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First Aid for the Psychiatry Clerkship PDF

242 Pages·2013·94.04 MB·English
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Hundreds of HIGH-YIELD FACTS written by students and reviewed by faculty EXAM TIPS, WARD TIPS and new INTEGRATED MINICASES help you excel on the wards and the shelf exam MNEMONICS AND TABLES aid recall of key concepts This page intentionally left blank FIRST AID ;~:® PSYCHIATRY CLERKSHIP THIRD EDITION LATHA CiANTI STEAD, MD, MS, JASON YANOFSKI, MD FACEP Forensic and Clinical Psychiatrist Minor Traumatic Brain Injury (MTBI) Clinic Chiet Division of Clinical Research US Army Garrison Professor of Emergency Medicine Bamberg, Germany University of Florida College of Medicine at Psychiatry Residency Gainesville Johns Hopkins University Hospital Gainesville, Florida Baltimore, Maryland Adjund Professor of Emergency Medicine Child Psychiatry FellCPNShip Mayo Clinic, College of Medicine University of Texas-Southwestern Medical Center Rochester, Minnesota Dallas, Texas Forensic Psychiatry Fellowship MATIHEW S. KAUFMAN, MD Yale University Assistant Professor of Medidne New Haven, Connecticut Department of Hematology-Oncology Albert Einstein College of Medidne Bronx. New York Resident, Emergency Medidne Long Island Jewish Medical Center New Hyde Park, New York B Medical New York/ Chicago/ San Francisco/ Lisbon / London / Madrid /Mexico City Milan / New Delhi / San Juan/ Seoul / Singapore/ sydney /Toronto T1tr McGraw-Hiii Companlti i Copyright IC! 2011, 2005, 2002 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distnbuted in any fonn or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. ISBN: 978-0-07-174129-3 ~:0-07-174129-1 The material in this eBook also appears in the print version oft his title: ISBN: 978-0-07-173923-8, ~:0-07-173923-8. All trademarks are trademaiks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement oft he trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in COipOrate training programs. To contact a representative please e-mail us at [email protected]. Notice Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in acconl with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confi nn the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is ofp articular importance in connection with new or infrequently used drugs. TERMSOFUSE This is a copyrighted work and The McGraw-Hill Companies, Inc. ("McGrawHill") and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part ofi t without McGraw-Hill's prior consent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms. THE WORK IS PROVIDED "AS IS." McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION TIIAT CAN BE ACCESSED TIIROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill bas no responsibility for the content ofa ny information accessed through the work. Under no circumstances shall McGraw-Hill and/ or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any oft hem has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise. CONTENTS Assodate Editors v Contributing Authors v Faculty Reviewers vii Introduction IX SECTION I HOW TO SUCCEED IN THE PSYCHIATRY CLERKSHIP I SECTION II HIGH·YIELD FACTS I Examination and Diagnosis 11 Psychotic Disorders 21 Mood Disorders 35 Anxiety and Adjustment Disorders 47 Personality Disorders 57 Substance-Related Disorders 73 Cognitive Disorders 89 Geriatric Psychiatry 103 Psychiatric Disorders in Children 111 Dissociative Disorders 125 Somatoform and Factitious Disorders 131 Impulse Control Disorders 139 Eating Disorders 145 Sleep Disorders 153 Sexual Disorders 163 Psychotherapies 171 Psychopharmacology 181 Forensic Psychiatry 201 Index 209 111 This page intentionally left blank ASSOCIATE EDITORS S. SHANE KONRAD, MD BRIAN COOKE, MD Clinical Assistant Professor Clinical Assistant Professor Department of Psychiatry Division of Forensic Psychiatry New York University School of Medicine Department of Psychiatry