Pocket Essentials of Psychiatry E-Book

Basant K. Puri

Description

Thoroughly revised and updated, the third edition of Pocket Essentials of Psychiatry by Professor Basant K. Puri now includes:

• Recent new drugs
• New drug names
• Details of the mini mental-state examination, caffeine intoxication, child abuse, rTMS, phototherapy, VNS and the McNaughten Rules
• Increased section on Questions and Answers for the Final Medicine Examination
• More of the various forms of psychotherapy
• Expanded chapter on forensic psychiatry

Part of the very popular Kumar & Clark family, this portable and compact book has a wide readership among medical students, trainee and practising psychiatrists, and GPs, as well as trainee and practising mental-health social workers and psychiatric nurses. It is very useful for exam revision and as a handy reference on the ward, with important points highlighted in lists and diagrams. From a student review of the previous edition: 'Being a medical student, you only have a few weeks to study Psychiatry ... Puri's Pocket Essentials of Psychiatry is probably the best for the beginner. The text is well structured, and diagnostic criteria for some important diseases, such as schizophrenia and BAD, are provided, while for some less important diseases the text is core and concise. The size is suitable for you to bring to the ward for grand rounds; when the professor is looking at the case notes, you can revise what you learn using this pocket-sized book. It makes your life easier during the Psychiatry module.'

• Compact and portable

• Important points highlighted in lists and diagrams

• Includes revision questions and answers and a glossary

Thoroughly revised and updated, the third edition of Pocket Essentials of Psychiatry by Professor Basant K. Puri now includes:

• Recent new drugs

• New drug names

• Details of the mini mental-state examination, caffeine intoxication, child abuse, rTMS, phototherapy, VNS and the McNaughten Rules

• Increased section on Questions and Answers for the Final Medicine Examination

• More of the various forms of psychotherapy

• Expanded chapter on forensic psychiatry

Informations

• Publié par: Saunders Ltd.
• Date de parution: 21 avril 2008
• Nombre de lectures: 1
• EAN13: 9780702048104
• Langue: English

Extrait

Table of Contents

Cover Image
Front matter
Copyright
Series Preface
Preface to Third Edition
1. Case presentation
2. Signs and symptoms of psychiatric disorder
3. Organic psychiatry
4. Psychoactive substance use disorders
5. Schizophrenia, delusional disorders and schizoaffective disorders
6. Mood disorders
7. Neurotic, stress-related and somatoform disorders
8. Eating disorders
9. Psychosexual and gender disorders
10. Personality disorders
11. Child and adolescent psychiatry
12. People with learning disability (mental retardation)
13. Psychiatry of the elderly
14. Suicide and parasuicide
15. Disorders associated with menstruation and pregnancy
16. Treatments
17. Transcultural psychiatry
18. Forensic psychiatry
Final medicine examination: Questions and answers
Appendix I. Mental Health Legislation
Appendix II. ICD-10 classification
Appendix III. DSM-IV-TR classification
Glossary
Index



Front matter
Pocket Essentials of Psychiatry
Pocket Essentials
Series Editors
Professor Parveen Kumar
Professor of Clinical Medical Education, Bart's and the London, Queen Mary's School of Medicine and Dentistry, University of London, and Honorary Consultant Physician and Gastroenterologist, Bart's and the London Hospitals NHS Trust and Homerton University Hospital NHS Foundation Trust, London, UK
and
Dr Michael Clark
Honorary Senior Lecturer, Bart's and the London, Queen Mary's School of Medicine and Dentistry, University of London, UK
For Elsevier:
Commissioning Editor: Pauline Graham
Development Editor: Helen Leng
Project Manager: Emma Riley
Design Direction: Sarah Russell
Illustrator: Chartwell Illustrators
Illustration Manager: Gillian Richards

Pocket Essentials of Psychiatry
Basant K.
Puri
MA, PhD, MB, BChir, BSc (Hons) MathSci
MRCPsych, DipStat, MMath
Professor and Honorary Consultant in Psychiatry and Imaging, MRC CSC and Imaging Sciences Department, Imperial College London, Hammersmith Hospital, London, UK
Series Editors
Parveen Kumar and Michael Clark
THIRD EDITION




