Rounds in the General Hospital

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For hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms, Dr Stern discusses diagnosis and management with members of the Consultation Service at Massachusetts General Hospital. These rounds reports will prove useful for clinicians practicing at the interface of medicine and psychiatry.

PCC
Clozapine: Its Use and Monitoring
Rounds in the General Hospital

July 30, 2024

The authors provide the latest information on clozapine use, including when your patients should receive or avoid taking it, what laboratory tests are required before and during administration, and…
Desta S. Lissanu, Chirag M. Vyas, Carol S. Lim, et al
PCC
Pharmacologic Management of TBI
Rounds in the General Hospital

July 16, 2024

Cognitive complaints, including difficulties with attention, concentration, and memory, are common in patients post-TBI; however, many medications have been studied in the treatment of cognition after TBI. Read on…
Sofia E. Matta, Christina LaCroix, Kaloyan Tanev, et al

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PCC
Rounds in the General Hospital

November 30, 2017

First-line treatments for bipolar disorder are associated with multisystem side effects, especially weight gain, that predispose patients to obstructive sleep apnea among other complications. This article provides up-to-date information…
Surinder S. Moonga, David Mischoulon, John W. Winkelman, et al
PCC
Rounds in the General Hospital

October 5, 2017

Have you ever wondered how common bowel and bladder dysfunction are postpartum? Have you ever felt ill-prepared to make a decision with regard to further workup or treatment? Have…
K. Lauren Barnes, Theodore A. Stern, Lori R. Berkowitz
PCC
Rounds in the General Hospital

September 15, 2016

Have you ever wondered whether the presence of myoclonus helped to create or narrow your differential diagnosis? Have you ever been uncertain about whether or how to treat focal…
Daniel Restrepo, Jonathan Kochav, Anna E. Goodheart, et al
PCC
Rounds in the General Hospital

July 21, 2016

Crying is prevalent in the general hospital and should not be dismissed since the potential etiologies include serious medical, neurologic, and psychiatric conditions. Empathic expressions, as well as pharmacologic…
Hermioni N. Lokko, Theodore A. Stern
PCC
Rounds in the General Hospital

June 23, 2016

Have you ever been confronted by a patient who appeared angry? Have you ever feared for your safety while with a patient or wondered how you could have approached…
Fallon Chipidza, Rachel S. Wallwork, Traci N. Adams, et al
PCC
Rounds in the General Hospital

February 18, 2016

Have you ever struggled to decide whether prescribing opioids for chronic pain is appropriate or wondered how likely it is that one of your patients will become dependent following…
Rachel S. Wallwork, Fallon E. Chipidza, Theodore A. Stern
PCC
Rounds in the General Hospital

October 22, 2015

What makes the doctor-patient relationship so powerful? How can you strengthen it or prevent it from crumbling? What are the consequences of unsatisfactory or adversarial relationships? Read these case…
Fallon E. Chipidza, Rachel S. Wallwork, Theodore A. Stern
PCC
Rounds in the General Hospital

August 27, 2015

Have you ever disliked or been repulsed by a patient whom you have just met? Did he or she seem obnoxious, pompous, or entitled? Have you been amazed or…
A. Blythe Rose, Theodore A. Stern
PCC
Rounds in the General Hospital

May 14, 2015

In this article, the authors describe the case of Ms A, a 26-year-old woman who was admitted to a general hospital for worsening agitation, auditory hallucinations, and an inability…
Hermioni N. Lokko, Theodore A. Stern
PCC
Rounds in the General Hospital

April 16, 2015

In this article, Drs Wichman and Stern review several questions that often arise in the treatment of depression during pregnancy and provide clinicians with an evidence-based framework to provide…
Christina L. Wichman, Theodore A. Stern
PCC
Rounds in the General Hospital

February 26, 2015

Have you ever had a patient with active medical problems coupled with a problematic psychiatric disorder? If you have, then the following case vignette and discussion should prove useful…
Hermioni N. Lokko, Theodore A. Stern
PCC
Rounds in the General Hospital

November 20, 2014

Read this article to learn about the importance of exploring and evaluating sadness in your patients, the potential etiologies for sadness, and management approaches that are based on the…
Hermioni N. Lokko, Theodore A. Stern

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