Understanding medically unexplained symptoms. Part 1: Common presentations and initial management

Module summary

In the first of a two-part series, GP partner and trainer Dr Ed Pooley explains current understanding of medically unexplained symptoms and advises on how to support patients presenting with physical symptoms that have no clear underlying pathology.

Learning objectives:

• How medically unexplained symptoms are defined and the distinction between transient and persistent symptoms
• Current understanding of the epidemiology of MUS and risk factors
• General prognosis and common underlying pathologies – and how this should influence your approach
• Rational approach to investigation and referral, including in those patients who are polysymptomatic
• Strategies to avoid over-investigation while maintaining support and follow-up

Author: Dr Edward Pooley is a GP in Nottingham

Date published: 30.01.2025