Management of physical symptoms in the absence of organic disease

Physical symptoms for which there is no accountable anatomical pathology are common in acute hospital and primary care settings. They can be challenging and frustrating for the physician, who may feel a lack of skill in providing care or intervention for patients. These symptoms cause significant functional impairment and distress for patients, and there is often a disproportionately high level of healthcare utilization. This article looks at current nomenclature, assessment and management options that can be provided by the physician to improve clinical outcomes in this patient group in the acute medical unit.