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Rounds in the General Hospital

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
PCC
Evaluation and Management of Treatment-Resistant Schizophrenia
Rounds in the General Hospital

July 2, 2024

If you have ever been uncertain about how to evaluate patients with a chronic psychotic illness or struggled over how best to manage treatment-resistant schizophrenia, then this case vignette…
Carol S. Lim, Abigail L. Donovan, Chirag M. Vyas, et al
PCC
Neuropsychiatric Complications of Hypervitaminosis D
Rounds in the General Hospital

June 13, 2024

A 28-year-old man presented to the emergency department with severe agitation, insomnia, weakness, constipation, and muscle jerks after nonsuicidal overdosing of vitamin D.
James K. Rustad, Adam Z. Spitz, Brandon C. Wilson, et al
PCC
Impact of Disability on Medical Care
Rounds in the General Hospital

June 6, 2024

Given that many people have disabilities, physicians should develop skills that assess the level of disability, the functional consequence of illness, and the social and physical environments of patients…
Mirza Baig, Andrew S. Chun, Ashika Bains, et al
PCC
Management of Rumination and Obsessions in Primary Care
Rounds in the General Hospital

May 30, 2024

Difficult-to-control negative repetitive thoughts can manifest as ruminations or obsessions. Appropriate early identification and intervention can positively affect the course and prevent an episode of psychiatric illness.
Sharmin Ghaznavi, Charlotte Schiewe, Theodore A. Stern

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More PCC Articles

JCP
Clinical and Practical Psychopharmacology

September 25, 2018

Two recent meta-analyses examined an intriguing possibility: the usefulness of statins as antipsychotic augmentation. In this installment of Clinical and Practical Psychopharmacology, Dr Andrade takes a critical look at…
Chittaranjan Andrade
JCP
Article

September 18, 2018

When choosing among agents for treating PTSD, which one should you pick? Fluoxetine, paroxetine, sertraline, topiramate, and venlafaxine have all shown efficacy. This large retrospective VA study compared the…
Brian Shiner, Christine Leonard Westgate, Jiang Gui, et al
JCP
Meta-Analysis

September 18, 2018

Tardive dyskinesia, a side effect of antipsychotics, is a persistent and disabling problem among patients with schizophrenia. Could a switch to clozapine help? This meta-analysis looks at 16 studies…
Thierry Q. Mentzel, René van der Snoek, Ritsaert Lieverse, et al
JCP
Original Research

September 18, 2018

Cardiovascular diseases are the primary cause of mortality in individuals with schizophrenia, yet no study has yet explored the impact of metabolic syndrome on schizophrenia relapse. This study explored…
Ophelia Godin, Marion Leboyer, Frank Schürhoff, et al
JCP
Original Research

September 11, 2018

Children who have experienced victimization such as maltreatment or violence are at risk for problems that include, but extend beyond, PTSD. To guide assessment and treatment of these youth,…
Julian D. Ford, Joseph Spinazzola, Bessel van der Kolk, et al
JCP
Original Research

September 11, 2018

Insomnia has been linked to several medical conditions, but the relationship between insomnia and these conditions can be unclear. Read this article to learn more about the connection between…
Mark Olfson, Melanie Wall, Shang-Min Liu, et al
JCP
Original Research

September 11, 2018

Many patients with panic disorder have short-term response to psychotherapy, but subsequent relapse can occur. Read this article to learn if treatment gains achieved with 3 different psychotherapies were…
Kevin S. McCarthy, Dianne L. Chambless, Nili Solomonov, et al
JCP
ASCP Corner

September 11, 2018

Many people with psychiatric disorders use cannabis, but how might this use complicate the clinical picture? This ASCP Corner article looks at the vital information clinicians need to know…
Derek D. Satre, Brian Borsari, D. Andrew Tompkins, et al
JCP
Meta-Analysis

September 4, 2018

Anxiety is common during pregnancy, but reviews to date of the impact of anxiety on perinatal outcomes have been narrow in focus. This systematic review and meta-analysis synthesizes available…
Sophie Grigoriadis, Lisa Graves, Miki Peer, et al
JCP
Original Research

September 4, 2018

If your elderly patients are having trouble thinking clearly, the reason may be more than some sort of dementia. See how white matter hyperintensities and depression interact to affect…
Joon Hyuk Park, Seok Bum Lee, Jung Jae Lee, et al
JCP
Original Research

September 4, 2018

Cigarette smoking is common among individuals depression, and smoking can affect the metabolism of antidepressant medications. Read this article to learn dosing strategies that physicians can employ when treating…
Marc Augustin, Georgios Schoretsanitis, Christoph Hiemke, et al
JCP
Original Research

September 4, 2018

As with other traumatic events, suicidality may emerge in the wake of a major occupational injury. But for how long is the risk magnified? A large study used a…
Wei-Shan Chin, Yue Leon Guo, Shih-Cheng Liao, et al

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