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Download e-book for kindle: Case Files: Psychiatry by Eugene C. Toy

By Eugene C. Toy

The nearest a scholar can get to the wards with out seeing sufferers! Designed to coach via medical circumstances, this article deals 60 of the most typical medical difficulties in psychiatry besides case dialogue questions, scientific pearls, keyword phrases and ideas, and USMLE-style questions and solutions to enhance studying. this is often a superb learn advisor for the psychiatry shelf examination and the USMLE Step 2.

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Selective serotonin reuptake inhibitors are the most commonly used medications for depression but should not be used in conjunction with MAOIs. One medication should be discontinued for at least 5 weeks before the other is initiated to avoid serotonin syndrome. Serotonin syndrome is similar to NMS and is characterized by confusion, muscle rigidity, high temperature, muscle twitching, shivering, and loss of consciousness. It may be fatal. The most common side effects of SSRIs are gastrointestinal and sexual dysfunction.

Thoughts of death or suicidal ideation There has never been a manic, hypomanic, or mixed episode Symptoms cause significant distress or impairment in functioning Symptoms are not due to a substance of abuse, medication, or a medical condition Symptoms are not better accounted for by schizophrenia, schizoaffective disorder, delusional disorder, or a psychotic disorder not otherwise specified Symptoms are not better accounted for by bereavement (ie, symptoms last longer than 2 months; marked functional impairment, suicidal ideation, and/or psychotic symptoms are noted) Selective serotonin reuptake inhibitor: An agent that blocks the reuptake of serotonin from presynaptic neurons without affecting norepinephrine or dopamine reuptake.

F. 13] A 25-year-old man with bipolar disorder took too many pills, had two seizures, and is now in a coma. 14] A 38-year-old schizophrenic woman feels restless and cannot sit still; her physician states that this behavior is due to her medication. 15] A 32-year-old woman with panic disorder and anxiety took an overdose of diazepam and is taken to the emergency department with somnolence and hypoventilation. 16] A 30-year-old man being treated for schizophrenia complains of tremor and a slow gait.

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