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Rounds in the General Hospital

Rounds in the General Hospital is a regular peer-reviewed feature by Theodore A. Stern, M.D., and his colleagues at Massachusetts General Hospital (MGH). The Psychiatric Consultation Service at MGH sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. Such consultations require the integration of medical and psychiatric knowledge. During their twice-weekly rounds, Dr. Stern and other members of the Consultation Service discuss the diagnosis and management of conditions confronted. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.

2014

Involuntary Hospitalization of Primary Care Patients

Justin M. Johnson and Theodore A. Stern

Prim Care Companion CNS Disord 2014;16(3):doi:10.4088/PCC.13f01613 [Full-Text]

Psychotic Disorders in Children and Adolescents: A Primer on Contemporary Evaluation and Management

Jonathan R. Stevens, Jefferson B. Prince, Laura M. Prager, and Theodore A. Stern

Prim Care Companion CNS Disord 2014:16(2):doi:10.4088/PCC.13f01514 [Full-Text]

2013

Helplessness in the Helpers: Etiology and Management

Erik W. Larsson and Theodore A. Stern

Prim Care Companion CNS Disord 2013:15(6):doi:10.4088/PCC.13f01538 [Full-Text]

Obesity: Its Epidemiology, Comorbidities, and Management

Jana Jarolimova, James Tagoni, and Theodore A. Stern

Prim Care Companion CNS Disord 2013;15(5):doi:10.4088/PCC.12f01475 [Full-Text]

Selecting Neuroimaging Techniques: A Review for the Clinician

Joan A. Camprodon and Theodore A. Stern

Prim Care Companion CNS Disord 2013;15(4):doi:10.4088/PCC.12f01490 [Full-Text]

Intoxications Associated With Agitation, Tachycardia, Hypertension, and Fever: Differential Diagnosis, Evaluation, and Management

Christopher J. Keary, Shamim H. Nejad, J. J. Rasimas, and Theodore A. Stern

Prim Care Companion CNS Disord 2013;15(3):doi:10.4088/PCC.12f01459 [Full-Text]

Using Stimulants For Attention-Deficit/Hyperactivity Disorder: Clinical Approaches and Challenges

Jonathan R. Stevens, Timothy E. Wilens, and Theodore A. Stern

Prim Care Companion CNS Disord 2013;15(2):doi:10.4088/PCC.12f01472 [Full-Text]

The Cognitive Impact of Atrial Fibrillation

Anne F. Gross and Theodore A. Stern

Prim Care Companion CNS Disord 2013;15(1):doi:10.4088/PCC.12f01471 [Full-Text]

2012

Toxicologic Testing for Opiates: Understanding False-Positive and False-Negative Test Results

Christopher J. Keary, Ying Wang, Jonathan R. Moran, Lazaro V. Zayas, and Theodore A. Stern

Prim Care Companion CNS Disord 2012;14(4):doi:10.4088/PCC.12f01371 [Full-Text]

Found in Feces: Differential Diagnosis, Workup, and Treatment

Theodore A. Stern, J. Carl Pallais, Jeremiah M. Scharf, and Steven C. Schlozman

Prim Care Companion CNS Disord 2012;14(3):doi:10.4088/PCC.12f01341 [Full-Text]

Insertion of Foreign Bodies (polyembolokoilamania): Underpinnings and Management Strategies

Brandon T. Unruh, Shamim H. Nejad, Thomas W. Stern, and Theodore A. Stern

Prim Care Companion CNS Disord 2012;14(1):doi:10.4088/PCC.11f01192 [Full-Text]

2011

Recognition of Psychiatric Symptoms and Conditions in Latino Patients

Sanam S. Dhaliwal and Theodore A. Stern

Prim Care Companion CNS Disord 2011;13(6):doi:10.4088/PCC.10f01060 [Full-Text]

Denial of Cardiac Illness: Consequences and Management

Jennifer M. Covino, Thomas W. Stern, and Theodore A. Stern

Prim Care Companion CNS Disord 2011;13(5):doi:10.4088/PCC.11f01166 [Full-Text]

Fainting, Swooning, and Syncope.

J. Carl Pallais, Steven C. Schlozman, Alberto Puig, John J. Purcell, Theodore A. Stern

Prim Care Companion CNS Disord 2011;13(4):doi:10.4088/PCC.11f01187 [Full-Text]

Late-Onset Cinephilia and Compulsive Behaviors: Harbingers of Frontotemporal Dementia.

