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New PDF release: Blueprints Psychiatry

By Michael J. Murphy, Ronald L. Cowan MD PhD

A part of the very hot Blueprints sequence, Blueprints Psychiatry presents scholars with a concise evaluate of what they should be aware of of their psychiatry rotations or the forums. every one bankruptcy is short and comprises pedagogical beneficial properties corresponding to bolded keyword phrases, tables, figures, and key issues. a question and resolution part on the finish of the e-book contains a hundred board-format questions with whole rationales. This version comprises new pictures, extra USMLE learn questions, and a Neural foundation part for every significant diagnostic class. A better half site features a query financial institution and entirely searchable textual content.

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A number of modifiable risk factors for eating disorders have been identified including familial focus on weight and appearance, presence of mood or anxiety disorder, life transitions, certain athletic or entertainment professions, and the influence of media portrayals of body type. One study has shown that providing a cognitive therapy-oriented educational module to at-risk young women decreased the incidence of eating disorders over a 5-year follow-up period. KEY POINTS • Anorexia nervosa is characterized by failure to maintain normal body weight, fear of gaining weight, body image distortion, denial, and amenorrhea.

This structure is a target of the mesolimbic dopamine pathway that mediates reward system function (Fig. 5-1). Naturally occurring rewards having high evolutionary adaptive significance (such as feeding, sex, and exercise) interact with the mesolimbic dopamine pathway to produce associative memories linked to the rewards that reinforce the probability of rewarding behavior. Drugs of abuse bypass the adaptive components of the reward system and, via direct synaptic effects, produce similar powerful associative memories strongly reinforcing behavior associated with drug use (Fig.

Withdrawal from short-acting substances is generally more severe, whereas withdrawal from longer-acting substances is more prolonged. Withdrawal from barbiturates is more dangerous than from benzodiazepines, as it can (much more easily) lead to hyperpyrexia, seizure, and death. Withdrawal is managed by scheduled dosing and tapering of a benzodiazepine or barbiturate (diazepam or phenobarbital). In patients who have been abusing alcohol and benzodiazepines or barbiturates, it may be necessary to perform a pentobarbital challenge test.

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