Handbook of Medicine in Psychiatry

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Every practitioner today will welcome the Handbook of Medicine in Psychiatry as the first realistic, evidence-based overview of medicine for psychiatrists in training or practice because it is • Written to address the lack of empirical data showing how the type of medical knowledge acquired through traditional psychiatric residency training can be used in the psychiatric setting.• Organized to reflect the realities confronting clinicians working in self-standing inpatient psychiatric settings, where inadequate histories, premature diagnostic closure, and a reluctance to perform physical assessments contribute to underrecognized, misdiagnosed, and suboptimally treated medical disorders in at least half of all psychiatric patients.• Based on the findings of a retrospective analysis of internal medicine evaluations requested for 1,001 patients (501 men and 500 women, ranging from age 8 to 98) admitted in 2002 to a 208-bed urban private psychiatric hospital, which found that most medical consultations requested in a psychiatric hospital were due to a limited group of symptoms, signs, and laboratory abnormalities -- that is potential side effects of psychotropic drugs (falls, hyperglycemia, hypotension, hyponatremia, nausea, constipation, leucopenia), pain symptoms, and respiratory and urinary tract infections.• Structured for easy reading and comprehension, with topics grouped in 14 sections according to a common feature, such as cardiac arrest, abnormal vital signs, pain, signs of common infections, and respiratory distress; 5 chapters that discuss essential features in clinical presentation, differential diagnosis, risk stratification, and assessment and management in the psychiatric setting.• Focused on the ways in which psychiatric disorders and their treatments produce pathophysiologic changes and alter the classic presentation of common and serious conditions.

Intended to augment rather than replace established print and electronic resources of medical knowledge, the meticulously illustrated and referenced Handbook of Medicine in Psychiatry offers an invaluable resource for clinicians today as they pursue the complex practice of psychiatry in the 21st century.

American Psychiatric Publishing

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Editorial Reviews

American Journal of psychiatry

The book was easy to read and packed with information. Many of the chapters sent me to the medical dictionary or other texts and were excellent and practical reviews of material that, if I ever learned, I had, in some instances, long forgotten.

Doody's Review Service
Reviewer: Steven T. Herron, MD (University of Arizona Health Sciences Center)
Description: Complied by various authors with expertise in multiple subspecialty areas of medicine, this book attempts to address the widening gap of knowledge between specialists in psychiatry and those in medicine regarding medical complications seen with their combined patients.
Purpose: This book was written to further medical education of psychiatrists regarding evidence-based medical treatments for their patients. While not meant to "replace well-established print and electronic resources of medical knowledge," its goal is to familiarize clinicians with the expanding knowledge base within, the field of medicine.
Audience: Penned mainly for use by psychiatrists and other mental health providers (psychiatric nurse practitioners, etc.), this book might also be useful for residents and medical students, as well as psychologists interested in the interplay between mental and physical health.
Features: Unlike many books of its type, this work is organized using a "modified" version of the "traditional organ-system approach," meaning chapters are grouped using common physical presentations as guides for discussion. For example, chapters include, "Agitation", "Prolonged Q-Tc Interval", and "Neutropenia". There are also some useful, but bland, charts, tables, and diagrams throughout the book.
Assessment: It can be comforting as a psychiatrist to assume the treatment of a patient's medical problems is the responsibility of another medical provider. However, given the ever-increasing complexity of medical and psychiatric conditions and our growing understanding their relationships to one another, attempts to appreciate the melding of these conditions are appropriate and necessary. Overall, the chapters in this text are comprehensive enough, without being overwhelming, and the authors appear to have achieved their goal of deepening the reader's knowledge base without creating further apprehension in these areas. The sections of each chapter titled "Risk Stratification," summarize useful information quickly, and are particularly useful.
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Product Details

  • ISBN-13: 9781585621828
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 10/28/2005
  • Edition description: New Edition
  • Pages: 633
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.13 (d)

Meet the Author

Peter Manu, M.D., is Professor of Clinical Medicine and Psychiatry at Albert Einstein College of Medicine in New York City, and Director of Medical Services at Zucker Hillside Hospital in the North Shore-Long Island Jewish Health System in Glen Oaks, New York.

Raymond E. Suarez, M.D., is Resident Physician in the Department of Psychiatry at Montefiore Medical Center and Albert Einstein College of Medicine in Bronx, New York.

Barbara J. Barnett, M.D., is Assistant Professor of Emergency Medicine and Medicine at Albert Einstein College of Medicine, and Director of the Emergency Medicine/Internal Medicine Residency Program at Long Island Jewish Medical Center in New Hyde Park, New York.

American Psychiatric Publishing

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Table of Contents

Contributors. Acknowledgments. Preface. Section I: Cardiac Arrest and Airway Obstruction. Cardiac arrest. Choking and laryngospasm. Section II: Abnormal Vital Signs. Fever. Hypertension. Hypotension and orthostasis. Tachycardia. Bradycardia. Section III: Respiratory Distress. Dyspnea. Wheezing. Sleep apnea. Section IV: Pain Symptoms. Chest pain. Abdominal pain. Low back pain. Pain in extremities. Section V: Neurological Symptoms. The unresponsive psychiatric patient. Falls. Head trauma. Headache. Syncope. Seizures. Extrapyramidal syndromes related to neuroleptics. Section VI: Gastrointestinal Abnormalities. Dysphagia. Heartburn. Nausea and vomiting. Diarrhea. Constipation. Gastrointestinal bleeding. Abnormal liver function. Section VII: Signs of Common Infections. Red eye. Sore throat, earache, and upper respiratory infections. Dysuria and pyuria. Cough. Section VIII: Skin and Soft Tissue Abnormalities. Dermatological disorders. Edema. Section IX: Hematological Abnormalities. Neutropenia. Thrombocytopenia. Anemia. Section X: Renal and Electrolyte Abnormalities. Azotemia. Hematuria. Hyponatremia. Hypernatremia and polyuric states. Hypokalemia. Hyperkalemia. Urinary tract obstruction. Section XI: Endocrine and Metabolic Abnormalities. Diabetes mellitus. Hyperlipidemia. Thyroid abnormalities. Hypercalcemia. Obesity. Section XII: Electrocardiographic Abnormalities. ST segment and T wave abnormalities. Arrhythmias. Prolonged Q-Tc interval. Section XIII: Acute Changes in Mental Status. Agitation. Delirium. Section XIV: The Approach to the Patient With Multiple Medical Problems. Risk assessment prior to electroconvulsive therapy. Patients with multiple problems. Index.

American Psychiatric Publishing

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  • Posted November 29, 2009

    more from this reviewer

    Peter Manu is a junk scientist

    Manu is a notoriously unscientific "scientist". See his work on "functional somatic syndromes" in which he includes ME (aka CFS) which is a somatic disease and does not have "medically unexplained" symptoms. I wouldn't trust anything he's edited or written.

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