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Journals and Conferences
Catatonia is a neuropsychiatric syndrome that may present a difficult diagnostic dilemma. Catatonic disorder due to general medical conditions must be considered in every patient with catatonic signs. Four patients with this disorder are presented. In these patients, general medical conditions associated with catatonic disorder included dystonia, HIV… (More)
A case of a patient with chronic lung disease who developed an addiction pattern of corticosteroid dependency is described in which steroid-induced delirium also developed. The rare phenomenon of corticosteroid dependency is discussed as well as the phenomenology and possible mechanisms of steroid-induced delirium.
Routine laboratory screening of psychiatric patients is a common clinical practice. Several studies have demonstrated the limited utility and higher cost of ambulatory and preadmission screening in the evaluation of general medical patients. The data concerning the use of such screening profiles in psychiatric patients are reviewed. Widespread use of… (More)
Serious problems persist in the recognition and treatment of psychiatric problems in primary care despite multiple interventions directed at correcting these problems. Improved outcomes depend on improved recognition, and screening instruments need to be streamlined tremendously to be accepted by primary care providers. Publication of guidelines and… (More)
Dependence is an unusual, but potentially serious complication of corticosteroid use. Two cases of prednisone dependence are reviewed; the first involving a patient with inflammatory orbital pseudotumor who developed a dependent pattern of prednisone use that persisted years after the resolution of the acute episode. The second case involves a patient with… (More)
Psychiatric complications from nonpsychiatric medications are common. Our understanding of these phenomena is often limited, due to the relative infrequency of their occurrence for individual agents and the complexity of the pharmacological systems involved. This case report presents a patient who developed psychiatric sequelae following the administration… (More)
The purpose of this study was to review the authors' experiences with serial sodium Amytal (amobarbital) interviews and to compare these results with those found in the literature. A chart review of 21 patients with suspected conversion disorder evaluated by Amytal interview was conducted retrospectively. Presenting symptoms included movement disorders,… (More)
Little is known about the chronic sequelae of isopropanol ingestion. Acute effects of isopropanol ingestion include central nervous system depression, gastrointestinal irritation, impaired gluconeogenesis, delirium, hypotension, and coma. We present a case of a patient who preferentially consumed isopropyl alcohol for at least 17 years and developed… (More)
The author discusses the differential diagnosis of violent and aggressive behavior, traditional and alternative treatments and OBRA-90 legislation.
The need for new diagnostic tools is illustrated in this discussion of elderly patients who develop psychoses secondary to organic brain syndromes.