How does a pituitary result in a psychiatric emergency? Read more clues to this clinical puzzle.
A patient with lupus presents with rash, arthralgias, and altered mental status. Various symptoms, including stupor and mutism, improve with treatment but higher doses of the drug cause more sedation. How would you proceed?
Renewed interest and emerging systematic data have highlighted the frequency and pattern of catatonic presentations in psychiatric and medical settings, including in critical illness.
The authors parse myths and facts about decisional capacity, with the goal of preserving patients' dignity and autonomy and helping you mediate conflicts, meet bioethical challenges, and provide compassionate resolutions.
Does this patient have decision making capacity to refuse a blood transfusion that will likely save his life? You are the ethics consultant, and the decision is yours.
Ethics case quiz: A patient's inconsistent decisions regarding treatment are cause for concern. What to do?
Vascular surgeons, internists, and neurologists all exist—but why aren’t there any vascular psychiatrists? There certainly is a need.
Of the 3 informative articles included in this special geriatric collection, 1 offers a perspective on the treatment of depression that does not focus on somatotherapy. The others remind us of 2 additional geriatric Ds of importance: drugs and driving.
Depression, anxiety, and delirium are 3 examples of common but frequently challenging areas of distress in pediatric palliative care patients.
I teach doctors and nurses how to assess, treat, and prevent delirium—an acute confusional disorder caused by multiple medical problems that mimics mental illness—but is actually a medical emergency.