Rounds in the General Hospital
For hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms, Dr Stern discusses diagnosis and management with members of the Consultation Service at Massachusetts General Hospital. These rounds reports will prove useful for clinicians practicing at the interface of medicine and psychiatry.
Rounds in the General Hospital
Toxicologic Testing for Opiates: Understanding False-Positive and False-Negative Test Results
July 26, 2012
Have you ever had a patient who insisted that he or she was neither using nor abusing opiates when the toxicology screen was positive? Have you ever considered if…
Rounds in the General Hospital
Insertion of Foreign Bodies (polyembolokoilamania): Underpinnings and Management Strategies
February 16, 2012
Have you ever had to evaluate and manage a patient with polyembolokoilamania (inserting a foreign body into 1 body orifice or more)? Have you wondered why he or she…
Rounds in the General Hospital
Recognition of Psychiatric Symptoms and Conditions in Latino Patients
November 24, 2011
Do psychiatric symptoms manifest differently in Latino patients? How should you screen for psychiatric problems in these patients? Read this case vignette and discussion to explore some of the…
Rounds in the General Hospital
Late-Onset Cinephilia and Compulsive Behaviors: Harbingers of Frontotemporal Dementia
June 2, 2011
View this case vignette and discussion of an elderly man who developed progressive compulsive cinephilia so that you can facilitate the diagnosis, evaluation, and treatment of patients with similar…
Rounds in the General Hospital
Prior Discharges Against Medical Advice and Withdrawal of Consent: What They Can Teach Us About Patient Management
January 27, 2011
Read this article to review a case vignette example of a discharge against medical advice, known characteristics and prevalence of such discharges, and management strategies for the presented patient…
Rounds in the General Hospital
Current Approaches to the Recognition and Treatment of Alcohol Withdrawal and Delirium Tremens: "Old Wine in New Bottles" or "New Wine in Old Bottles"
June 17, 2010
How long and how much alcohol does a person have to drink before being at risk for developing withdrawal symptoms after sudden abstinence? Which strategies can best manage alcohol…
