Main description:

Mental health clinicians who lack internal medicine experience or who do not feel comfortable addressing medical conditions in their patients will find Handbook of Medicine in Psychiatry an indispensable resource. The first evidence-based medical handbook for psychiatrists in training or practice, the book takes the reader through a series of common medical conditions, offering practical information on diagnosis and treatment of life-threatening conditions, as well as management of less serious health issues. For the second edition, the text has been thoroughly updated and restructured. The book is designed to guide clinicians to focus quickly and effectively on managing medical problems in the psychiatric setting.

The Handbook offers invaluable content and many helpful features: Coverage of medical emergency management in psychiatric hospitals takes the limitations of the facility into account. For example, the chapters on caring for patients in cardiac arrest or patients in respiratory failure include practical strategies for adapting to the limited resources available in self-standing psychiatric hospitals. The material on life-threatening adverse reactions to psychotropic drugs is completely up-to-date and thorough and includes guidelines for the recognition, prevention, and management of agranulocytosis, ventricular arrhythmias, pancreatitis, neuroleptic malignant syndrome, serotonin syndrome, hyperglycemic emergencies, and airway obstruction. Medical deterioration in psychiatric settings is both common and critical, and the book offers cutting-edge knowledge on assessment procedures and instruments for prediction of acute medical deterioration of psychiatric inpatients. Structured for easy reading and comprehension, the book's topics are grouped into seven parts that address the essential features of clinical presentation, differential diagnosis, stratification of the risk of major complications or death, and the evidence-based approach to management, as applicable in the psychiatric setting. The numerous tables, figures, and flowcharts effectively illustrate important procedures and protocols.

Completely updated and streamlined, Handbook of Medicine in Psychiatry stands alone in its completeness, its rigor, and its understanding of the environmental challenges that face the clinician delivering care to patients with serious medical and psychiatric comorbidities.

Contents:

ContributorsForewordPrefaceAcknowledgmentsPART I: Sudden Death, Cardiac Arrest, and Respiratory FailureChapter 1. Sudden Death in Psychiatric SettingsChapter 2. Cardiac ArrestChapter 3. Respiratory FailurePART II: Abnormal Vital SignsChapter 4. FeverChapter 5. HypertensionChapter 6. Hypotension and OrthostasisChapter 7. Abnormal Heart RatePART III: Common Somatic Symptoms in Psychiatric SettingsChapter 8. Falls and Head TraumaChapter 9. Obstructive Sleep ApneaChapter 10. SyncopeChapter 11. Chest PainChapter 12. Abdominal PainChapter 13. DysphagiaChapter 14. HeartburnChapter 15. Nausea and VomitingChapter 16. Bowel Habit ChangesChapter 17. Urinary Retention, Frequency, and IncontinenceChapter 18. EdemaChapter 19. HeadacheChapter 20. Changes in Visual Acuity, Eye Pain, and Red EyePART IV: Metabolic EmergenciesChapter 21. HypoglycemiaChapter 22. Severe Hyperglycemia, Diabetic Ketoacidosis, and Hyperosmolar StateChapter 23. Hyponatremia, Hypernatremia, and Polyuric StatesChapter 24. Azotemia and DehydrationChapter 25. Abnormal Liver FunctionChapter 26. HypercalcemiaChapter 27. Hypokalemia and HypomagnesemiaChapter 28. Thyroid DisordersPART V: Life-Threatening Adverse Effects of Psychotropic DrugsChapter 29. QTc Prolongation and Torsades de PointesChapter 30. Myocarditis and CardiomyopathyChapter 31. Neuroleptic Malignant Syndrome, Serotonin Syndrome, and RhabdomyolysisChapter 32. SeizuresChapter 33. Airway ObstructionChapter 34. Neutropenia and AgranulocytosisChapter 35. PancreatitisPART VI: Approach to the Psychiatric Patient With Acute Behavioral DisturbanceChapter 36. Agitation and DeliriumChapter 37. UnresponsivenessPART VII: Medical Risk Assessments in Psychiatric PatientsChapter 38. Risk Assessment Prior to Electroconvulsive TherapyChapter 39. Risk Factors for Medical Deterioration in Psychiatric SettingsChapter 40. Integrated Care of Psychiatric Patients in Medical SettingsIndex