Division of Forensic Psychiatry University of Florida College of Medicine Bellevue Hospital Center Gainesville, Florida New York, New York CONTRIBUTING AUTHORS NEIL KRISHAN AGGARWAL, MD, MBA MA GENEVIEVE A. HENRY, MD Resident Physician, Department of Psychiatry Resident, Department of Psychiatry Yale University Yale University School of Medicine New Haven, Connecticut New Haven, Connecticut Anxiety and Adjustment Disorders Psyr:hotfc Disorders FRANKS. K. APPAH, JR., MD, PhD CHRISTOPHER A. HOLLWEG, MPH Resident, Department of Psychiatry Class of 2011 Yale University School of Medicine St George's University School of Medicine New Haven, Connecticut Grenada Sleep Disorders Mini Cases and Vignettes ALINA BOUZA. MD PAVLE JOKSOVIC, MD Resident, Department of Psychiatry Resident, Department of Psychiatry Yale University School of Medicine Yale University School of Medicine New Haven, Connecticut New Haven, Connecticut Substance-Related Disorders Somatoform and Factitious Disorders TRACY CABIBBO S. SHANE KONRAD, MD Graduate Student in Microbiology Clinical Assistant Professor Fordham University Department of Psychiatry New York. New York New York University School of Medicine Mini Cases and Vignettes Division of Forensic Psychiatry Bellevue Hospital Center NEDSON J. CAMPBELL, MD New York. New York Forensic Psyr:hiotry Resident, Department of Psychiatry Yale University School of Medicine New Haven, Connecticut KOURTNEY J. KOSLOSKY, MD Personality Disorders Resident, Yale University Department of Psychiatry BRIAN COOKE, MD New Haven, Connecticut Clinical Assistant Professor Impulse Control Disorders Division of Forensic Psychiatry Department of Psychiatry MARI KURAHASHI, MD, MPH University of Florida College of Medicine Gainesville, Florida Resident, Department of Psychiatry Forensic Psychiatry Yale University New Haven, Connecticut Mood Disorders v CHRISTINA J. LEE, MD SAMUEL 0. SOSTRE, MD Child Psychiatry Fellow Assistant Professor Yale University School of Medicine Department of Psychiatry Yale Child Study Center Robert Wood Johnson Medical School New Haven, Connecticut New Brunswick, New Jersey PS"ychiatric Disorders in Children Cognitive Disorders CARLA MARIENFELD, MD AMELIA VILLAGOMEZ_. MD Department of Psychiatry Resident, Department of Psychiatry Yale University Yale University New Haven, Connecticut New Haven, Connecticut PS"ychopharmaco/ogy Examination and Diagnosis DAVID MATUSKEY. MD PHILIP WILLIAMS, MD Clinical Research Fellow Neuroscience Research Training Program Resident, Department of Psychiatry Department of Psychiatry Yale University Yale University New Haven, Connecticut New Haven, Connecticut Sexual Disorders Dissociative Disorders CYNTHIAN. WILSON, MD MEREDITH ZOE NAIDORF, MD Child and Adolescent Psychiatry Fellow Resident, Department of Psychiatry Yale University School of Medicine Yale University New Haven, Connecticut New Haven, Connecticut Psychiatric Disorders in Children Psychotherapies MARK J. NICIU, JR,. MD, PhD ERIN K. ZAHRADNIK, MD Resident, Department of Psychiatry Resident, Department of Psychiatry Yale University Yale University New Haven, Connecticut New Haven, Connecticut Eating Disorders Geriatric PS"ychiatry VI FACULTY REVIEWERS MADELON BARANOSKI, PHD FREDERICK C. NUCIFORA. JR., PhD, DO, MHS Assistant Professor Department of Psydiiatry Johns Hopkins University School of Medicine PATRICK K. FOX,. MD Baltimore, Maryland Assistant Professor of Psychiatry Yale University School of Medicine KEVIN TRUEBLOOD, MD New Haven, Connecticut Director, Whiting Forensic Division Connecticut Valley Hospital Middletown, Connecticut PATRICIA ROY, MD DEBORAH KNUDSON GONZALEZ. MD Assistant Professor Department of Psychiatry Yale University School of Medicine New Haven, Connecticut Special thanks to Dr. Thomas Brouette, MD, Psychiatry Clinical Clerkship Director, SUNY Downstate Medical Center, Brooklyn, New York VII This page intentionally left blank

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