Description
Book SynopsisPoverty, 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.
Trade ReviewThis third edition presents a more streamlined approach to some of the common medical complications clinicians may encounter in psychiatric settings. Overall, the new edition does a good job presenting easy-to-access content that would be helpful in determining who is at risk for severe complications in order to determine what level of care they need.
-- Matthew Koster, D.O., MBA * Doody's Book Reviews *
Table of ContentsContributors
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
