A Case Approach to Medical-psychiatric Practice

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American Psychiatric Press, Jan 1, 1996 - Medical - 459 pages
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"A Case Approach to Medical-Psychiatric Practice" represents an unapologetic attempt to reinstate consultation-liaison psychiatry as a medical discipline. Intended as a teaching instrument rather than a comprehensive textbook, this volume presents case discussions that accurately capture the problem-oriented bedside world of medical-psychiatric practice. Psychiatrists at all stages of experience-from the resident to the seasoned practitioner-will find this book to be an invaluable guide to the complex clinical dilemmas encountered in hospital settings.

The focus is on the differential diagnosis and pharmacological management of patients with medical conditions-for example, cardiovascular disease, pulmonary disease, cancer, delirium, gastrointestinal conditions, alcoholism with cirrhosis, kidney disease, HIV infection-who develop concurrent psychiatric problems. A consultation-liaison guide to DSM-IV is included, and guidelines for identifying and managing these disorders and their symptoms are provided. There are chapters on managing steroid-induced psychiatric syndromes, treating gynecological patients including breast cancer patients, and working with psychiatric illness during pregnancy.

Each chapter contains case presentations followed by multiple-choice questions designed to challenge the reader's knowledge and ingenuity in responding to real-life clinical quandaries. The comprehensive literature reviews and discussion provided for each topic can be used by readers to expand their knowledge in areas of interest. Numerous appendixes serve as concise pull-out summaries for handy bedside reference. Reviews are clearly organized and extensively cross-referenced, making thisbook not only an exceptional learning tool but also an excellent resource for further study.

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Contents

Chapter
3
Chapter
16
Acknowledgments xi
24
The Depressed Cardiovascular Patient 4
35
E Introduction to Chapter 1 3 Tricyclic Antidepressants
39
The Manic Patient With Heart Disease and Hypertension
51
El Questions 35 Intraaortic Balloon Pump
59
The Patient With Pulmonary Disease
65
The Patient on Steroids
193
The HIVInfected Patient
213
Introduction to Chapter 6
215
Psychiatric Morbidity Part I
226
The Female HIV Patient
247
The Patient With Gastrointestinal Distress and Psychiatric
275
The Obstetrics Patient
299
Introduction to Chapter 8 301 Neonatal Toxicity
316

Introduction to Chapter 2
67
Discussion
73
The Anxious Depressed Asthmatic Patient
93
PhysicianRelated Assessment Factors
101
The Delirious Alcoholic Patient With Cirrhosis
117
Introduction to Chapter 3
119
Q Alcoholic Hallucinosis
125
The Patient With Kidney Disease
141
Introduction to Chapter 4
143
Q References
156
The Depressed Renal Patient and Transplantation
159
Answers
163
The Psychotic Bipolar Pregnant Patient
324
The GynecologyOncology Patient
343
Introduction to Chapter 9
345
Chronic Pelvic Pain
358
Breast Cancer
370
Appendix B1 MiniMental State Examination
398
Appendix F A MiniOutline of Competency and Informed Consent
404
Appendix H The Use of Psychotropics in Renal Failure
413
Effects of Psychotropics During Pregnancy
424
Appendix N Guidelines for Using Psychotropics During Pregnancy
435
Appendix P Practical Suggestions for Bedside Manner in the General Hospital
441
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