Andrea Slachevsky, Carlos Muoz-Neira, Javier Nuez-Huasaf, Theodore A. Stern, Carl R. Blesius, and Alireza Atri

Prim Care Companion CNS Disord 2011;13(3):e1–e7 [Full-Text]

Use of Complementary and Alternative Medicine by Patients With Cancer.

Carmen L. Watkins, Carlos Fernandez-Robles, Kathleen M. Miller, Alexander Pine, and Theodore A. Stern

Prim Care Companion CNS Disord 2011;13(2):e1–e6 [Full-Text]

Prior Discharges Against Medical Advice and Withdrawal of Consent: What They Can Teach Us About Patient Management.

Thomas W. Stern, Benjamin C. Silverman, Felicia A. Smith, and Theodore A. Stern

Prim Care Companion CNS Disord 2011;13(1):e1–e5 [Full-Text]

2010

Staying Against Advice: Refusal to Leave the Hospital.

Jonathan R. Moran, Anne F. Gross, and Theodore A. Stern

Prim Care Companion J Clin Psychiatry 2010;12(6):e1–e6 [Full-Text]

Current Approaches to the Recognition and Treatment of Alcohol Withdrawal and Delirium Tremens: Old Wine in New Bottles or New Wine in Old Bottles.

Theodore A. Stern, Anne F. Gross, Thomas W. Stern, Shamim H. Nejad, and Jose R. Maldonado

Prim Care Companion J Clin Psychiatry 2010;12(3):e1–e9 [Full-Text]

The Impact of Body Image on Patient Care.

Michael A. Bolton, Ingrid Lobben, and Theodore A. Stern

Prim Care Companion J Clin Psychiatry 2010;12(2):e1–e8 [Full-Text]

The Assessment and Management of Agitation and Delirium in the General Hospital.

Theodore A. Stern, Christopher M. Celano, Anne F. Gross, Jeff C. Huffman, Oliver Freudenreich, Nicholas Kontos, Shamim H. Nejad, Jennifer Repper-DeLisi, and B. Taylor Thompson

Prim Care Companion 2010;12(1):e1–e11 [Full-Text]

2009

Linezolid and Serotonin Syndrome.

Davin K. Quinn and Theodore A. Stern

Prim Care Companion 2009;11(6):353–356 [PDF]

Insulin Overdose Among Patients With Diabetes: A Readily Available Means of Suicide.

Kristin S. Russell, Jonathan R. Stevens, and Theodore A. Stern

Prim Care Companion 2009;11(5):258–262 [PDF]

Lies in the Doctor-Patient Relationship.

John J. Palmieri and Theodore A. Stern

Prim Care Companion 2009;11(4):163–168 [PDF]

Liability Associated With Prescribing Medications.

Judith G. Edersheim and Theodore A. Stern

Prim Care Companion 2009;11(3):115–119 [PDF]

Complications of Carbon Monoxide Poisoning: A Case Discussion and Review of the Literature.

Davin K. Quinn, Shunda M. McGahee, Laura C. Politte, Gina N. Duncan, Cristina Cusin, Christopher J. Hopwood, and Theodore A. Stern

Prim Care Companion 2009;11(2):74–79 [PDF]

Visual Hallucinations: Differential Diagnosis and Treatment

Ryan C. Teeple, Jason P. Caplan and Theodore A. Stern

Prim Care Companion 2009;11(1):26–32 [PDF]

2008

Methadone-Associated QTc Prolongation: A Case Report and Review of the Literature

David W. Abramson, Davin K. Quinn, and Theodore A. Stern

Prim Care Companion 2008;10(6):470–476 [PDF]

Fear of Medical Illness: Differential Diagnosis, Workup, and Treatment.

Janet C. Kennedy, Jeff C. Huffman, and Theodore A. Stern

Prim Care Companion 2008;10(5):403–408 [PDF]

Neuropsychiatric Manifestations of Multiple Sclerosis.

Laura C. Politte, Jeff C. Huffman, and Theodore A. Stern

Prim Care Companion 2008;10(4):318324 [PDF]

Multiple Neurologic, Psychiatric, and Endocrine Complaints in a Young Woman: A Case Discussion and Review of the Clinical Features and Management of Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis, and Stroke.

Chaya G. Bhuvaneswar, Jared L. Goetz, and Theodore A. Stern

Prim Care Companion 2008;10(3):237244 [PDF]

Dread Complications of Catatonia: A Case Discussion and Review of the Literature.

Anne F. Gross, Felicia A. Smith, and Theodore A. Stern

Prim Care Companion 2008;10(2):153155 [PDF]

Cocaine and Opioid Use During Pregnancy: Prevalence and Management.

