100 Cases in Psychiatry

Summary:

100 Cases in Psychiatry presents 100 scenarios commonly seen in the hospital and community setting. The patient's history and examination are described, with questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, providing an essential revision aid as well as a practical guide for students and junior doctors.

Making clinical decisions is one of the most important and difficult parts of training to become a doctor, and the area of mental health presents its own unique challenges. These cases will help students and junior doctors to recognize important medical conditions in psychiatry, and to develop their diagnostic and management skills.

Key features:
- Succinct case studies presented in an easy-to-read format, listing patient history and examination
- Questions at the end of each case prompt readers to think about their options for diagnosis and management
- Answers then guide readers through the clinician's sequence of thoughts and actions
- Common conditions are covered including depression, anxiety, psychosis, alcohol dependence, dementia, autism, mania, self-harm and anorexia
- Information and key point boxes reinforce learning

• 100 cases - covering many typical scenarios likely to be encountered, and cases similar to those that crop up in exams
• Succinct case studies presented in an easy-to-read format, listing patient history, examination and investigations
• Questions at the end of each case prompt the student to think about their options for diagnosis, interpretation, investigation and management
• Answer pages guide the reader through the clinician's sequence of thoughts and actions
• Suitable for group learning, preparation for OSCEs and psychiatry role-play
• Part of the successful 100 Cases series

Table of Contents:
1. How can you assess mental state?
2. Untreated dental abscess
3. Generalized anxiety
4. Sick note
5. Obsessive rituals but does not want medication
6. Having a heart attack
7. Stepped care for depression in primary care
8. Hands raw with washing
9. Unresponsive in the emergency department
10. Bipolar disorder
11. Psychodynamic therapy
12. Never felt better
13. Aches and pains and loss of interest
14. Constantly tearful
15. Voices comment on everything I do
16. I only smoked a bit of Cannibis and took a couple of Es
17. Unusual persecutory beliefs
18. Abdominal pain in general practice
19. A drink a day used to keep my problems at bay
20. Paracetemol overdose
21. Spider phobia
22. Déjà vu and amnesia
23. Self harming, substance misuse and volatile relationships
24. My husband won't let me go out
25. Intensely fearful hallucinations
26. Flashbacks and nightmares
27. Ataxia
28. Unexplained medical symptoms: this pain just won't go away
19. Can't concentrate after his daughter died
30. Something's not quite right
31. Tricyclic antidepressant overdose
32. Suicidal risk assessment
33. Paranoia with movement disorder
34. My nose is too big and ugly
35. Can I section her to make her accept treatment
36. Disinhibited and behaving oddly
37. Transference and counter transference
38. Depression progressing to myoclonus and dementia
39. Bulimia nervosa - constipation
40. Fever, muscle rigidity, mental confusion
41. 'Alien impulses' and risk to others
42. Feels like the room is changing shape
43. Unable to open my fists
44. Intense fatigue
45. Epilepsy and symptoms of psychosis
46. I'm impotent
47. I love him but I don't want sex
48. Treatment of heroin addiction
49. Exhibitionism
50. Rapid tranquillization
51. Palpitations
52. Thoughts of killing her baby
53. My wife is having an affair
54. A man in police custody
55. Stalking
56. An angry man
57. Treatment resistant depression
58. Treatment resistant schizophrenia
59. Low mood and tired all of the time
60. A profoundly deaf man 'hearing voices'
61. I am sure I am not well
62. Repeating the same story over and over again
63. Progressive step-wise cognitive deterioration
64. Seeing flies on the ceiling
65. Cognitive impairment with visual hallucinations
66. Paranoia - my wife is poisoning my food
67. Acute agitation in a medical inpatient
68. Woman is not eating or drinking anything
69. A restless postoperative patient who will not stay in bed
70. Parkinson's Disease
71. She is refusing treatment. Her decision is wrong. She must be mentally ill
72. Depression in a carer
73. My wife is an impostor
74. Marked tremor, getting worse
75. He can't sit still
76. Socially isolated
77. Killed his friend's hamster and in trouble all the time
78. Anorexia
79. Cutting on the forearms
80. Feelings of guilt
81. Intense feelings of worthlessness
82. Seeing things that aren't there
83. Separation anxiety
84. Soiling behind sofa
85. She won't say anything at school
86. Tics and checking behaviours
87. Not eating, moving or speaking
88. Attachment disorder
89. Tantrums
90. Gender identity disorder
91. Blood in the urine in a healthy girl
92. Child protection
93. He doesn't play with other children
94. Trouble in the classroom
95. Restlessness
96. A man with Down Syndrome is not coping
97. Strange behaviour in a person with Down Syndrome
98. Learning difficulties, behaviour problems and repetitive behaviour
99. Malaise and high blood pressure
100. Compulsive and aggressive behaviour in a man with Down syndrome

About the Author(s):
Vol Ed: Dr Barry Wright, Consultant Child Psychiatrist & Honorary Senior Lecturer, Hull York Medical School, Lime Trees Child and Family Unit, York, UK
Author: Dr Subodh Dave, Psychiatric Unit, Derby City General Hospital, Derby, UK
Author: Dr Nisha Dogra, Senior lecturer in child and adolescent psychiatry, Greenwood Institute of Child Health, University of Leicester, Leicester, UK

Readership:
Relevant to all undergraduate medical students. Most relevant to those in the clinical years of study, however with integrated and PBL courses psychiatry can be introduced as early on as year 1.

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