynia -- Epidemiology in primary care -- GP assessment -- Typical features of organic symptoms -- Typical features of functional symptoms -- History, examination and investigation -- Explanations and management -- Dyspareunia -- Epidemiology in primary care -- GP assessment -- Explanation after a negative investigation -- Specific management -- Other pelvic and reproductive symptoms -- Further reading -- Chapter 11 Widespread Musculoskeletal Pain -- Introduction -- Epidemiology in primary care -- Typical features of functional symptoms -- Typical features of organic symptoms -- History and examination tips -- Investigations -- Explanation -- Specific management -- Reassurance -- Non-pharmacological options -- Pharmacological options -- Summary -- Further reading -- Chapter 12 Fatigue -- Epidemiology in primary care -- Fatigue symptoms -- Chronic fatigue syndrome -- GP assessment -- Typical features of functional symptoms -- Typical features of organic symptoms and red flag symptoms -- History and examination tips -- Referral and investigations -- Clinical decision -- Explanation -- Specific treatment -- Conclusion -- Further reading. Chapter 13 Neurological Symptoms: Weakness, Blackouts and Dizziness -- Introduction -- Functional weakness -- Epidemiology -- Clinical features of functional weakness -- GP assessment -- Explanation -- Specific treatment -- Blackouts/dissociative (non-epileptic attacks) -- Epidemiology -- Clinical features of dissociative (non-epileptic) attacks -- GP assessment -- Explanation -- Dizziness -- Epidemiology in primary care -- GP assessment -- Typical features of functional dizziness -- Explanation -- Treatment -- Further reading -- Chapter 14 Managing Medically Unexplained Symptoms in The Consultation -- Introduction -- Getting the consultation off to a good start -- Deep listening skills -- Using non-verbal (body language) and paraverbal (tone of voice) information -- Picking up when listening is not working -- Avoiding the problem of 'The doctor thinks I am imagining it' -- Examination with commentary -- Breaking good news -- Planning care and follow-up -- Working on the relationship -- Further reading -- Chapter 15 Cognitive Approaches to Treatment -- CBT - 'it's NOT all in your mind' -- A CBT formulation -- Developing and sharing a formulation -- Using a formulation to introduce treatment -- Engaging patients -- Working on specific thoughts -- Beliefs about cause -- Beliefs about symptom meaning and management -- Hurt equals harm -- Catastrophisation -- Beliefs about self and self-standards -- Beliefs of others -- Where to start -- Further reading -- Chapter 16 Behavioural Approaches to Treatment -- Introduction -- CBT, it is NOT just 'do more exercise' -- Know where you are going -- Activity management(s) -- Monitoring activity -- Overactivity -- Underactivity -- Inconsistent or 'boom and bust' activity -- Loss of pleasurable activity -- Activity scheduling -- Graded activity -- Establish a baseline -- Graded increases on baseline -- Review. Sleep management -- Summary -- Further reading -- Chapter 17 Pharmacological Treatment -- Introduction -- How drugs appear to work for symptoms -- Reducing depression or anxiety -- Reducing central sensitisation to pain -- Altering symptom appraisal and autonomicresponses -- Choosing which drug to use -- Antidepressants -- Anticonvulsants -- Explaining treatment -- Reviewing and discontinuing drugs -- Addiction to prescribed treatment -- Side effects and the nocebo response -- Treatment of less common psychiatric disorders -- Further reading -- Chapter 18 Conclusion -- Appendix: Suggestions for Reflection and Audit -- Index. |
| Record Nr. | UNINA-9910795813603321 |
Burton Christopher
|
||
| New York : , : John Wiley & Sons, Incorporated, , 2013 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
ABC of Medically Unexplained Symptoms
| ABC of Medically Unexplained Symptoms |
| Autore | Burton Christopher |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | New York : , : John Wiley & Sons, Incorporated, , 2013 |
| Descrizione fisica | 1 online resource (90 pages) |
| Disciplina | 616.07/5 |
| Collana | ABC Ser. |
| Soggetto topico | Primary Health Care - methods |
