Medically unexplained symptoms

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Across
  1. 4. The ICD 11 (International Classification of Diseases) and DSM 5 (Diagnostic and Statistical Manual of Mental Disorders) uses this term to describe neurological conditions affecting movement or senses with a clear structural cause.
  2. 5. Pain Common medically unexplained symptom
  3. 7. Abbreviation for seizures with no neurological basis, often linked to emotional distress.
  4. 9. Chronic pain syndrome often accompanied by fatigue and cognitive difficulties.
  5. 13. A disorder where there is manifestation of psychological distress through physical symptoms.
  6. 14. Any symptom may not be explained by a physical health diagnosis but could be explained by a psychiatric or psychological cause due to the …..link
  7. 15. A lifestyle change that has been shown to be beneficial in FND.
  8. 16. Physical symptoms in the body that are not secondary to any underlying physical condition but understood by other factors.
  9. 17. Heightened sensitivity to physical sensations, often found in those with fibromyalgia
  10. 18. If not appropriately managed, MUS can lead to chronic …..
  11. 19. Relevant X is required to exclude organic causes of the presenting symptoms and clinical signs.
Down
  1. 1. Disorder where person has concerns about specific illnesses rather than symptoms
  2. 2. This medication may have some effect in FND, partially due to the treatment of co-morbid depression
  3. 3. A type of talking therapy that can be used as well as cognitive behavioural therapy (CBT) and mindfulness for the management of MUS.
  4. 6. 1 in X people who see a GP have physical symptoms that cannot be explained.
  5. 8. X, gait disturbance, seizures, sensory loss and vision disturbances are all symptoms of FND.
  6. 10. GI symptoms may be part of a poorly understood syndrome, such as…
  7. 11. Key differential diagnosis for MUS/FND whereby the syndrome involves a conscious effort to fake illness and seek medical attention without any clear motive. The sick role offers a sense of identity. They may get satisfaction from puzzling medical professionals. It can lead to significant and unnecessary investigations and interventions.
  8. 12. A significant risk factor for MUS. This may come from any aspect of the patient’s life, including home, school, work, family, friends, and relationships. There is also often an association with past or recent abuse.
  9. 14. A differential diagnosis for FND/MUS, deliberately faking illness for external gain such as financial gain