Medical Update for Psychiatrists最新文献_第10页

Chest pain in adolescents: distinguishing cardiac from noncardiac causes 青少年胸痛:区分心源性与非心源性原因

Medical Update for Psychiatrists Pub Date : 1997-01-01 DOI: 10.1016/S1082-7579(96)00087-8

MD Monica Martin Goble

{"title":"Chest pain in adolescents: distinguishing cardiac from noncardiac causes","authors":"MD Monica Martin Goble","doi":"10.1016/S1082-7579(96)00087-8","DOIUrl":"10.1016/S1082-7579(96)00087-8","url":null,"abstract":"<div><p>Chest pain, a common problem motivating adults to seek medical care, occurs frequently in adolescents. Physicians may embark on a sequence of nonproductive investigations that can be costly and anxietyprovoking for the adolescent and parent. This review attempts to simplify the medical evaluation and management of the young patient with chest pain. Idiopathic chest pain is the most common diagnosis for childhood and adolescent chest pain, accounting for about 40% of cases. Of those cases for which a cause is found, musculoskeletal causes are most common, accounting for at least 20% of chest pain. Hyperventilation or panic disorders account for 10 to 20% of diagnoses. Noncardiac chest pain typically occurs at rest, which is helpful in distinguishing it from cardiac pain. In those with exercise-induced chest pain asthma must be carefully sought. Congenital coronary artery anomalies leading to angina must also be considered in those with exertional chest pain. Although exertional chest pain should raise a red flag, not all exertional chest pain is worrisome; it may simply reflect poor conditioning or an anxious athlete. In these cases a normal cardiac evaluation including a normal treadmill exercise test with or without reproducible chest pain may help provide the reassurance the anxious athlete needs. After eliminating the possibility of a medical illness, the psychiatrist is in a unique position to provide reassurance and counseling because knowledge about recent life events and the adolescent's beliefs about the symptoms may be necessary prerequisites for successful treatment.</p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"2 1","pages":"Pages 28-31"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(96)00087-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78358263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Medical clearance and the psychiatric patient: An emergency medicine perspective 医疗许可与精神病人:急诊医学视角

Medical Update for Psychiatrists Pub Date : 1997-01-01 DOI: 10.1016/S1082-7579(96)00089-1

MS Steve Olivar, MD, FACP, FAEP John Timmons

引用次数: 1

Treatment options for smoking cessation 戒烟的治疗方案

Medical Update for Psychiatrists Pub Date : 1997-01-01 DOI: 10.1016/S1082-7579(96)00090-8

PharmD Thea Moore

引用次数: 0

Prenatal care of the low-risk patient 低危患者的产前护理

Medical Update for Psychiatrists Pub Date : 1997-01-01 DOI: 10.1016/S1082-7579(96)00116-1

MD Ashlesha K. Dayal, MD, FACOG Jordan Pritzker

引用次数: 0

Rational pharmacotherapy for Alzheimer's disease 阿尔茨海默病的合理药物治疗

Medical Update for Psychiatrists Pub Date : 1997-01-01 DOI: 10.1016/S1082-7579(96)00111-2

MD Martin Steinberg, MD, MHS Constantine Lyketsos

引用次数: 1

Psychiatric implications of medications used in human immunodeficiency virus disease 治疗人类免疫缺陷病毒疾病的药物对精神病学的影响

Medical Update for Psychiatrists Pub Date : 1997-01-01 DOI: 10.1016/S1082-7579(96)00115-X

PharmD Michelle A. Gravlin

{"title":"Psychiatric implications of medications used in human immunodeficiency virus disease","authors":"PharmD Michelle A. Gravlin","doi":"10.1016/S1082-7579(96)00115-X","DOIUrl":"10.1016/S1082-7579(96)00115-X","url":null,"abstract":"<div><p>Between four and seven percent of patients admitted to psychiatric hospitals are infected with Human Immunodeficiency Virus (HIV). Psychiatric patients are at a higher risk for developing HIV because they are more likely to engage in high-risk sexual behaviors, have higher rates of substance abuse than other populations, and are less knowledgeable about AIDS. HIV positive patients are at increased risk for adverse drug reactions; therefore, psychiatrists need to be aware of potential neurologic and psychiatric adverse effects of medications commonly used for HIV. For example, many of the common adverse effects associated with agents used in the treatment of HIV mimic signs and symptoms of depression. Also, antiretroviral therapy is rapidly changing and several new agents have become available. It is imperative for psychiatrists to be aware of drug interactions between psychotropic agents and antiretrovirals, particularly the protease inhibitors. The potential for drug interactions is significant because more than half of the psychotropic agents available today as well as five of the eleven HIV agents described in this article are metabolized by or affect drug metabolism through the Cytochrome P450 system. Collaboration with the patients' other prescribers or pharmacists and knowledge of all concurrent medications the patients are taking are the key to preventing adverse events because of drug interactions.</p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"2 1","pages":"Pages 17-23"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(96)00115-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75596491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Author index for volume 1 第一卷的作者索引

Medical Update for Psychiatrists Pub Date : 1996-11-01 DOI: 10.1016/S1082-7579(96)80053-7

引用次数: 0

Childhood asthma 儿童哮喘

Medical Update for Psychiatrists Pub Date : 1996-11-01 DOI: 10.1016/S1082-7579(96)80051-3

MD Susan Burke , MSN, PNP Kathy King

引用次数: 0

Detection and management of dyslipidemias in the psychiatric patient population 精神科患者血脂异常的检测与管理

Medical Update for Psychiatrists Pub Date : 1996-11-01 DOI: 10.1016/S1082-7579(96)80052-5

PharmD Maqual R. Infranca

引用次数: 0

Insomnia: A Practical Review 失眠:一个实用的回顾

Medical Update for Psychiatrists Pub Date : 1996-11-01 DOI: 10.1016/S1082-7579(96)80048-3

MD, MPH Lori A. Bastian , PhD M. Christine Crenshaw , MD David C. Steffens

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引用次数: 0