Poverty, substandard medical care, social neglect or withdrawal, unhealthy lifestyle — these are just some of the contributors to the substantial morbidity of patients with severe mental illness. Medical deteriorations are often unexpected and severe, and particularly difficult to evaluate in the context of psychotic disorders.
For this new edition, the Handbook of Medicine in Psychiatry has been updated and streamlined to provide a realistic approach to the medical issues encountered in psychiatric practice by helping clinicians answer whether their patient: Is at risk of dying or becoming severely disabled. Requires an immediate therapeutic intervention for a potentially life-threatening condition. Needs to be transferred to an emergency medicine setting. Requires urgent investigations. Must have changes made in the current medication regimen. Clinical vignettes for each chapter illustrate the complexity of the presentation of abnormal vital signs and somatic disorders in psychiatric settings, including fever, hypertension, seizures, and nausea and vomiting.
The guide also provides risk stratification for major complications — from abnormal thyroid function and acute kidney injury to myocarditis and venous thromboembolism — enabling readers to determine the need for a transfer of the patient to an emergency medicine setting.
A brand-new section features thorough discussions of topics requiring interdisciplinary collaboration with geriatricians, neurologists, anesthesiologists, addiction medicine, and adolescent medicine specialists.
Clinicians working in today’s busy inpatient and outpatient psychiatric settings will find in these pages a cognitive framework and knowledge base that will aid them in accurate decision making in the conditions of uncertainty created by potentially major medical deteriorations of the vulnerable populations under their care.
İçerik tablosu
Contributors Preface Acknowledgments Part I: Abnormal Vital Signs Chapter 1. Fever Chapter 2. Hypertension Chapter 3. Hypotension and Orthostasis Chapter 4. Abnormal Heart Rate Part II: Common Somatic Symptoms Chapter 5. Headache Chapter 6. Seizures Chapter 7. Falls and Head Trauma Chapter 8. Syncope and Unresponsiveness Chapter 9. Chest Pain Chapter 10. Shortness of Breath Chapter 11. Edema Chapter 12. Obstructive Sleep Apnea Chapter 13. Abdominal Pain and Heartburn Chapter 14. Nausea and Vomiting Chapter 15. Bowel Habit Changes Chapter 16. Dysuria, Incontinence, and Urinary Retention Chapter 17. Changes in Visual Acuity, Red Eye, and Eye Pain Part III: Abnormal Laboratory Findings Chapter 18. Glucose Dysregulation Chapter 19. Electrolyte Abnormalities Chapter 20. Abnormal Thyroid Function Chapter 21. Abnormal Liver Function Chapter 22. Acute Kidney Injury Part IV: Major Adverse Effects of Psychotropic Drugs Chapter 23. QTc Prolongation and Torsades de Pointes Chapter 24. Myocarditis and Cardiomyopathy Chapter 25. Neuroleptic Malignant Syndrome, Serotonin Syndrome, and Rhabdomyolysis Chapter 26. Neutropenia and Agranulocytosis Chapter 27. Venous Thromboembolism Part V: Interdisciplinary Interventions Chapter 28. Cardiopulmonary Emergencies Chapter 29. Agitation and Delirium Chapter 30. Adverse Events Associated With Electroconvulsive Therapy Chapter 31. Alcohol and Substance Abuse Chapter 32. Adolescent Medicine Topics for the Mental Health Practitioner Chapter 33. Geriatric Medicine Topics for the Mental Health Practitioner Index
Yazar hakkında
Peter Manu, M.D. is Professor of Medicine and Psychiatry at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and Director of Medical Services, South Oaks Hospital in Amityville, New York.Corey Karlin-Zysman, M.D. is Assistant Professor of Medicine at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and Associate Medical Director at Long Island Jewish Medical Center in New Hyde Park, New York.Eugene Grudnikoff, M.D. is Assistant Professor of Psychiatry at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and Unit Chief, Child and Adolescent Psychiatry at Elmhurst Hospital, Elmhurst, New York.
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