By Vivienne Schnieden
Synthesis of Psychiatric instances is geared toward the scientific a part of postgraduate psychiatry examinations. each one bankruptcy supplies transparent info on a vintage case. additionally, a few hypothetical situations are incorporated so one can illustrate how various shows should be and that the $64000 concerns for one case usually are not inevitably similar to one other, regardless of the same analysis. The publication contains DSMIV diagnostic standards including crucial differential diagnoses and administration plans. this enables the trainee to construct on their theoretical wisdom when whilst emphasising the appropriate scientific matters for every sufferer.
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Additional info for Synthesis of Psychiatric Cases
The cases used are those most likely to be encountered in a clinical examination. They comprise disorders frequently encountered and illustrate some of the difficulties of diagnosis or management. Often candidates do themselves a disservice by concentrating on diagnostic possibilities and thereby omitting to emphasize the comorbidity and difficulties that this provides in the management of the case. The clinical examination aims to explore that the candidate is able to show an understanding of the patient seen and are able to formulate an appropriate management plan.
G. temazepam, may be used. May use sedative TCA Antipsychotic drugs if required, use high potency drugs in the first trimester Chlorpromazine crosses the placenta and there is some concern about teratogenic effects Barbiturates increased risk of neonatal withdrawal syndrome. Page 33 Lactation Breast feeding tricyclic antidepressants ''safe", but avoid doxepin (long half-life) which may lead to toxicity. Two controlled studies with follow-up (3 years prothiaden, 1 year sertraline) Lithium may cause side effects in the infant so monitor for restlessness, weakness and maternal lithium levels best avoid and use anticonvulsant Antipsychotic galactorrhoea in mother and drowsiness and lethargy in infants Phenothiazines can cause flaccidity or drowsiness in infant Diazepam monitor infant for drowsiness as this has long half-life.
There is a family history of bipolar affective disorder. Possible precipitants include not having been on any medication for 2 years. He is currently unable to care for himself as his judgement is impaired. He currently agrees that he needs medication although does not feel unwell. Compliance would be a major issue in his continuing care. His illness is impacting on his ability to have meaningful relationships with other people which is important as part of his life stage. 5 Post Partum Problems Identification Post partum psychosis, primiparous versus multiparous, marital status, occupation.