100 Cases in Psychiatry

Summary

The 100 Cases series books are a popular learning and revision tool that work by guiding the reader through each clinical case in a highly structured manner. Each scenario provides details of the patient's medical history and the key findings of a clinical examination, together with initial investigation results data for evaluation. Key questions then prompt the reader to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan; while the answer pages reveal the processes a clinician goes through in such situations.

The volumes are designed with the student in mind, and include features to aid self-directed learning, clinical reasoning and problem-solving. The format is suitable for general self-assessment as part of exam revision, for swotting up before psychiatry OSCEs, and for junior doctors about to start a rotation in the psychiatry ward. 100 Cases are particularly relevant for students on problem-based learning courses.

100 Cases in Psychiatry covers a wide range of topics such as phobias, bereavement, and paranoia, across the following subject areas: Adult Psychiatry, Older People, Forensic Psychiatry, Child and Adolescent Psychiatry and Learning Disability Psychiatry.

About 100 Cases in Clinical Medicine, 2nd Edition:

"It's readable, relevant and rewarding - wait for the little buzz of excitement when you spot the diagnosis!" - Vincent Helyar, MBBS Year 4, GKT Gazette, May 2008

· 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

How can you assess mental state?
Untreated dental abscess
Generalized anxiety
Sick note
Obsessive rituals but does not want medication
Having a Heart Attack
Stepped care for depression in primary care
Hands raw with washing
Unresponsive in the emergency department
Bipolar disorder
Psychodynamic therapy
Never felt better
Aches and pains and loss of interest
Constantly tearful
Voices comment on everything i do
I only smoked a bit of Cannibis and took a couple of Es
Unusual persecutory beliefs
Abdominal pain in general practice
A drink a day used to keep my problems at bay
Paracetemol overdose
Spider phobia
Déjà vu and amnesia
Self harming, substance misuse and volatile relationships
My husband won’t let me go out
Intensely fearful hallucinations
Flashbacks and nightmares
Ataxia
Unexplained medical symptoms: This pain just won’t go away
Can’t concentrate after his daughter died
Something’s not quite right
Tricyclic antidepressant overdose
Suicidal risk assessment
Paranoia with movement disorder
My nose is too big and ugly (body dismorphic disorder)
Can I section her to make her accept treatment
Disinhibited and behaving oddly
Transference and counter transference
Depression progressing to myoclonus and dementia
Bulimia nervosa – constipation
Fever, muscle rigidity, mental confusion
‘Alien impulses’ and risk to others
Feels like the room is changing shape
Unable to open my eyes
Intense fatigue
Epilepsy and symptoms of psychosis
I’m impotent
I love him but I don’t want sex
Treatment of heroin addiction
Exhibitionism
Rapid tranquillization
Palpitations
Thoughts of killing her baby
My wife is having an affair
A man in police custody
Stalking
An angry man
Treatment resistant depression
Treatment resistant schizophrenia
Low mood and tired all of the time
A profoundly deaf man ‘hearing voices’
I am sure I am not well
Repeating the same story over and over again
Progressive step-wise cognitive deterioration
Seeing flies on the ceiling
Cognitive impairment with visual hallucinations
Paranoia – my wife is poisoning my food
Acute agitation in a medical inpatient
Woman is not eating or drinking anything
A restless postoperative patient who will not stay in bed
Parkinson’s Disease
She is refusing treatment. Her decision is wrong. She must be mentally ill
Depression in a carer
My wife is an impostor
Marked tremor, getting worse
He can’t sit still
Socially isolated
Killed his friend’s hamster and in trouble all the time
Anorexia
Cutting on the forearms
Feelings of guilt
Intense feelings of worthlessness
Seeing things that aren’t there
Separation anxiety
Soiling behind sofa
She won’t say anything at school
Tics and checking behaviours
Not eating, moving or speaking
Attachment disorder
Tantrums
Gender identity disorder
Blood in the urine in a healthy girl
Child protection
He doesn’t play with other children
Trouble in the classroom
Restlessness
A man with Down Syndrome is not coping
Strange behaviour in a person with Down Syndrome
Learning difficulties, behaviour problems and repetitive behaviour
Malaise and high blood pressure
Compulsive and aggressive behaviour in a man with down syndrome