10-minute consultation: First episode psychosis
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منابع مشابه
10-minute consultation: First episode psychosis.
x Ask about symptoms suggesting psychological vulnerability, such as irritability, feeling uneasy, constant tiredness, suspiciousness, and withdrawal. x If you suspect psychosis, ask more about changes in social functioning, such as problems in relationships with friends and family; cognition, such as poor concentration or memory; mood, such as feeling depressed, anxious, or irritable; and thou...
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x Is this really dyspepsia? Ask about epigastric pain; heartburn and acid regurgitation; attitudes towards meals; lying flat; and response to antacids. Consider biliary or cardiac pain. Predominant bloating may indicate aerophagia or the irritable bowel syndrome. x Be alert to “alarm symptoms” (weight loss, anaemia, vomiting, jaundice, and epigastric mass); patients aged 55 and over with recent...
متن کامل10-minute consultation: Prostatic symptoms.
x Discuss the cause of his symptoms. Show him a picture of where the prostate is and how it causes problems. He may be worried about cancer, so explain that usually the prostate simply enlarges but that in a small minority the symptoms are due to cancer. About 1 in 14 men will develop prostate cancer at some point in their life. x Discuss plans for initial investigation, including the prostate ...
متن کاملDiagnostic change 10 years after a first episode of psychosis
BACKGROUND A lack of an aetiologically based nosology classification has contributed to instability in psychiatric diagnoses over time. This study aimed to examine the diagnostic stability of psychosis diagnoses using data from an incidence sample of psychosis cases, followed up after 10 years and to examine those baseline variables which were associated with diagnostic change. METHOD Data we...
متن کامل10-minute consultation: Gastro-oesophageal reflux disease.
What issues you should cover x Heartburn is common (7% of adults have daily and 35% monthly symptoms) and is chronic and relapsing but usually benign. Consider why the patient has consulted; many are worried about heart disease or cancer. x In two thirds of patients, heartburn does not progress. Those with longstanding disease ( > 5 years), however, may develop more severe symptoms as a result ...
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ژورنال
عنوان ژورنال: BMJ
سال: 2001
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.323.7326.1408