Handbook of Medicine in Psychiatry / Edition 3

by Peter Manu MD, Corey Karlin-Zysman MD, Eugene Grudnikoff MD

Overview

Poverty, substandard medical care, social neglect or withdrawal, unhealthy lifestyle—these are just some of the contributors to the substantial morbidity of patients with severe mental illness. Medical deteriorations are often unexpected and severe, and particularly difficult to evaluate in the context of psychotic disorders.

For this new edition, the Handbook of Medicine in Psychiatry has been updated and streamlined to provide a realistic approach to the medical issues encountered in psychiatric practice by helping clinicians answer whether their patient: • Is at risk of dying or becoming severely disabled.• Requires an immediate therapeutic intervention for a potentially life-threatening condition.• Needs to be transferred to an emergency medicine setting.• Requires urgent investigations.• Must have changes made in the current medication regimen. Clinical vignettes for each chapter illustrate the complexity of the presentation of abnormal vital signs and somatic disorders in psychiatric settings, including fever, hypertension, seizures, and nausea and vomiting.

The guide also provides risk stratification for major complications—from abnormal thyroid function and acute kidney injury to myocarditis and venous thromboembolism—enabling readers to determine the need for a transfer of the patient to an emergency medicine setting.

A brand-new section features thorough discussions of topics requiring interdisciplinary collaboration with geriatricians, neurologists, anesthesiologists, addiction medicine, and adolescent medicine specialists.

Clinicians working in today's busy inpatient and outpatient psychiatric settings will find in these pages a cognitive framework and knowledge base that will aid them in accurate decision making in the conditions of uncertainty created by potentially major medical deteriorations of the vulnerable populations under their care.

Product Details

ISBN-13:	9781615372287
Publisher:	American Psychiatric Association Publishing
Publication date:	03/11/2020
Edition description:	Third Edition
Pages:	547
Product dimensions:	6.00(w) x 9.00(h) x 0.88(d)
Age Range:	18 Years

About the Author

Peter Manu, M.D. is Professor of Medicine and Psychiatry at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and Director of Medical Services, South Oaks Hospital in Amityville, New York.

Corey Karlin-Zysman, M.D. is Assistant Professor of Medicine at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and Associate Medical Director at Long Island Jewish Medical Center in New Hyde Park, New York.

Eugene Grudnikoff, M.D. is Assistant Professor of Psychiatry at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and Unit Chief, Child and Adolescent Psychiatry at Elmhurst Hospital, Elmhurst, New York.

Table of Contents

ContributorsPrefaceAcknowledgmentsPart I: Abnormal Vital SignsChapter 1. FeverChapter 2. HypertensionChapter 3. Hypotension and OrthostasisChapter 4. Abnormal Heart RatePart II: Common Somatic SymptomsChapter 5. HeadacheChapter 6. SeizuresChapter 7. Falls and Head TraumaChapter 8. Syncope and UnresponsivenessChapter 9. Chest PainChapter 10. Shortness of BreathChapter 11. EdemaChapter 12. Obstructive Sleep ApneaChapter 13. Abdominal Pain and HeartburnChapter 14. Nausea and VomitingChapter 15. Bowel Habit ChangesChapter 16. Dysuria, Incontinence, and Urinary RetentionChapter 17. Changes in Visual Acuity, Red Eye, and Eye PainPart III: Abnormal Laboratory FindingsChapter 18. Glucose DysregulationChapter 19. Electrolyte AbnormalitiesChapter 20. Abnormal Thyroid FunctionChapter 21. Abnormal Liver FunctionChapter 22. Acute Kidney InjuryPart IV: Major Adverse Effects of Psychotropic DrugsChapter 23. QTc Prolongation and Torsades de PointesChapter 24. Myocarditis and CardiomyopathyChapter 25. Neuroleptic Malignant Syndrome, Serotonin Syndrome, and RhabdomyolysisChapter 26. Neutropenia and AgranulocytosisChapter 27. Venous ThromboembolismPart V: Interdisciplinary InterventionsChapter 28. Cardiopulmonary EmergenciesChapter 29. Agitation and DeliriumChapter 30. Adverse Events Associated With Electroconvulsive TherapyChapter 31. Alcohol and Substance AbuseChapter 32. Adolescent Medicine Topics for the Mental Health PractitionerChapter 33. Geriatric Medicine Topics for the Mental Health PractitionerIndex

What People are Saying About This

Javier I Escobar M.D.

This is the third edition of a seminal book first published in 2006. The first author, Peter Manu, a distinguished internal medicine specialist, has been imbedded in psychiatric programs as a key faculty member for several decades, actively participating in clinical and research activities. Professor Manu is also a leading national and international expert on functional somatic syndromes. The two other editors are psychiatrists, also based at Long island Jewish. The book includes 33 chapters, each chapter focusing on a specific medical issue that is quite relevant for patients suffering from mental disorders and particularly to professionals working in mental health settings. Each of these chapters has been neatly crafted and prepared by experts, and elegantly framed by the editors within a succinct, user-friendly, colorful format that includes a brief illustrative clinical vignette at the beginning of each chapter. The book nicely reflects a "commonsense approach" to these medical situations. It is clearly written and includes a list of essential references. The book is an essential addition to the work desks of practicing psychiatrists, psychologists and other mental health professionals.

