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100 Cases in Psychiatry

Overview

100 Cases in Psychiatry presents 100 scenarios commonly seen in the hospital and community setting. The patient's history and examination are described, with questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, providing an essential revision aid as well as a practical guide for students and junior doctors.

Making clinical decisions is one of the most important and difficult parts of training to become a doctor, and the...

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Overview

100 Cases in Psychiatry presents 100 scenarios commonly seen in the hospital and community setting. The patient's history and examination are described, with questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, providing an essential revision aid as well as a practical guide for students and junior doctors.

Making clinical decisions is one of the most important and difficult parts of training to become a doctor, and the area of mental health presents its own unique challenges. These cases will help students and junior doctors to recognize important medical conditions in psychiatry, and to develop their diagnostic and management skills. It covers common conditions are covered including depression, anxiety, psychosis, alcohol dependence, dementia, autism, mania, self-harm and anorexia.

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Editorial Reviews

Doody's Review Service
Reviewer: Bradley R. Cutler, MD (Edward Hospital and Health Services)
Description: Part of the 100 Cases series, this is a collection of psychiatry cases designed with the student in mind.
Purpose: The purpose is to provide the readers with a structured framework for assessing and managing psychiatric patients by using real patient presentations.
Audience: The book is intended to facilitate "self-directed learning, clinical reasoning, and problem-solving" in students. In particular, it is meant to help students prepare for their psychiatric rotations, practice for standardized patient assessments, and study for written examinations.
Features: In its 100 cases, the book covers a broad variety of subjects from child and adolescent psychiatry to geriatric psychiatry. Each case begins with a patient history followed by the significant findings of the clinical exam as well as any additional pertinent data. A list of questions then encourages readers to determine the appropriate assessment and plan. Following this initial case presentation, subsequent pages provide a detailed approach for the case, with sections detailing diagnostic criteria, differential diagnosis, and key points.
Assessment: While most psychiatric books describe psychiatric disorders without the context of a patient, this book adds an extra dimension by describing mental illnesses in the context of a particular patient. The names of the cases alone provide the readers with a teaser, drawing them into the case. For example, once case is titled, "A Drink a Day to Keep my Problems Away" while another is called, "I Only Smoked a Bit of Cannabis and Took a Couple of Es." The cases describe actual patient presentations, allowing the readers to engage and picture patients they may see on the wards. The list of questions encourages readers to ask even more questions, prompting them to consider a wide variety of diagnoses, assessments, and treatment options. Each case discussion provides a helpful framework for approaching the patient. Among the excellent topics the book covers are the basic tenets of CBT, the CAGE questionnaire, and Schneider's first rank symptoms of schizophrenia. Moreover, cases on psychoanalysis with descriptions of transference and countertransference make clear that the authors are dedicated to teaching readers about the importance of therapy in addition to medication management. Medical students will find this to be an outstanding book, helping them to learn how to assess not just diseases, but the patients as well.
From the Publisher
"While most psychiatric books describe psychiatric disorders without the context of a patient, this book adds an extra dimension by describing mental illnesses in the context of a particular patient... The list of questions encourages readers to ask even more questions, prompting them to consider a wide variety of diagnoses, assessments, and treatment options... Among the excellent topics the book covers are the basic tenets of CBT, the CAGE questionnaire, and Schneider's first rank symptoms of schizophrenia... Medical students will find this to be an outstanding book, helping them to learn how to assess not just diseases, but the patients as well."
Doody's Core Titles
From The Critics
Reviewer: Bradley R. Cutler, MD(Rush University Medical Center)
Description: Part of the 100 Cases series, this is a collection of psychiatry cases designed with the student in mind.
Purpose: The purpose is to provide the readers with a structured framework for assessing and managing psychiatric patients by using real patient presentations.
Audience: The book is intended to facilitate "self-directed learning, clinical reasoning, and problem-solving" in students. In particular, it is meant to help students prepare for their psychiatric rotations, practice for standardized patient assessments, and study for written examinations.
Features: In its 100 cases, the book covers a broad variety of subjects from child and adolescent psychiatry to geriatric psychiatry. Each case begins with a patient history followed by the significant findings of the clinical exam as well as any additional pertinent data. A list of questions then encourages readers to determine the appropriate assessment and plan. Following this initial case presentation, subsequent pages provide a detailed approach for the case, with sections detailing diagnostic criteria, differential diagnosis, and key points.
Assessment: While most psychiatric books describe psychiatric disorders without the context of a patient, this book adds an extra dimension by describing mental illnesses in the context of a particular patient. The names of the cases alone provide the readers with a teaser, drawing them into the case. For example, once case is titled, "A Drink a Day to Keep my Problems Away" while another is called, "I Only Smoked a Bit of Cannabis and Took a Couple of Es." The cases describe actual patient presentations, allowing the readers to engage and picture patients they may see on the wards. The list of questions encourages readers to ask even more questions, prompting them to consider a wide variety of diagnoses, assessments, and treatment options. Each case discussion provides a helpful framework for approaching the patient. Among the excellent topics the book covers are the basic tenets of CBT, the CAGE questionnaire, and Schneider's first rank symptoms of schizophrenia. Moreover, cases on psychoanalysis with descriptions of transference and countertransference make clear that the authors are dedicated to teaching readers about the importance of therapy in addition to medication management. Medical students will find this to be an outstanding book, helping them to learn how to assess not just diseases, but the patients as well.
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Product Details

