Rounds in the General Hospital
For hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms, Dr Stern discusses diagnosis and management with members of the Consultation Service at Massachusetts General Hospital. These rounds reports will prove useful for clinicians practicing at the interface of medicine and psychiatry.
Rounds in the General Hospital
Managing Anxiety, Agitation, and Pain in Critically Ill Patients
April 1, 2025
Pain, fear, anxiety, sleep disturbances, and agitation are common symptoms among critically ill patients, causing distress, interfering with medical care, and contributing to morbidity post discharge.
Rounds in the General Hospital
Wishing That Your Patient Would Die: Reasons and Reactions
February 25, 2025
The authors explore the complexity, intensity, and critical decision-making faced by health care staff while caring for chronically and critically ill patients, especially in the context of medical futility.
Rounds in the General Hospital
Mild Cognitive Impairment and Early Alzheimer’s Disease Management and the Role of New Treatments
November 28, 2023
Monoclonal antibodies have shown some promise for slowing cognitive decline and adverse brain changes in mild cognitive impairment and early Alzheimer’s disease, though risks and anticipated benefits will be…
Rounds in the General Hospital
Drug-Induced Abnormal Involuntary Movements
May 11, 2023
Treatment of involuntary movements is based on their underlying etiology; however, symptomatic treatments are indicated to reduce motoric and psychological symptoms that impair social function and worsen quality of…
Rounds in the General Hospital
Recognizing and Addressing Health Care Disparities Among Black Populations
August 2, 2022
Here, the authors discuss discrimination in health care and offer suggestions on how to incorporate social determinants of health into routine patient encounters to address unmet patient needs.
Rounds in the General Hospital
Management of the Consequences of Racism and Discrimination
January 27, 2022
Have you been unsure about how racial discrimination can contribute to anxiety, depression, or poor health? Have you been unsure about how to intervene with patients who experience acculturative…
Rounds in the General Hospital
Assessment, Treatment, and Referrals for Military Veterans With Behavioral Health Challenges
September 2, 2021
Have you encountered veterans with PTSD and been uncertain about how to intervene? Have you been undecided about how, or whether, to work with military families? If you have,…
Rounds in the General Hospital
Hyperkinetic Movements in Children
April 1, 2021
Here, the authors provide primary care providers a foundation for understanding pediatric hyperkinetic movement disorders, including tips on creation of a differential diagnosis, assessment of risk factors, and guidance…