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First Aid for the Psychiatry Clerkship PDF

240 Pages·2018·5.816 MB·English
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PSYCHIATRY CLERKSHIP FIFTEHD ITION LATHGAA NMTDIM,,S M,B A, FACFEAHPA, StaPffs ychiatrist JesBsreo VAw Mne diCceanlt er ViCchea foirRr e seaanrAdcc ha deAmffiaci rs DireP.cstyocrhC,il aetrrkys hip HCUAC EFm ergMeendciyRc eisnied ency ClinAiscsaolcP iraotfoeefP s ssyocrh iatry ProgorfGa rme aOtrelra ndo UniveorfIs lilatiCtynh oiicsa go AssocMieadtiDeci arleP cotClookru ,nF tiyr e ChicIalgloi,n ois Rescue ProfoefEs mseorrg Meendciyac niNdne eu rology UniveorfCs einttFyrl aoClro ildlaoe fMg eed icine OrlaFnldoor,i da MATTHEKWASU.F MMADN , MediDciarle ctor EmergDeenpcay�r tme JerCsieMtyey d iCceanlt er BayoNnenJwee ,r sey II NeYowr kC/h ic/Sa agFnor an/cA itshc/eoL nosnd/Mo and/rM iedxiCciot y Mil/Na enwD el/Sh iinga/Sp yodr/neToeryo nto Copyright © 2019 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. ISBN: 978-1-26-014340-9 MHID: 1-26-014340-6 The material in this eBook also appears in the print version of this title: ISBN: 978-1-26-014339-3, MHID: 1-26-014339-2. eBook conversion by codeMantra Version 1.0 All trademarks are trademarks 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 of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales promotions or for use in corpo- rate training programs. To contact a representative, please visit the Contact Us page at www.mhprofessional.com. 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 accord 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 com- plete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. 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Under no circumstances shall McGraw-Hill Education 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 of them 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 Contributing Authors v Introduction vii Chapter 1: How to Succeed in the Psychiatry Clerkship 1 Chapter 2: Examination and Diagnosis 11 Chapter 3: Psychotic Disorders 21 Chapter 4: Mood Disorders 35 Chapter 5: Anxiety, Obsessive-Compulsive, Trauma, and Stressor-Related Disorders 49 Chapter 6: Personality Disorders 63 Chapter 7: Substance-Related and Addictive Disorders 79 Chapter 8: Neurocognitive Disorders 97 Chapter 9: Geriatric Psychiatry 111 Chapter 10: Psychiatric Disorders in Children 119 Chapter 11: Dissociative Disorders 133 Chapter 12: Somatic Symptom and Factitious Disorders 139 Chapter 13: Impulse Control Disorders 147 Chapter 14: Eating Disorders 153 Chapter 15: Sleep-Wake Disorders 161 Chapter 16: Sexual Dysfunctions and Paraphilic Disorders 173 Chapter 17: Psychotherapies 181 Chapter 18: Psychopharmacology 191 Chapter 19: Forensic Psychiatry 211 Index 219 iii FM.indd 3 17-10-2018 12:07:44 This page intentionally left blank FM.indd 4 17-10-2018 12:07:44 CONTRIBUTING AUTHORS SEAN M. BLITZSTEIN, MD BRANDI M. JACKSON, MD Staff Psychiatrist Chief Resident, Department of Psychiatry Jesse Brown VA Medical Center University of Illinois at Chicago Director, Psychiatry Clerkship Chicago, Illinois Clinical Associate Professor of Psychiatry Examination and Diagnosis University of Illinois at Chicago Mood Disorders Chicago, Illinois Geriatric Psychiatry Personality Disorders Psychopharmacology Sexual Dysfunctions and Paraphilic Disorders SURyA SABHAPATHy, MD AMBER C. MAy, MD Chief Resident, Department of Psychiatry Chief Fellow, Child and Adolescent Psychiatry Fellowship University of Illinois at Chicago University of Illinois at Chicago Chicago, Illinois Chicago, Illinois Psychotic Disorders Anxiety, Obsessive-Compulsive, Trauma and Stressor-Related Disorders Substance-Related and Addictive Disorders Neurocognitive Disorders Somatic Symptom and Factitious Disorders Psychiatric Disorders in Children Impulse Control Disorders Dissociative Disorders KELLEy A. VOLPE, MD Assistant Professor of Clinical Psychiatry Director, Child and Adolescent Psychiatry Fellowship Medical Director, Pediatric Stress and Anxiety Disorders Clinic University of Illinois at Chicago Chicago, Illinois Eating Disorders Sleep-Wake Disorders Psychotherapies Forensic Psychiatry v FM.indd 5 17-10-2018 12:07:44 This page intentionally left blank FM.indd 6 17-10-2018 12:07:44 INTRODUCTION This clinical study aid was designed in the tradition of the First Aid series of books. It is formatted in the same way as the other books in this series. However, a stronger clinical emphasis was placed on its content in relation to psychiatry. You will find that rather than simply preparing you for success on the clerkship exam, this resource will help guide you in the clinical diagnosis and treatment of many problems seen by psychiatrists. Each of the chapters in this book contains the major topics central to the practice of psychiatry and has been specifically designed for the medical student learning level, to excel in the clerkship (shelf exams), as well as the USMLE Step 2 and 3 exams. The content of the text is organized in the format similar to other texts in the First Aid series. Topics are listed by bold headings, and the “meat” of the top- ics provides essential information. The outside margins contain mnemonics, diagrams, exam and ward tips, summary or warning statements, and other memory aids. Exam tips are marked by the icon, tips for the wards by the icon, and clinical scenarios by the icon. vii FM.indd 7 17-10-2018 12:07:45 This page intentionally left blank FM.indd 8 17-10-2018 12:07:45 c h a p t e r 1 HOW TO SUCCEED IN THE PSYCHIATRY CLERKSHIP Why Spend Time on Psychiatry? 2 keep patient inFoRmation handy 3 How to Behave on the Wards 2 pResent patient inFoRmation in an oRganized manneR 3 Respect the patients 2 How to Prepare for the Clerkship (Shelf) Exam 4 Respect the Field oF psychiatRy 2 study with FRiends 4 take Responsibility FoR youR patients 2 study in a bRight Room 4 Respect patients’ Rights 3 eat light, balanced meals 4 VolunteeR 3 utilize Question banks and/oR take pRactice exams 4 be a team playeR 3 pocket caRds 5 1 Ch01.indd 1 16-10-2018 16:02:33

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