Genuine neurological or medical disease

New focal signs, objective weight loss, inflammatory markers, persistent abnormal observations

RoutineReview due

Compare (7)

At a glance

High-risk causes: 7
Related differentials: 6

Safety snapshot

Stroke, seizure, PE, endocrine disease, malignancy, infection, autoimmune.

Watch forStrokeseizurePEendocrine disease

Presentation hinge

Driven by excessive time, energy, and distress around symptoms, not by symptoms being fake.

Separates the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group. It is not specific to Genuine neurological or medical disease.

Clinical review

Rows marked “Whole group”: Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group — not specific to Genuine neurological or medical disease

Why it fits

New focal signs, objective weight loss, inflammatory markers, persistent abnormal observations

Key features

Must-not-miss

Stroke, seizure, PE, endocrine disease, malignancy, infection, autoimmune.

High-risk causes7 causes

Stroke
seizure
PE
endocrine disease
malignancy
infection
autoimmune

Bedside question

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

Driven by excessive time, energy, and distress around symptoms, not by symptoms being fake.

Helpful clues

Immediate action

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

None listed

Priority steps

Investigations

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

None listed

Core tests

Mimics / overlap

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.