By Michael J. Murphy, Ronald L. Cowan MD PhD
A part of the very hot Blueprints sequence, Blueprints Psychiatry presents scholars with a concise evaluation of what they should comprehend of their psychiatry rotations or the forums. each one bankruptcy is short and contains pedagogical good points similar to bolded key terms, tables, figures, and key issues. a question and solution part on the finish of the ebook contains a hundred board-format questions with entire rationales. This version contains new pictures, extra USMLE learn questions, and a Neural foundation part for every significant diagnostic class. A better half web site contains a query financial institution and entirely searchable textual content.
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Extra resources for Blueprints Psychiatry
37 38 These symptoms may remit with the slow intravenous infusion of thiamine at 400 to 500 mg per day for 4 to 5 days. Magnesium repletion is also essential. Without thiamine at sufficiently high dosages and given intravenously, Wernicke's encephalopathy may progress to a chronic condition of alcohol-induced persisting amnestic disorder (information to follow). ALCOHOL-INDUCED DISORDERS ALCOHOL INTOXICATION Alcohol intoxication is defined by the presence of slurred speech, incoordination, unsteady gait, nystagmus, impairment in attention or memory, stupor or coma, and clinically significant maladaptive behavioral or psychological changes (inappropriate sexual or aggressive behavior, mood lability, impaired judgment, impaired social or occupational functioning) that develop during or shortly after alcohol ingestion.
Wernicke's triad consists of nystagmus, ataxia, and mental confusion. • Alcohol-induced persisting amnestic disorder (Korsakoff's) symptoms result from brain damage due to thiamine deficiency and include amnesia and confabulation. • Sedatives and hypnotic drugs are cross-tolerant with alcohol, and withdrawal states are similar to alcohol. • Opiate addicts are at increased risk of human immunodeficiency virus, pneumonia, endocarditis, hepatitis, and cellulitis with high mortality rates from accidental overdose, suicide, and accidents.
The Epidemiological Catchment Area study found a lifetime prevalence of alcohol dependence of 14%. The male to female prevalence ratio for alcohol dependence is 4:1. Etiology The etiology of alcohol dependence is unknown. Adoption studies and monozygotic twin studies demonstrate a partial genetic basis, particularly for men with alcoholism. Male alcoholics are more likely than female alcoholics to have a family history of alcoholism. Compared with control subjects, the relatives of alcoholics 36 37 are more likely to have higher rates of depression and antisocial personality disorder.
Blueprints Psychiatry by Michael J. Murphy, Ronald L. Cowan MD PhD