Psychiatric Emergencies in Family Practice
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Crises are not a feature of depressive illness; but this illness needs to be considered in the diagnoses of three acute emergencies: the agitated patient, the withdrawn patient and the suicidal patient. A. The agitated patient. Restless, anguished, phrenetic and impor tunate behaviour. Differential diagnoses include hypomania, acute anxiety and grief, hysteria, drug intoxication, thyrotoxicosis, cerebrovascular accident or cerebral tumour. Agitated depression carries a relatively high risk of suicide. Management usually requires admission and use of adequate doses of antidepressant and…mehr

Produktbeschreibung
Crises are not a feature of depressive illness; but this illness needs to be considered in the diagnoses of three acute emergencies: the agitated patient, the withdrawn patient and the suicidal patient. A. The agitated patient. Restless, anguished, phrenetic and impor tunate behaviour. Differential diagnoses include hypomania, acute anxiety and grief, hysteria, drug intoxication, thyrotoxicosis, cerebrovascular accident or cerebral tumour. Agitated depression carries a relatively high risk of suicide. Management usually requires admission and use of adequate doses of antidepressant and neuroleptic drugs, and often ECT. B. The withdrawn patient who avoids social contacts and obligations and is often slowed up in mind and body. Differential diagnoses in clude schizophrenia, CVA or tumour, hysteria and semi-coma includ ing drug intoxication. Withdrawn and retarded patients with depres sive illness are at risk of failing to eat or care for themselves. C. The suicidal patient. May present as unexpected, inexplicable coma; a badly cut patient may be confused by the doctor with acci dent or assault. The immediate emergency is medical or surgical: treatment is for coma, bleeding or asphyxia, and requires immediate admission to casualty. The first presentation of depression is always a minor emergency as it may be the only attempt the patient makes to see a doctor. Diagnosis must be positive, based on the recognition of depres sive features, not negative, based on the exclusion of other dis eases. The cardinal symptoms of depressive illness: 1. Disturbed sleep pattern. 2. Change in appetite for food.
  • Produktdetails
  • Verlag: Springer Netherlands / Springer, Berlin
  • Softcover reprint of the original 1st ed. 1987
  • Seitenzahl: 256
  • Erscheinungstermin: 12. Oktober 2011
  • Englisch
  • Abmessung: 235mm x 155mm x 13mm
  • Gewicht: 394g
  • ISBN-13: 9789401079310
  • ISBN-10: 9401079315
  • Artikelnr.: 39512310
Inhaltsangabe
1 Deluded Patients.- Delusions of jealousy.- Grandiose delusions.- Hypochondriacal delusions.- Possession of thought.- Delusions of persecution (paranoid delusions).- Delusions of reference.- Delusions of guilt, ruin and poverty.- Diagnosis.- Management.- Need for admission.- Examples.- 2 Suspicious Patients.- The sorting process.- Interviewing the suspicious patient.- Special problems with suspicious patients.- The paranoid personality.- The paranoid reaction.- Paranoid psychoses.- Litigious paranoia.- Paranoid jealousy (Othello syndrome).- Paranoid schizophrenia.- Delusional misidentification.- Paraphrenia.- Intoxications.- Drug induced delirium.- Toxic psychoses.- Primary mood disorder.- Physical illness.- Organic brain disease.- 3 Alcoholic Patients.- Acute problems in family practice.- Alcoholism and mental disorders.- Treatment of alcohol withdrawal.- Early signs of alcohol abuse.- Alcohol dependence syndrome: definition of problem drinking.- Social effects of alcohol abuse.- Physical effects of alcohol abuse.- Management of patients with drinking problems.- Alcohol - the substance and its metabolism.- 4 Hallucinated Patients.- Hallucinations in children.- Hallucinations in young adults.- Hallucinations in middle age.- Hallucinations in the elderly.- Hallucinogens.- Solvent abuse (glue sniffing).- Hallucinations from prescribed drugs.- Alcoholism.- Drug withdrawal.- Epilepsy.- Hysteria.- Manic depression.- Organic states.- Paranoid states.- Puerperal psychosis.- Schizophrenia.- Dementia.- Sensory deprivation.- 5 Depressed Patients.- The agitated patient.- Management.- The withdrawn patient.- Management.- The suicidal patient.- Management.- Presenting symptoms of depression.- Central symptoms of depression.- Peripheral symptoms of depression.- The personality.- 6 Suicide and Parasuicide.- The sorting process.- Diseases which may lead to self-harm.- Affective psychoses.- Schizophrenia.- Neurotic and personality disorders.- Acute reactions to stress.- Organic states.- Withdrawal of amphetamines or cocaine.- Situations of increased risk.- 7 Hysterical Patients.- Hysterical symptoms.- Vulnerability factors.- Types of patient.- Hysterical personality.- Amnesia.- Fugues: diagnostic features.- Multiple personality.- Stupor: diagnostic features.- Fits: diagnostic features and differential diagnosis from epilepsy.- Faints, falls and dizziness.- Motor dysfunction.- Sensory dysfunction.- Gastrointestinal presentations.- Gynaecological or genitourinary presentations.- Cardiorespiratory presentations.- Musculoskeletal presentations.- Dermatological presentations.- Psychiatric presentations.- Management.- Children and hysteria.- 8 Frightened Patients.- Fear occurring in:.- Physical illness.- Terminal illness.- Anxiety disorders.- Phobic disorders:.- Agoraphobia.- Social phobias.- Animal phobias.- Depersonalisation.- Hypochondriasis.- Obsessions.- Post-traumatic stress disorder.- Epilepsy.- Organic disorders.- Acute organic psychiatric syndromes.- Use and abuse of drugs.- 9 The Presentation and Care of the Rape Victim.- Background.- Rape trauma syndrome.- Counselling the rape victim.- Management:.- Medical.- Practical.- Psychological.- 10 Psychiatric Emergencies in Children and Adolescents.- Emotional disorders:.- Hysteria.- Acute phobic reactions.- Sleep and habit disorders.- Attempted suicide.- Wrist slashing.- Conduct disorders:.- School refusal.- Stealing.- Running away.- Illicit drug taking.- Acute psychoses and their managment.- Anorexia nervosa.- Child abuse.- Sexual problems.- Schoolgirl pregnancy.- Post-traumatic stress disorder.- Life-threatening illness and dying children.- 11 Disturbed Adolescents.- Principles of assessment.- Process of assessment.- Specific types of disturbance in adolescence.- Delinquent behaviour.- Violent behaviour.- Runaways.- Oppositional adolescents.- Anxiety and panic.- School refusal.- Depression.- Withdrawn behaviour.- Anorexia nervosa.- Parasuicide.- Psychotic disturbance.- Sexual deviations a