Hypothalamic-pituitary-adrenal Axis in Patients Presenting to Psychosomatic Medicine with Fatigue
Sunao Matsubayashi, Makoto Yamashita, Takeshi Hara, Makito Tanabe, Shuichi Matsumoto
Abstract
Many patients with fatigue are referred to psychosomatic medicine, but few studies have examined the...
https://wapo.st/4iQGkKN
Ask questions, especially ‘What else could this be?’
Doctors increasingly face relentless time pressures, which may facilitate diagnostic errors. Common pitfalls include stereotyping, in which a doctor makes a snap judgment based on negative characteristics, and...
“I still can’t forget those words”: mixed methods study of the persisting impact on patients reporting psychosomatic and psychiatric misdiagnoses
Sloan, Melanie; Bosley, Michael; Gordon, Caroline; Pollak, Thomas A; Mann, Farhana; Massou, Efthalia; Morris, Stephen; Holloway, Lynn; Harwood...
UK: Women forced to attend up to 10 GP appointments to get menopause diagnosis, study finds
Exclusive: Menopause expert warns women are enduring ‘needless barriers’ to treatment and are ‘suffering and confused’
Women are being forced to attend up to 10 GP appointments to get a menopause...
Underdiagnosis of myalgic encephalomyelitis/chronic fatigue syndrome-like illness in a large integrated healthcare system — Kaiser Permanente Northern California, 2022-2023
Mariah Wood; Nicole Halmer; Jeanne Bertolli; Laura B. Amsden; Joshua R. Nugent; Jin-Mann S. Lin; Gretchen Rothrock; Joelle...
Diagnosis: Jessica’s story
As told by her parents Simon and Andrea.
“Our precious daughter, Jessica, died on 20 December 2020. She was 27 years old.
She had been ill for 6 months, but the spring/summer lockdown meant face-to-face consultations with her GP were restricted and numerous...
Abstract
Subacute combined degeneration of the spine (SCDS) is a well-known disease that classically presents with progressive sensory and motor deficits and characteristic magnetic resonance imaging (MRI) findings, leading to its use as a key diagnostic tool. However, clinical and MRI findings...
Incidence of myalgic encephalomyelitis/chronic fatigue syndrome in a large prospective cohort of U.S. nurses
Natalia Palacios, Kathryn Fitzgerald, Anthony Komaroff, Alberto Ascherio
ABSTRACT
Background: The incidence of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), the rates of...
'NHS doctors brushed off our condition as menopause – what we suffer from is far worse'
https://www.mirror.co.uk/news/health/nhs-doctors-brushed-condition-menopause-33179607?fbclid=IwZXh0bgNhZW0CMTEAAR2xm6RVY_jdTbG8pW9LwRqG0h5FZpl9niy3pcKJS30n-X3aLLqPtckf3u4_aem_vbdi1bwgIUS3D0L0ulVZuQ
Abstract
We discuss two people with Parkinson’s disease (PD), in whom tremor manifested directly following a severely stressful event. Both were initially misdiagnosed with a functional neurological disorder. These stories highlight that stress can trigger the onset of clinical manifestations...
"GPs are ignoring cancer warning signs in young people, with too many referred for psychological therapy instead of screening, a leading oncology expert has warned.
The symptoms of young people repeatedly presenting with pain are too often ignored because there is still a lack of awareness...
Functional neurological disorder (FND) may mimic various kinds of neurologic diseases and may coexist with other neurologic disorders. In cases overlapped by FND, it might be challenging to distinguish symptoms induced by FND and those induced by other underlying neurological disorders...
Composite reference standards are used to evaluate the accuracy of a new test in the absence of a perfect reference test. A composite reference standard defines a fixed, transparent rule to classify subjects into disease positive and disease negative groups based on existing imperfect tests. The...
While psychiatric manifestations are common in patients with Cushing’s syndrome (CS), to our knowledge, there are no reported cases of CS presenting with functional neurological disorder (FND), a neuropsychiatric condition in which patients experience neurological symptoms, such as motor...
Abstract:
Misdiagnosis of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) can occur when different case definitions are used by clinicians (relative misdiagnosis) or when failing the genuine diagnosis of another disease (misdiagnosis in a strict sense). This problem translates to a...
There is/are no substantive data on the frequency at which ME/CFS is a misdiagnosis – that is where a patient with a serious illness is misdiagnosed as having ME/CFS.
Despite the lack of data a misdiagnosis of ME/CFS undoubtedly happens and while differential and exclusionary diagnoses should...
https://bjgplife.com/delicate-diagnosis-avoiding-harms-in-difficult-disputed-and-desired-diagnoses/
BJGP LONG READ
‘Delicate diagnosis’: avoiding harms in difficult, disputed, and desired diagnoses
7 October 2022
Margaret McCartney is an Honorary Senior Lecturer at the School of Medicine...
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