Chaya G. Bhuvaneswar, Grace Chang, Lucy A. Epstein, and Theodore A. Stern

Prim Care Companion 2008;10(1):5965 [PDF]

2007

Alcohol Use During Pregnancy: Prevalence and Impact.

Chaya G. Bhuvaneswar, Grace Chang, Lucy A. Epstein, and Theodore A. Stern

Prim Care Companion 2007;9(6):455460 [PDF]

Is Depression an Appropriate Response to Having Cancer? A Discussion of Diagnostic Criteria and Treatment Decisions

Anne F. Gross, Felicia A. Smith, and Theodore A. Stern

Prim Care Companion 2007;9(5):382–387 [PDF]

Reactions to Amputation: Recognition and Treatment

Chaya G. Bhuvaneswar, Lucy A. Epstein, and Theodore A. Stern

Prim Care Companion 2007;9(4):225–325 [PDF]

Evaluation and Treatment of Poor Sleep

Lawrence T. Park, John D. Matthews, Guy Maytal, and Theodore A. Stern

Prim Care Companion 2007;9(3):179–250 [PDF]

Demoralization in Medical Practice

Juliet C. Jacobsen, Guy Maytal, and Theodore A. Stern

Prim Care Companion 2007;9(2):88–165 [PDF]

Cognitive and Perceptual Disturbances in a Young Man

Janos Zahajszky, Davin K. Quinn, Felicia A. Smith, and Theodore A. Stern

Prim Care Companion 2007;9(1):1–81 [PDF]

2006

Clinical Challenges to the Delivery of End-of-Life Care

Jennifer A. Woo, Guy Maytal, and Theodore A. Stern

Prim Care Companion 2006;8(6):321–391 [PDF]

The Desire for Death in the Setting of Terminal Illness: A Case Discussion

Guy Maytal and Theodore A. Stern

Prim Care Companion 2006;8(5):255–320 [PDF]

The Recognition and Management of Psychological Reactions to Stroke: A Case Discussion

Lyvia S. Chriki, Szofia S. Bullain, and Theodore A. Stern

Prim Care Companion 2006;8(4):189–254 [PDF]

Alcohol Withdrawal in the Setting of Elevated Blood Alcohol Levels

Joshua L. Roffman and Theodore A. Stern

Prim Care Companion 2006;8(3):119–188 [PDF]

A Complex Presentation of Complex Partial Seizures

Joshua L. Roffman and Theodore A. Stern

Prim Care Companion 2006;8(2):57–118 [PDF]

Neuropsychiatric Phenomena Associated With Movement Disorders

Joshua L. Roffman, Todd Eisenberg, and Theodore A. Stern

Prim Care Companion 2006;8(1):1–56 [PDF]

2005

Conversion Disorder Presenting With Neurologic and Respiratory Symptoms

Joshua L. Roffman and Theodore A. Stern

Prim Care Companion 2005;7(6):257–323 [PDF]

Psychotic Symptoms in the Elderly

Rebecca W. Brendel and Theodore A. Stern

Prim Care Companion 2005;7(5):210–256 [PDF]

2004

Using Psychostimulants to Treat Depression in the Medically Ill

Jeff C. Huffman and Theodore A. Stern

Prim Care Companion 2004;6(1):1–55 [PDF]

2003

QTc Prolongation and the Use of Antipsychotics: A Case Discussion

Jeff C. Huffman and Theodore A. Stern

Prim Care Companion 2003;5(6):243–297 [PDF]

Assessment of the Awake but Unresponsive Patient

Jeff C. Huffman and Theodore A. Stern

Prim Care Companion 2003;5(5):192–242 [PDF]

Capacity Decisions in the General Hospital: When Can You Refuse to Follow a Persons Wishes?

Jeff C. Huffman and Theodore A. Stern

Prim Care Companion 2003;5(4):192–242 [PDF]

Compassionate Care of the Terminally Ill

Jeff C. Huffman, M.D., and Theodore A. Stern, M.D.

Prim Care Companion 2003;5(3):131–136 [PDF]

Poststroke Neuropsychiatric Symptoms and Pseudoseizures: A Discussion

Jeff C. Huffman and Theodore A. Stern

Prim Care Companion 2003;5(2):59–101 [PDF]

Disulfiram Use in an Elderly Man With Alcoholism and Heart Disease: A Discussion

Jeff C. Huffman and Theodore A. Stern

Prim Care Companion 2003;5(1):1–58 [PDF]