  • ISBN-13: 9780340986011
  • Publisher: Taylor & Francis
  • Publication date: 7/25/2010
  • Series: 100 Cases Series
  • Pages: 280
  • Product dimensions: 6.70 (w) x 9.50 (h) x 0.60 (d)

Meet the Author

Vol Ed: Dr Barry Wright, Consultant Child Psychiatrist & Honorary Senior Lecturer, Hull York Medical School, Lime Trees Child and Family Unit, York, UK
Author: Dr Subodh Dave, Psychiatric Unit, Derby City General Hospital, Derby, UK
Author: Dr Nisha Dogra, Senior lecturer in child and adolescent psychiatry, Greenwood Institute of Child Health, University of Leicester, Leicester, UK

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Table of Contents

Preface

Acknowledgements

1 How can you assess mental state? 1

2 Untreated dental abscess 5

3 Generalized anxiety 7

4 Sick note 9

5 Obsessive rituals but does not want medication 11

6 Having a heart attack 13

7 Stepped care for depression in primary care 17

8 Hands raw with washing 19

9 Unresponsive in the emergency department 21

10 Bipolar disorder 25

11 Psychodynamic therapy 27

12 Never felt better 29

13 Aches and pains and loss of interest 33

14 Constantly tearful 35

15 Voices comment on everything I do 37

16 I only smoked a bit of cannabis and took a couple of Es 41

17 Unusual persecutory beliefs 43

18 Abdominal pain in general practice 45

19 A drink a day to keep my problems at bay 47

20 Paracetemol overdose 51

21 Spider phobia 53

22 Deja vu and amnesia 55

23 Self-harming, substance misuse and volatile relationships 57

24 My husband won't let me go out 61

25 Intensely fearful hallucinations 65

26 Flashbacks and nightmares 67

27 Ataxia 69

28 Unexplained medical symptoms: this pain just won't go away 71

29 Can't concentrate after his daughter died 73

30 Something's not quite right 75

31 Tricyclic antidepressant overdose 79

32 Suicidal risk assessment 81

33 Paranoia with movement disorder 83

34 My nose is too big and ugly 87

35 Can I section her to make her accept treatment? 89

36 Disinhibited and behaving oddly 93

37 Transference and counter transference 95

38 Depression progressing to myoclonus and dementia 97

39 Bulimia nervosa - constipation 99

40 Fever, muscle rigidity, mental confusion 103

41 'Alien impulses' and risk to others 105

42 Feels like the room is changing shape 107

43 Unable to open my fists 109

44 Intense fatigue 111

45 Epilepsy and symptoms of psychosis 113

46 I'm impotent 117

47 I love him but I don't want sex 119

48 Treatment of heroin addiction 123

49 Exhibitionism 127

50 Rapid tranquillization 129

51 Palpitations 131

52 Thoughts of killing her baby 133

53 My wife is having an affair 135

54 A man in police custody 137

55 Stalking 139

56 An angry man 141

57 Treatment resistant depression 143

58 Treatment resistant schizophrenia 147

59 Low mood and tired all of the time 151

60 A profoundly deaf man 'hearing voices' 153

61 I am sure I am not well 155

62 Repeating the same story over and over again 157

63 Progressive step-wise cognitive deterioration 161

64 Seeing flies on the ceiling 163

65 Cognitive impairment with visual hallucinations 165

66 Paranoia - my wife is poisoning my food 167

67 Acute agitation in a medical in-patient 169

68 Woman is not eating or drinking anything 171

69 A restless postoperative patient who won't stay in bed 175

70 Parkinson's disease 179

71 She is refusing treatment. Her decision is wrong. She must be mentally ill 181

72 Depression in a carer 183

73 My wife is an impostor 185

74 Marked tremor, getting worse 187

75 He can't sit still 189

76 Socially isolated 191

77 Killed his friend's hamster and in trouble all the time 195

78 Anorexia 199

79 Cutting on the forearms 203

80 Feelings of guilt 207

81 Intense feelings of worthlessness 209

82 Seeing things that aren't there 211

83 Separation anxiety 213

84 Soiling behind sofa 215

85 She won't say anything at school 217

86 Tics and checking behaviour 219

87 Not eating, moving or speaking 221

88 Attachment disorder 225

89 Tantrums 227

90 Gender identity disorder 229

91 Blood in the urine of a healthy girl 231

92 Child protection 235

93 He doesn't play with other children 237

94 Trouble in the classroom 239

95 Restlessness 243

96 A man with Down syndrome is not coping 245

97 Strange behaviour in a person with Down syndrome 249

98 Learning difficulties, behaviour problems and repetitive behaviour 251

99 Malaise and high blood pressure 253

100 Compulsive and aggressive behaviour in a man with Down syndrome 257

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