Psychiatry

Introduction: Approach to Emergency Psychiatric Diagnosis. Role of the Psychiatric Consultant. Telephone Consultations. Seclusion and Restraint. Competency and Other Legal Issues. Patient-Related Problems: The Common Calls. The Agitated Patient. Substance Withdrawal. Anxiety. The Violent Patient. Confusion. Crisis Intervention. The Difficult Patient. Insomnia. Intoxication. Mutism. The Psychotic Patient. Rigidity and Neuroleptic Malignant Syndrome. The Suicidal Patient. Blood Pressure Changes. Chest Pains. Falls. Fever. Headache. Seizures. Vomiting. Child and Adolescent Evaluations. Appendix 1: Mini-Mental State Exam. Appendix 2: Mental Status Examination. Appendix 3: Medical Conditions Manifesting as Psychiatric Disorders. Appendix 4: Neurologic Examination. Appendix 5: Normal Laboratory Values. Appendix 6: Urine Toxicology. Appendix 7: Drug Levels. Appendix 8: Clonidine Detoxification for Heroin (Opioid)-Dependent Patients. Appendix 9: Admission Orders. Appendix 10: Important Telephone Numbers. Appendix 11: Common Adverse Effects of Psychotropic Drugs. Appendix 12: Physical and Behavioural Indicators of Child Abuse and Neglect.