Abstract：
:Patients with medically unexplained symptoms (MUS) have little or no demonstrable disease explanation for the symptoms, and comorbid psychiatric disorders are frequent. Although common, costly, distressed, and often receiving ill-advised testing and treatments, most MUS patients go unrecognized, which precludes effective treatment. To enhance recognition, we present an emerging perspective that envisions a unitary classification for the entire spectrum of MUS where this diagnosis comprises severity, duration, and comorbidity. We then present a specific approach for making the diagnosis at each level of severity. Although our disease-based diagnosis system dictates excluding organic disease to diagnose MUS, much exclusion can occur clinically without recourse to laboratory or consultative evaluation because the majority of patients are mild. Only the less common, "difficult" patients with moderate and severe MUS require investigation to exclude organic diseases. By explicitly diagnosing and labeling all severity levels of MUS, we propose that this diagnostic approach cannot only facilitate effective treatment but also reduce the cost and morbidity from unnecessary interventions.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Smith RC,Dwamena FCdoi
10.1007/s11606-006-0067-2subject
Has Abstractpub_date
2007-05-01 00:00:00pages
685-91issue
5eissn
0884-8734issn
1525-1497journal_volume
22pub_type
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journal_title：Journal of general internal medicine
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journal_title：Journal of general internal medicine
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更新日期：2007-07-01 00:00:00
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更新日期：2014-09-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/BF02600392
更新日期：1990-07-01 00:00:00
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doi：10.1111/j.1525-1497.2006.00624.x
更新日期：2006-12-01 00:00:00
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更新日期：1993-02-01 00:00:00
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更新日期：2011-08-01 00:00:00
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更新日期：2021-01-19 00:00:00
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