| Soggetto genere / forma | Electronic books. |
| ISBN |
9781118495308
9781119967255 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Medically Unexplained Symptoms -- Contents -- Contributors -- Acknowledgements -- Chapter 1 Introduction -- Aim -- An approach to MUS -- What do we mean by medically unexplained symptoms? -- Symptoms with low probability of disease -- Functional somatic syndromes -- What causes MUS? -- Biological mechanisms -- Symptom awareness and appraisal -- Perpetuating factors -- An integrated model -- What should we call MUS? -- How to use this book -- Further reading -- Chapter 2 Epidemiology and Impact in Primary and Secondary Care -- Epidemiology -- Population prevalence -- GP consultation prevalence -- Referral prevalence -- Prevalence and overlap of syndromes -- Epidemiological associations of MUS -- Impact of MUS -- Quality of life -- Healthcare usage and costs -- Conclusion -- Further reading -- Chapter 3 Considering Organic Disease -- Introduction -- How commonly does MUS turn out to be organic disease? -- What are the factors associated with practitioner delay in diagnosing serious illness? -- Patient characteristics -- Patient healthcare behaviour -- Practitioner response -- Health system factors -- What are the commonest diagnostic errors? -- Cognitive processing errors -- Premature closure -- Availability bias -- Representativeness bias -- Anchoring and conservatism -- Principles for safe practice with suspected MUS -- Summary -- Further reading -- Chapter 4 Considering Depression and Anxiety -- Introduction -- Epidemiology -- Diagnosis -- Depression -- Generalised and phobic anxiety -- Family history, childhood and recent stress -- Suicide and self-harm -- Patients' beliefs -- Questionnaires -- Investigations -- Explaining the diagnosis -- Further reading -- Chapter 5 Medically Unexplained Symptoms and the General Practitioner -- MUS and diagnostic confusion -- Uncertain case definition -- Variable clinical context.
The frustration of MUS -- Patients' expectations of GPs -- How GPs can make the situation worse -- Living with uncertainty -- Further reading -- Chapter 6 Principles of Assessment and Treatment -- Introduction -- Listening to the patient -- Considering the possibility of MUS -- Look for typical features of organic and functional conditions -- Target your examination and investigations -- Give constructive explanations -- Link the explanation to action -- Set appropriate expectations and safety nets -- Expectation of recovery -- Expectation of you -- Setting safety nets -- Bringing it all together -- Further reading -- Chapter 7 Palpitations, Chest Pain and Breathlessness -- Introduction -- Palpitations -- Epidemiology in primary care -- GP assessment -- Typical features of functional symptoms -- Typical features of organic symptoms and red flag symptoms -- History and examination tips -- Clinical decision -- Referral and Investigations -- Explanation -- Specific treatment -- Chest pain -- GP assessment of new chest pain -- History and examination tips -- Investigations and referral -- Explanation -- Specific treatment -- Breathlessness -- Epidemiology in primary care -- GP assessment -- Typical features of functional symptoms -- Examination tips -- Explanation -- Conclusion -- Further reading -- Chapter 8 Headache -- Introduction -- Epidemiology in primary care -- GP assessment -- Typical features of functional symptoms -- Tension-type headache -- Medication-overuse headache -- Typical features of organic symptoms -- Headaches representing serious disease -- Migraine -- Other primary headaches -- History and examination tips -- The examination -- Clinical decision -- Explanation -- Specific treatment -- Further reading -- Chapter 9 Gastrointestinal Symptoms: Functional Dyspepsia and Irritable Bowel Syndrome -- Introduction -- Functional dyspepsia. Epidemiology in primary care -- GP assessment -- History and examination tips -- Investigations and referral -- Explanation -- Specific treatment -- Irritable bowel syndrome -- Epidemiology in primary care -- History and examination -- GP assessment -- Investigations and referral -- Explanation -- Specific