Key Points Background A systematic approach to side effects of medications should include consideration of the nature, severity, and timing of symptoms to facilitate optimal management of such side effects. History Many medications (e.g., nefazodone) previously used in psychiatric disorders,…
Overview Caring for cardiac patients can present a host of dilemmas for the general hospital psychiatrist. Patients with psychiatric conditions may exhibit cardiac symptoms, psychotropic agents can result in electrocardiographic abnormalities, and psychiatric manifestations may result from cardiac conditions. Because…
Overview Each of the syndromes described in this chapter involves a complex interaction of motor, behavioral, and systemic manifestations that are derived from mechanisms that are not fully clear. What is clear is that neurotransmitters, such as dopamine (DA), gamma-aminobutyric…
The structure and function of the central nervous system (CNS) is altered by many neurologic disorders. Because the CNS controls affect, behavior, and cognition, neurologic disorders may lead to neuropsychiatric symptoms that resemble those found in primary psychiatric conditions. Therefore,…
Overview The structure and function of the central nervous system (CNS) is altered by many neurologic disorders. Because the CNS controls affect, behavior, and cognition, neurologic disorders can lead to neuropsychiatric symptoms that resemble those found in primary psychiatric conditions.…
Key Points Clinical Findings Stroke is defined as the acute onset of a neurological deficit that is due to a cerebrovascular cause; a stroke has occurred if symptoms persist for longer than 24 hours or if a permanent lesion is…
Key Points Background Catatonia, neuroleptic malignant syndrome (NMS), and serotonin syndrome are neuropsychiatric conditions with prominent motor, behavioral, and systemic manifestations. Catatonia is a syndrome with multiple medical, neurological, and psychiatric etiologies that requires a systematic approach for diagnosis. NMS…
Key Points Background A systematic approach to side effects of medications should include consideration of the nature, severity, and timing of symptoms to facilitate optimal management of such side effects. History Many medications (e.g., nefazodone) previously used in psychiatric disorders,…