By Dr. Barry Wright, Dr. Subodh Dave, Dr. Nisha Dogra
The a hundred circumstances sequence books are a well-liked studying and revision instrument that paintings via guiding the reader via every one scientific case in a hugely based demeanour. every one situation presents information of the patient's scientific historical past and the foremost findings of a medical exam, including preliminary research effects information for evaluate. Key questions then suggested the reader to guage the sufferer, and succeed in a call concerning their and the prospective remedy plan; whereas the reply pages exhibit the tactics a clinician is going via in such situations.The volumes are designed with the scholar in brain, and comprise gains to assist self-directed studying, medical reasoning and problem-solving. The layout is appropriate for common self-assessment as a part of examination revision, for swotting up ahead of psychiatry OSCEs, and for junior medical professionals approximately to begin a rotation within the psychiatry ward. a hundred circumstances are quite correct for college students on problem-based studying courses.100 circumstances in Psychiatry covers a variety of subject matters equivalent to phobias, bereavement, and paranoia, around the following topic parts: grownup Psychiatry, Older humans, Forensic Psychiatry, baby and Adolescent Psychiatry and studying incapacity Psychiatry.
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Extra info for 100 Cases in Psychiatry
Both partners had alcohol problems and were abusive towards her. She does not have any contact with her family and did not want to speak about them. Examination of previous notes reveals that she has been a frequent attendee at her general practice. She has been investigated for urinary tract infections on several occasions but no evidence of infection has been found.
Mood symptoms and schizophrenia symptoms are equally prominent. Acute confusional state. The agitation and affective lability seen in acute confusional states may mimic a manic episode. INVESTIGATIONS • Obtain collateral history from previous records and GP notes and detailed history from girlfriend. • Detailed mental state examination to rule out formal thought disorder, mood-incongruent • • delusions and hallucinations suggestive of schizophrenia. A cognitive abnormality would be suggestive of delirium (acute confusional state).
The most likely diagnosis is bipolar disorder, with a current depressive episode. To manage the current depressive element she should be referred to the mental health team for an urgent assessment. Antidepressants may lead to a switch to mania, and should therefore be avoided. This is particularly so in cases of rapid cycling illness (more than four mood episodes per year) or in case of a recent manic episode. Psychotherapies such as CBT (cognitive behaviour therapy) or quetiapine added on to prophylactic mood stabilizing medication such as lithium or sodium valproate may offer an effective alternative.
100 Cases in Psychiatry by Dr. Barry Wright, Dr. Subodh Dave, Dr. Nisha Dogra