Substance Use Disorder [0.03%]
物质使用障碍
Kaitlyn R Swimmer,Stephen Sandelich
Kaitlyn R Swimmer
Substance use disorders (SUDs) present a challenge in the emergency department (ED) setting. This article provides an overview of SUDs, their clinical assessment, legal considerations in drug testing, diagnosis, and treatment approaches. SU...
Brian Springer
Brian Springer
Hyperactive delirium with severe agitation is a clinical syndrome of altered mental status, psychomotor agitation, and a hyperadrenergic state. The underlying pathophysiology is variable and often results from sympathomimetic abuse, psychia...
Emergency Department Care of the Patient with Suicidal or Homicidal Symptoms [0.03%]
急诊精神科病人的自杀或杀人的症状急救措施
Chadd K Kraus,James Ferry
Chadd K Kraus
Patients frequently present to the emergency department (ED) with acute suicidal and homicidal thoughts. These patients require timely evaluation, with determination of disposition by either voluntary or involuntary hospitalization or disch...
Jay M Brenner,Thomas E Robey
Jay M Brenner
Individual rights can be limited in the context of psychiatric emergencies. The emergency physician should be familiar with state laws pertaining to involuntary holds. Physicians are equipped to perform a medical screening examination, addr...
Difficult Patients: Malingerers, Feigners, Chronic Complainers, and Real Imposters [0.03%]
难缠的患者：懒惰症患者、伪装者、慢性抱怨者和真正冒牌医生
Artun K Kadaster,Markayle R Schears,Raquel M Schears
Artun K Kadaster
Malingering is the intentional production of false or grossly exaggerated symptoms motivated by internal and external incentives. The true incidence of malingering in the emergency department is unknown because of the difficulty of identify...
Eating Disorders [0.03%]
进食障碍
Diane L Gorgas
Diane L Gorgas
Anorexia nervosa (AN) and bulimia nervosa (BN) are easily missed in the emergency department, because patients may present with either low, normal, or increased BMI. Careful examination for signs of purging and excessive use of laxatives an...
Purva Grover,Manya Kumar
Purva Grover
Pediatric psychiatric emergencies account for 15% of emergency department visits and are on the rise. Psychiatric diagnoses in the pediatric population are difficult to make, due to their variable presentation, but early diagnosis and treat...
Michelle A Fischer,Monica Corsetti
Michelle A Fischer
Geriatric patients, those 65 years of age and older, often experience psychiatric symptoms or changes in mentation as a manifestation of an organic illness. It is crucial to recognize and treat delirium in these patients as it is often unde...
Carmen Wolfe,Nicole McCoin
Carmen Wolfe
The acutely agitated patient should be managed in a step-wise fashion, beginning with non-coercive de-escalation strategies and moving on to pharmacologic interventions and physical restraints as necessary. Face-to-face examination, monitor...
Jillian L McGrath,Maegan S Reynolds
Jillian L McGrath
Caring for patients with personality disorders and traits presents unique challenges for physicians and other providers. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, recognizes 10 personality disorders, which ar...