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
Respiratory Failure Leading to Intubation After Flibanserin Ingestion in a Toddler
October 1, 2020
Have you ever seen a toddler who ingested a toxic agent, been uncertain about the dangers of psychotropics in children, or wondered if antidotes exist to reverse such toxidromes?…
Rounds in the General Hospital
Weaning From Exogenous Sedation in the Era of COVID-19
July 16, 2020
In this Rounds in the General Hospital article, the authors discuss commonly used sedative-analgesic agents and protocols and the management of acute withdrawal phenomenon that may arise when weaning…
Rounds in the General Hospital
Capacity Assessment and Involuntary Commitment in Psychiatric and Medical Settings
June 27, 2019
Have you ever wondered what criteria need to be satisfied before a patient can be involuntarily admitted to a psychiatric hospital? Read this article to explore the clinical, legal,…
Rounds in the General Hospital
Obstructive Sleep Apnea as a Complication of Bipolar Disorder and Its Treatment
November 30, 2017
First-line treatments for bipolar disorder are associated with multisystem side effects, especially weight gain, that predispose patients to obstructive sleep apnea among other complications. This article provides up-to-date information…
Rounds in the General Hospital
Collaboration and Referral Between Internal Medicine and Psychiatry
February 26, 2015
Have you ever had a patient with active medical problems coupled with a problematic psychiatric disorder? If you have, then the following case vignette and discussion should prove useful…
Rounds in the General Hospital
The Management of Alcohol Use Disorders: The Impact of Pharmacologic, Affective, Behavioral, and Cognitive Approaches
August 15, 2014
Have you ever wondered whether your patients truly understand the consequences of their substance abuse? Then, read about the case of Mr A, a 51-year-old former musician with chronic…
