In 2006, the Handbook of Medicine in Psychiatry became a first-of-its-kind printed medical resource for psychiatrists in training or practice. Nearly two decades and three editions later, it remains an invaluable tool for health care professionals working at the intersection of medical and psychiatric conditions. As informative and rigorous as its predecessors, this fourth edition is uniquely accessible and practical, providing a user-friendly knowledge base for dealing with the medical pathology of psychiatric patients, who often experience a higher burden of physical illnesses that can hinder their psychiatric treatment. Thoroughly updated to reflect the latest literature and consensus approaches, this guide describes the most common medical conditions confronting clinicians in both inpatient and outpatient psychiatric settings. For abnormal vital signs, such as fever and hypertension; somatic symptoms, including headache and seizures; laboratory abnormalities in thyroid and liver function, among others; and major adverse effects of psychotropic drugs, this volume addresses five key questions: * Is the patient at risk of dying or severe disability within the next 24 hours? * Does the patient require immediate intervention for a potentially life-threatening condition? * Should the patient be transferred to an emergency medicine setting? * Does the patient need urgent laboratory or radiological investigations or surgical consultations? * Are changes to the current psychiatric treatment required? Among the new features in this edition are chapters that address obesity and related metabolic abnormalities and sepsis, as well as sections highlighting the importance of interdisciplinary collaboration and a team-based approach that includes psychiatrists, nurses, social workers, and other health care professionals to improve patient outcomes. Each expert-authored chapter includes clinical vignettes, key points, and suggested readings. Relevant for physicians, nurse practitioners and medical students, the Handbook of Medicine in Psychiatry will help readers understand the intricate relationship between medical and psychiatric disease and provide them with the tools and knowledge necessary to provide holistic and effective care.
Peter Manu, M.D., Northwell Health, New Hyde Park, New York; Emeritus Professor of Medicine and Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York. Ava-Dawn Gabbidon, M.D., Northwell Health, New Hyde Park, New York; Assistant Professor of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York. Eugene Grudnikoff, M.D., Northwell Health, New Hyde Park, New York; Associate Professor of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York.
Preface Acknowledgments Part I: Abnormal vital signs Chapter 1. Fever Chapter 2. Hypertension Chapter 3. Hypotension and orthostasis Chapter 4. Abnormal heart rate Part II: Common somatic symptoms Chapter 5. Headache Chapter 6. Seizures Chapter 7. Falls and head trauma Chapter 8. Syncope and unresponsiveness Chapter 9. Chest pain Chapter 10. Shortness of breath Chapter 11. Edema Chapter 12. Obstructive sleep apnea Chapter 13. Abdominal pain and heartburn Chapter 14. Nausea and vomiting Chapter 15. Bowel habit changes Chapter 16. Dysuria, incontinence and urinary retention Chapter 17. Changes in visual acuity, red eye and eye pain Part III: Abnormal laboratory findings Chapter 18. Glucose dysregulation Chapter 19. Electrolyte abnormalities Chapter 20. Abnormal Thyroid Function Chapter 21. Abnormal Liver function Chapter 22. Acute kidney injury Part IV: Major adverse effects of psychotropic drugs Chapter 23. QTc prolongation and torsades de pointes Chapter 24. Myocarditis and Cardiomyopathy Chapter 25. Neuroleptic malignant syndrome, serotonin syndrome and rhabdomyolysis Chapter 26. Neutropenia and agranulocytosis Chapter 27. Venous thromboembolism Interdisciplinary interventions Chapter 28. Cardiopulmonary emergencies Chapter 29. Sepsis Chapter 30. Obesity Chapter 31. Agitation and delirium Chapter 32. Adverse events associated with electroconvulsive therapy Chapter 33. Alcohol and substance use disorders Chapter 34. Adolescent medicine topics for the mental health practitioner Chapter 35. Geriatric medicine topics for the mental health practitioner Chapter 36. The Assessment and Management of Racism in Psychiatric Settings
