Somatic symptoms: beyond ‘medically unexplained’

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...

Explaining medically unexplained symptoms.

Patients with medically unexplained symptoms comprise from 15% to 30% of all primary care consultations. Physicians often assume that psychological factors account for these symptoms, but current theories of psychogenic causation, somatization, and somatic amplification cannot fully account for common unexplained symptoms. Psychophysiological and sociophysiological models provide plausible medi...

Consequences of Medically Unexplained Symptoms

Reassurance: Medically Unexplained Physical Symptoms

Bill Anderson Escobar et al.’s discussion of medically unexplained physical symptoms is useful, and could trigger a renewal of how the medical profession works [1]. We are in transition at the present, and what we have been trained for is less and less relevant. This disjunction between our training and practise has given rise to a generation of unhappy doctors. The traditional “doctor” dealt w...

Medically unexplained physical symptoms in emergency medicine.

Medically unexplained physical symptoms (MUPS) are physical symptoms for which no relevant organic pathology can be found. Patients with MUPS commonly present to the emergency department (ED) but are rarely considered in emergency medicine teaching or literature. Management of these patients is frequently more challenging than where there is an obvious organic pathology. This review provides th...