A Case Approach to Medical-psychiatric Practice

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American Psychiatric Press, 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
Introduction to Chapter 1 3 Tricyclic Antidepressants
39
Treatment 15 Patient With Heart Disease and Hypertension
51
References 24 Drug Interactions
58
Depressed Asthmatic Patient
93
Introduction to Chapter 3
119
Alcoholic Hallucinosis
125
Summary
276
Introduction to Chapter 8
301
Discussion
307
Appendix M
312
Appendix
318
Postpartum Psychosis
328
Breast Cancer
370
Chronic Pelvic Pain 358 Coping Styles
379

Introduction to Chapter 4
143
References
156
Answers
163
Summary 59
194
Questions
216
Appendix
220
Appendix L
228
Appendix
383
Effects of Psychotropics During Pregnancy
421
Guidelines for Using Psychotropics During Pregnancy
435
Practical Suggestions for Bedside Manner in the General Hospital
441
Psychiatric Morbidity Part I 226 Gay
450
Hysterectomy 360 Countertransference
451
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