Case Files: Psychiatry by Eugene C. Toy

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By Eugene C. Toy

The nearest a scholar can get to the wards with out seeing sufferers! Designed to coach via medical instances, this article bargains 60 of the most typical scientific difficulties in psychiatry besides case dialogue questions, medical pearls, keywords and ideas, and USMLE-style questions and solutions to enhance studying. this is often a great examine consultant for the psychiatry shelf examination and the USMLE Step 2.

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5. 6. 7. What is the most likely diagnosis? What should the next step be? What is the most likely mechanism for this process? What are the risk factors for this condition? What complications are associated with this disease process? What is the best therapy? How can you confirm the diagnosis? Note that questions 3 through 5 are probably used less in the field of psychiatry than in other specialties, such as medicine, where the pathophysiology and risk factors of a particular disease process are known.

6] A. This patient was likely switched from a SSRI, sertraline, to a MAOI, such as phenelzine. Because both agents increase serotonin levels, 5 weeks should elapse between discontinuation of one medication and initiation of the other. The danger is very serious serotonin syndrome, which has features similar to those of NMS. 7] D. Seizure disorders and eating disorders are contraindications for bupropion because of its possible lowering of the seizure threshold and its anorectic effects. 8] A. This patient has symptoms of diabetes insipidus, a side effect of lithium used in the treatment of bipolar disease.

Axis I: Clinical disorders and other disorders that may be the focus of clinical attention Axis II: Personality disorders and mental retardation only Axis III: Physical disorders and other general medical conditions. The physical condition may be causing the psychiatric one (eg, delirium, coded on axis I, caused by renal failure, coded on axis III), be the result of a mental disorder (eg, alcoholic cirrhosis, coded on axis III, secondary to alcohol dependence, coded on axis I), or be unrelated to the mental disorder (eg, chronic diabetes mellitus).

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