Copyright

An imprint of Elsevier Limited
© 2008, Elsevier Limited. All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of the Publishers. Permissions may be sought directly from Elsevier's Health Sciences Rights Department, 1600 John F. Kennedy Boulevard, Suite 1800, Philadelphia, PA 19103-2899, USA: phone: [phone]; fax: [phone]; or, e-mail: [e-mail] . You may also complete your request on-line via the Elsevier homepage ( http://www.elsevier.com ), by selecting ‘Support and contact’ and then ‘Copyright and Permission’.
First edition 1995
Second edition 2000
Third edition 2008
ISBN: 978-0-7020-2876-2
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Note

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the publisher nor the author assumes any liability for any injury and/or damage to persons or property arising out or related to any use of the material contained in this book.
The Publisher

Printed in China



Series Preface
Parveen Kumar

Michael Clark

Medical students and doctors in training are expected to travel to different hospitals and community health centres as part of their education. Many books are too large to carry around, but the information they contain is often vital for the basic understanding of disease processes.
The Pocket Essentials series is designed to provide portable, pocket-sized companions for students and junior doctors. They are most useful for clinical practice, whether in hospital or the community, and for exam revision.
Books in the series have the same helpful features:

• Succinct text

• Simple line drawings

• Emergency and other boxes

• Tables that summarise causes and clinical features of disease

• Exam questions and explanatory answers

• Dictionary of terms
They contain core material for quick revision, easy reference and practical management. The modern format makes them easy to read, providing an indispensable ‘pocket essential.’



Preface to Third Edition
This book has been written primarily with the needs of medical students in mind. It aims to outline the essentials of psychiatry at the level of the final MB examination and should prove useful both as a book that can be carried by the student during the clinical psychiatric attachment and also as a revision text in the weeks before the examination. The first chapter details the way in which a psychiatric case should be presented. This is followed by a chapter discussing the signs and symptoms of psychiatric disorders, as the student must be able correctly to elicit these. There follow chapters dealing with the most important psychiatric disorders, beginning with those at the top of the diagnostic hierarchy, namely organic disorders, psychoactive substance use disorders and psychotic disorders. Finally, a glossary is provided; this should aid revision.
The classification of disorders used in this book is principally that of the 10th revision of the International Classification of Diseases of the World Health Organization, ICD-10. Occasionally, however, important subjects that are taught and examined at undergraduate level but do not appear in the ICD-10 classification of mental and behavioural disorders, such as premenstrual syndrome, have also been included.
The third edition of this book has once again been revised and updated. Newer drugs have been included, while some older ones have been removed. Drug names have been updated. Details of the mini mental-state examination, caffeine intoxication, child abuse, repetitive transcranial magnetic stimulation (rTMS), phototherapy, vagus nerve stimulation (VNS) and the McNaughten Rules are just seven examples of the new material which has been included in this edition. Accordingly, the sections on questions and answers for the final medicine examination have been increased somewhat.
Once again, I strongly recommend that the reader refer to the most up-to-date formulary available when learning about or prescribing individual drugs.
B.K.P.



1. Case presentation

As with other branches of clinical medicine, it is important when assessing a patient to be able to take an accurate history and carry out an appropriate examination. The latter, in the case of psychiatry, includes not only a physical examination but also an examination of the patient's mental state. Together, the history and mental state examination allow the doctor to elicit the symptoms and signs of a psychiatric disorder, should one exist. In this chapter the headings under which the various parts of a case presentation should be given are outlined.

PSYCHIATRIC HISTORY
The reason for referral, the complaints and the history of the presenting illness should be given first.
The chronological sequence of each symptom should be determined at interview.
The psychiatric history should ideally be brought together from both the patient and sources of further information (see the section on Investigations later in this chapter).

Reason for referral
Briefly state how and why the patient was referred.

Complaints
These are the patient's complaints given in his or her own words. The length of time each complaint has lasted should also be given.

History of presenting illness
A chronological account should be given of the development of each symptom, together with any precipitating factors. Associated impairments should also be given. For example, for a depressive episode biological and cognitive symptoms of depression ( Ch. 6 ) should be included. The effects of the patient's condition on social functioning should be noted.

Family history
Give details of parents and siblings, including their:

• Current ages or ages at death

• Occupations

• Health

• Relationship with the patient.
The timing of parental separation and/or divorce, if relevant, should also be stated.

Family psychiatric history
Any positive family psychiatric history should be recorded, i