...
Is there associated headache, papilledema, dementia, or focal neurologic signs? These findings would suggest a space-occupying lesion. This is something the clinician does not want to miss.
Are there endocrine changes? A number of ... DIAGNOSTIC WORKUP
... READ EXCERPTS »
... It is simple enough to administer a sedative and refer the emotionally distressed patient to a psychiatrist, but the astute diagnostician will want to rule out an organic disease first. Almost every endocrine disease is associated with emotional disturbances, all of which are potentially curable.
... READ EXCERPTS »
... Depression is a mood disturbance characterized by feelings of sadness, despair, and loss of interest or pleasure in activities. These feelings may be accompanied by somatic complaints, such as changes in appetite, sleep disturbances, restlessness or lethargy, and decreased... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
... READ EXCERPTS »
... Depression of the anterior fontanel below the surrounding bony ridges of the skull is a sign of dehydration. A common disorder of infancy and early childhood, dehydration can result from insufficient fluid intake, but typically reflects excessive fluid loss from severe vomiting... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations
... READ EXCERPTS »
... Also known as unipolar disorder, major depression is a syndrome of persistently sad, dysphoric mood, accompanied by disturbances in sleep and appetite, lethargy, and an inability to experience pleasure (anhedonia).
About... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
... READ EXCERPTS »
... Depression is a mood disturbance characterized by feelings of sadness, despair, and loss of interest or pleasure in activities. These feelings may be accompanied by somatic complaints, such as changes in appetite, sleep disturbances, restlessness or lethargy, and decreased... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
... READ EXCERPTS »
... Depression of the anterior fontanel below the surrounding bony ridges of the skull is a sign of dehydration. A common disorder of infancy and early childhood, dehydration can result from insufficient fluid intake, but it typically reflects excessive... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations
... READ EXCERPTS »
... Jeffrey M. Lyness
Depression is a major public health problem because of its high prevalence and attendant morbidity and mortality. Although commonly seen in primary care settings, too often it goes unrecognized or untreated or undertreated.
... History and mental status examination (MSE) ... Physical examination. ... Testing. ... Diagnostic assessment
... READ EXCERPTS »
... Differential Overview
❑ Dysthymia
❑ Major depression
❑ Adjustment disorder with depressed mood
❑ Seasonal affective disorder ... Diagnostic Approach ... Clinical Findings ... Pictures
... READ EXCERPTS »
... Also known as unipolar disorder, major depression is a syndrome of persistently sad, dysphoric mood accompanied by disturbances in sleep and appetite, lethargy, and an inability to experience pleasure (anhedonia). Major depression occurs in 3% to 5% of adults, affecting all racial, ethnic,... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
... READ EXCERPTS »
... Depression of the anterior fontanel below the surrounding bony ridges of the skull is a sign of dehydration. A common disorder of infancy and early childhood, dehydration can result from insufficient fluid intake, but typically reflects excessive fluid loss from severe vomiting or diarrhea.... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
...
It is simple enough to administer a sedative and refer the emotionally
distressed patient to a psychiatrist, but the astute diagnostician will want
to rule out an organic disease first. Almost every endocrine disease is
associated with emotional
... READ EXCERPTS »