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Disclamer |
Causes unnecessary instrumental laboratory studies are, of course, and the natural tendency of any doctor to the patient that "everything possible", and professional vanity specialist, and just see the fear of some rare or obscure pathology. The inevitable result of a variety of research carried out at the insistence of the patient, is sooner or later revealing he had any secondary somatic changes (from the X-ray guidance for low back pain in a particular region of the spine to nonspecific ECG abnormalities or functional systolic murmur at the apex of the heart). Passion for physical examination and the "local treatment" brings in the end, considerable damage when it comes to patients with symptoms of physical distress caused by emotional factors.
Repeated physical examination however shows such patients, if after a single use of modern diagnostic tools to exclude an organic basis cannot be suffering and the availability of structural brain lesions or visceral pathology remains an open question due to the uncertainty of symptoms and functional nature of pain - questionable. For example, viscous circumstantial evidence when presenting complaints, most likely in favor of organic brain damage. Dynamic physical examination is essential, particularly in small-old diseases and the absence of a convincing history, avoids initial stage of a severe physical suffering, or organic damage to the central nervous system. Particularly troubling in this regard, the sharp decline in the overall vitality and appearance (the first time in my life, and without any apparent reason), psychosomatic symptoms in a well-adapted middle-aged man. |
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