treatment -- Other functional gut syndromes -- Conclusion -- Further reading -- Chapter 10 Pelvic and Reproductive System Symptoms -- Introduction -- Chronic pelvic pain -- Epidemiology in primary care -- GP assessment -- Typical features of organic symptoms -- History and examination tips -- Explanations of functional CPP -- Specific management -- Vulvodynia -- Epidemiology in primary care -- GP assessment -- Typical features of organic symptoms -- Typical features of functional symptoms -- History, examination and investigation -- Explanations and management -- Dyspareunia -- Epidemiology in primary care -- GP assessment -- Explanation after a negative investigation -- Specific management -- Other pelvic and reproductive symptoms -- Further reading -- Chapter 11 Widespread Musculoskeletal Pain -- Introduction -- Epidemiology in primary care -- Typical features of functional symptoms -- Typical features of organic symptoms -- History and examination tips -- Investigations -- Explanation -- Specific management -- Reassurance -- Non-pharmacological options -- Pharmacological options -- Summary -- Further reading -- Chapter 12 Fatigue -- Epidemiology in primary care -- Fatigue symptoms -- Chronic fatigue syndrome -- GP assessment -- Typical features of functional symptoms -- Typical features of organic symptoms and red flag symptoms -- History and examination tips -- Referral and investigations -- Clinical decision -- Explanation -- Specific treatment -- Conclusion -- Further reading. Chapter 13 Neurological Symptoms: Weakness, Blackouts and Dizziness -- Introduction -- Functional weakness -- Epidemiology -- Clinical features of functional weakness -- GP assessment -- Explanation -- Specific treatment -- Blackouts/dissociative (non-epileptic attacks) -- Epidemiology -- Clinical features of dissociative (non-epileptic) attacks -- GP assessment -- Explanation -- Dizziness -- Epidemiology in primary care -- GP assessment -- Typical features of functional dizziness -- Explanation -- Treatment -- Further reading -- Chapter 14 Managing Medically Unexplained Symptoms in The Consultation -- Introduction -- Getting the consultation off to a good start -- Deep listening skills -- Using non-verbal (body language) and paraverbal (tone of voice) information -- Picking up when listening is not working -- Avoiding the problem of 'The doctor thinks I am imagining it' -- Examination with commentary -- Breaking good news -- Planning care and follow-up -- Working on the relationship -- Further reading -- Chapter 15 Cognitive Approaches to Treatment -- CBT - 'it's NOT all in your mind' -- A CBT formulation -- Developing and sharing a formulation -- Using a formulation to introduce treatment -- Engaging patients -- Working on specific thoughts -- Beliefs about cause -- Beliefs about symptom meaning and management -- Hurt equals harm -- Catastrophisation -- Beliefs about self and self-standards -- Beliefs of others -- Where to start -- Further reading -- Chapter 16 Behavioural Approaches to Treatment -- Introduction -- CBT, it is NOT just 'do more exercise' -- Know where you are going -- Activity management(s) -- Monitoring activity -- Overactivity -- Underactivity -- Inconsistent or 'boom and bust' activity -- Loss of pleasurable activity -- Activity scheduling -- Graded activity -- Establish a baseline -- Graded increases on baseline -- Review. Sleep management -- Summary -- Further reading -- Chapter 17 Pharmacological Treatment -- Introduction -- How drugs appear to work for symptoms -- Reducing depression or anxiety -- Reducing central sensitisation to pain -- Altering symptom appraisal and autonomicresponses -- Choosing which drug to use -- Antidepressants -- Anticonvulsants -- Explaining treatment -- Reviewing and discontinuing drugs -- Addiction to prescribed treatment -- Side effects and the nocebo response -- Treatment of less common psychiatric disorders -- Further reading -- Chapter 18 Conclusion -- Appendix: Suggestions for Reflection and Audit -- Index. |
| Record Nr. | UNINA-9910822073003321 |
|
Burton Christopher
|
||
| New York : , : John Wiley & Sons, Incorporated, , 2013 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||