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Titlebook: Handbook of Consultation-Liaison Psychiatry; Hoyle Leigh,Jon Streltzer Book 20071st edition Springer-Verlag US 2007 Biopsychosocial.Consul

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Evolution of Consultation-Liaison Psychiatry and Psychosomatic Medicinedical and surgical settings. Many such patients have comorbid psychiatric and medical conditions, and others have emotional and behavioral problems that result from the medical illness either directly or as a reaction to it and its treatment.
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Common Reasons for Psychiatric Consultationiety specifically tied to an object or situation, for example, fear of hospitalization. A . is an irrational fear of a usually harmless object or situation, such as cats (ailurophobia) or open spaces (agoraphobia). . refers to the intense anxiety experienced when one finds oneself suddenly thrust in
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Delirium, Dementia, Alcohol Intoxication, and Withdrawal Syndromes altered mental state and agitation. The patient was combative both in the ambulance and in the emergency department (ED). He was prescribed lorazepam 1 mg IM in the ED, but the agitation did not subside. The patient was noted to be disoriented to time and place. He attempted to hit the nursing staf
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Anxiety and Anxiety Syndromesarction (MI). He was reported to be acutely agitated, and he wanted to sign out against medical advice. The reason for consultation was to determine the patient’s competence to sign out. When the consultant arrived in the CCU, a number of staff members were surrounding the patient as he attempted to
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Depression, Mania, and Mood Syndromesthematosus for a number of years, with several small strokes that left her partially paralyzed on the left side. A urinary tract infection was diagnosed, and she was treated with antibiotics and steroids with good results until she aspirated, developed pneumonia, and became comatose. After an intens
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Psychosishimself in a motel room, not allowing the housekeeping personnel to come in for days. The patient was found to be agitated and mute. In the emergency department, he was found to have a fever of 40°C, an elevated creatine phosphokinase (CPK), and increased serum osmolality. He was admitted to the gen
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