A Case Approach to Medical-Psychiatric Practice

Overview

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 ...

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Arlington, Virginia, U.S.A. 1996 Spiral Bound New 0880485302. BRAND NEW, FLAWLESS COPY, NEVER OPENED--

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Overview

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 andextensively cross-referenced, making this book not only an exceptional learning tool but also an excellent resource for further study.

The book contains no figures.

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Editorial Reviews

Doody's Review Service
Reviewer: Michael Joel Schrift, D.O., M.A.(University of Illinois at Chicago College of Medicine)
Description: This is an exceptional new book containing case presentations followed by questions and a review of the literature regarding the interface between medicine and psychiatry. Well written and edited, this book will become an essential teaching tool for trainees on the consultation liaison service.
Purpose: The purpose is "to reclaim consultation psychiatry's medical roots." The authors "have tried to offer a resource on the contribution of medical information to the practice of consultation-liaison psychiatry." They have definitely succeeded in their goal.
Audience: The intended audience includes medical students, residents, and fellows rotating on consultation service. Any psychiatrist who cares for patients with medical disorders will find this an extremely useful book.
Features: The book features 459 pages containing nine chapters and a set of appendixes as well as an index section, The chapters cover topics such as cardiovascular disease, pulmonary disease, alcoholic liver disease, renal diseases, the patient on steroids, the HIV-infected patient, gastrointestinal diseases, obstetric-psychiatric problems, and gynecologic and oncological disease. Each chapter is well referenced with up-to-date and pertinent citations. The appendix section contain helpful scales and guides for the everyday management of the medical-psychiatric patient.
Assessment: This is an excellent and useful teaching tool for consultation-liaison psychiatry. Any physician that treats patients with concomitant medical and psychiatric problems would benefit from this book.
Michael J. Schrift
This is an exceptional new book containing case presentations followed by questions and a review of the literature regarding the interface between medicine and psychiatry. Well written and edited, this book will become an essential teaching tool for trainees on the consultation liaison service. The purpose is to reclaim consultation psychiatry's medical roots. The authors have tried to offer a resource on the contribution of medical information to the practice of consultation-liaison psychiatry. They have definitely succeeded in their goal. The intended audience includes medical students, residents, and fellows rotating on consultation service. Any psychiatrist who cares for patients with medical disorders will find this an extremely useful book. The book features 459 pages containing nine chapters and a set of appendixes as well as an index section, The chapters cover topics such as cardiovascular disease, pulmonary disease, alcoholic liver disease, renal diseases, the patient on steroids, the HIV-infected patient, gastrointestinal diseases, obstetric-psychiatric problems, and gynecologic and oncological disease. Each chapter is well referenced with up-to-date and pertinent citations. The appendix section contain helpful scales and guides for the everyday management of the medical-psychiatric patient. This is an excellent and useful teaching tool for consultation-liaison psychiatry. Any physician that treats patients with concomitant medical and psychiatric problems would benefit from this book.
Booknews
A teaching tool written for residents and psychiatrists focuses on differential diagnosis and pharmacological management of patients with medical conditions such as cardiovascular disease, alcoholism with cirrhosis, kidney disease, HIV, pregnancy, and cancer. Case studies are presented followed by multiple-choice questions, literature reviews and discussions. Additionally, the 17 appendices include a consultation-liaison guide to DSM-IV, and vital information on the use of psychotropic drugs, HIV classification, and psychiatric guidelines. Spiral wire binding. Annotation c. Book News, Inc., Portland, OR (booknews.com)

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780880485302
  • Publisher: American Psychiatric Publishing, Inc.
  • Publication date: 1/28/1996
  • Format: Spiral Bound
  • Edition number: 1
  • Pages: 459
  • Product dimensions: 8.89 (w) x 10.74 (h) x 0.69 (d)

Meet the Author

Antoinette Ambrosino Wyszynski, M.D., is Clinical Professor of Psychiatry at the New York University Medical Center and is on the faculty of the Psychoanalytic Institute at New York University Center.

Bernard Wyszynski, M.D., is Director of Inpatient Psychiatry and Unit Chief of Klau 2. Inpatient Unit, Assistant Professor of Psychiatry and Neurology, Associate Director, Division of Neuropsychiatry at the Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.

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Table of Contents

Introduction
Acknowledgments
Ch. 1 The Cardiovascular Patient 1
Ch. 2 The Patient With Pulmonary Disease 65
Ch. 3 The Delirious Alcoholic Patient With Cirrhosis 117
Ch. 4 The Patient With Kidney Disease 141
Ch. 5 The Patient on Steroids 193
Ch. 6 The HIV-Infected Patient 213
Ch. 7 The Patient With Gastrointestinal Distress and Psychiatric Symptoms 275
Ch. 8 The Obstetrics Patient 299
Ch. 9 The Gynecology/Oncology Patient 343
Appendix A: A Consultation-Liaison Guide to DSM-IV 392
Appendix B-1: Mini-Mental State Examination 398
Appendix B-2: Statistical Distribution of Trail Making Test Scores by Age 399
Appendix C: Guide to Treating Delirium With Haloperidol and Lorazepam 400
Appendix D: Managing Insomnia and Restlessness in Delirium 402
Appendix E: Differential Diagnosis of the Delirious Psychotic Patient With Cirrhosis 403
Appendix F: A Mini-Outline of Competency and Informed Consent 404
Appendix G: Neuropsychiatric Effects of Electrolyte and Acid-Base Imbalance 409
Appendix H: The Use of Psychotropics in Renal Failure 412
Appendix I: Definitional Criteria for HIV-1-Associated Dementia (HAD) Complex and Cognitive Impairment - American Academy of Neurology AIDS Task Force 415
Appendix J: Revised HIV Classification System for Adolescents and Adults (Centers for Disease Control and Prevention 1993) 416
Appendix K: Management Strategies for the Patient With HIV-Associated Minor Cognitive-Motor Impairment and AIDS Dementia Complex (ADC) 417
Appendix L: The Questions Patients Ask: A Pretest of Countertransference 418
Appendix M: Effects of Psychotropics During Pregnancy 421
Appendix N: Guidelines for Using Psychotropics During Pregnancy 435
Appendix O: Notes on the "New" Antidepressants in the Medical Setting 437
Appendix P: Practical Suggestions for Bedside Manner in the General Hospital Setting 441
Index 443
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