Douglas M. Ziedonis

Drs. Manu and Karlin-Zysman have made an outstanding and important contribution to the field. This is a great resource and guide for psychiatrists and other health care providers in better assessing and treating comorbid medical conditions. The Handbook is very comprehensive, accessessible, and practical. Complex diagnostic profiles are well elucidated and the integrated treatment approaches iinformative.

Frank Schneider

The second edition of the Handbook of Medicine in Psychiatry is a remarkable advancement of the already highly appreciated first edition. The book is even more a valuable source of sound information for students and practitioners alike. Newly introduced chapters address highly important issues, such as sudden death in psychiatric settings and the structure of the book has been rearranged in a more pleasingly way, which supports the understanding of different aspects of common syndromes, such as metabolic emergencies. Overall, this book is a comprehensive, valuable and practical guide to physical symptoms for psychiatrists and physicians from all other disciplines.

Povl Munk-Jørgensen

The second edition of Handbook of Medicine in Psychiatry edited by Peter Manu and Corey Karlin-Sysman is in fact more a re-writing than an edition. Several new and highly skilled authors have joined the group and a useful grouping of chapters has been introduced. The handbook's obvious first priority is usability for the clinical psychiatrist. As it is further thoroughly updated and easily used because of a very specific build up of chapters this handbook will shortly be found on the shelves in every psychiatric department and clinic next to the diagnostic manuals where it can be reached by any psychiatrist, physician, medical student and nursing staff dealing with psychiatric patients. The book makes it totally clear to the reader that a psychiatrist must be a physician first, secondly a psychiatrist just as the book documents that psychiatry is truly holistic - mental illness is not only mind and brain but also soma. The pronounced excess mortality from physical diseases in mentally ill through many decades is the biggest scandal in psychiatry since the era of the backward. This book offers the practical tools to overcome this.

Povl Munk-Jørgensen

The second edition of Handbook of Medicine in Psychiatry edited by Peter Manu and Corey Karlin-Sysman is in fact more a re-writing than an edition. Several new and highly skilled authors have joined the group and a useful grouping of chapters has been introduced. The handbook's obvious first priority is usability for the clinical psychiatrist. As it is further thoroughly updated and easily used because of a very specific build up of chapters this handbook will shortly be found on the shelves in every psychiatric department and clinic next to the diagnostic manuals where it can be reached by any psychiatrist, physician, medical student and nursing staff dealing with psychiatric patients. The book makes it totally clear to the reader that a psychiatrist must be a physician first, secondly a psychiatrist just as the book documents that psychiatry is truly holistic - mental illness is not only mind and brain but also soma. The pronounced excess mortality from physical diseases in mentally ill through many decades is the biggest scandal in psychiatry since the era of the backward. This book offers the practical tools to overcome this.

Editorial Reviews

Reviewer: Matthew Koster, DO, MBA (Pine Rest Christian Mental Health Services)
Description: This book reviews medical conditions that may present in psychiatric patients. It focuses on assessment and risk stratification of the level of care necessary in the psychiatric setting. It uses easy-to-follow algorithms showing how to determine level of care and has summary bullet points at the end of each chapter to review main concepts. This is the third edition; the previous edition was published in 2015.
Purpose: According to the book, the purpose is to "offer help for accurate decision making in the conditions of uncertainty created by potentially major medical deteriorations of the vulnerable patients you serve." The book does a good job focusing on this objective, but avoids providing a comprehensive description of clinical guidelines for diagnosis and treatment of medical conditions, which can be found in other books. Instead, the authors present information about determining when and what measures should be taken to treat medical complications that arise in the psychiatric setting.
Audience: According to the authors, this handbook is written for "clinicians who work in today's busy inpatient and outpatient psychiatric settings." It is written in a way that is easily accessible for reference by psychiatric providers. The authors and contributors include many faculty members from different medical specialties, including internal medicine and psychiatry, at Zucker School of Medicine at Hofstra/Northwell. Dr Manu is an expert on functional somatic syndromes.
Features: The book is divided into five main sections including abnormal vital signs, common somatic symptoms, abnormal laboratory findings, major adverse effects of psychotropic drugs, and interdisciplinary interventions. Each chapter is well organized with a clinical vignette followed by clinical presentation, differential diagnoses, risk stratification, and then a section on assessment and management in the psychiatric setting. Each chapter ends with a bulleted list of key points covered in the chapter followed by resources and suggested readings. Little emphasis is placed on management and treatment, which is in line with the purpose of the book.
Assessment: This third edition presents a more streamlined approach to some of the common medical complications clinicians may encounter in psychiatric settings. Overall, the new edition does a good job presenting easy-to-access content that would be helpful in determining who is at risk for severe complications in order to determine what level of care they need. Some readers may be disappointed by the lack of information regarding treatment and management; however, the focus on risk stratification is in line with the book's purpose. While there are others that cover this subject in greater depth, this book stands out as a practical resource for the everyday clinician.

Doody's Review Service

The book was easy to read and packed with information. Many of the chapters sent me to the medical dictionary or other texts and were excellent and practical reviews of material that, if I ever learned, I had, in some instances, long forgotten.

American Journal of psychiatry