Psychiatric Dimensions of Medical Practice: What Primary Care Physicians Should Know About Delirium, Demoralization, Suicide Thinking, and Competence to Refuse Medical Advice

Demoralization in medical practice.

The Psychiatric Consultation Service at Massachusetts General Hospital (MGH) sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. Such consultations require the integration of medical and psychiatric knowledge. During their twice-weekly rounds, Drs. Stern and Maytal, as well as other medical staff and members of the Consultation Service, discuss the diagnosis ...

What every pediatrician should know about liver transplantation

Liver transplantation is the treatment of choice for children with end-stage liver disease.  Improvement in outcomes (allograft and patient survival) has led to widespread use of pediatric LT worldwide. This success is due to improvement in patient selection, transplant surgery, anesthesia/postoperative care and immunosuppression management. This review will focus on different aspects of LT whi...

Experiencing brain cancer: what physicians should know about patients

UNLABELLED During the last 20 years, numerous studies have highlighted the need to consider Quality of Life (QoL) issues in the treatment of brain cancer. However, gaps in scientific knowledge are still present as we have poor data surrounding the whole experience in patients and regarding their needs. The present study was aimed at evaluating QoL in brain cancer patients and correlated aspects...

Lithium and psoriasis: what primary care and family physicians should know.

OBJECTIVE This review focuses on the association of lithium treatment and psoriasis. The mechanism of action of lithium in causing psoriasis and the clinical presentation of psoriasis secondary to lithium treatment are considered. DATA SOURCES A search of the literature from 1949 to 2007 was performed using MEDLINE, with the following search terms: lithium, psoriasis, skin, dermatology, and p...

What primary care physicians need to know about people with schizophrenia.