James K. Rustad, MD

Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, White River Junction VA Medical Center, White River Junction, Vermont, Burlington Lakeside VA Community Based Outpatient Clinic, Burlington, Vermont

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Management of Insomnia in the General Hospital
Rounds in the General Hospital

January 21, 2025

Although the etiology of insomnia is often multi-factorial, both nonpharmacologic and various pharmacologic approaches can provide rapid relief; unfortunately, each is associated with drug-drug interactions and potentially problematic side...
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Neuropsychiatric Complications of Hypervitaminosis D
Rounds in the General Hospital

June 13, 2024

A 28-year-old man presented to the emergency department with severe agitation, insomnia, weakness, constipation, and muscle jerks after nonsuicidal overdosing of vitamin D.
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Neuropsychiatric Sequelae of Thyroid Dysfunction
Rounds in the General Hospital

December 26, 2023

Have you ever been uncertain about how to evaluate and treat the neuropsychiatric signs and symptoms of thyroid disease? If you have, then this case vignette and discussion should...
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Catatonia in the Context of Cerebral Venous Sinus Thrombosis
Rounds in the General Hospital

August 3, 2023

This is the case of an elderly woman who presented with symptoms of catatonia that were refractory to traditional treatment and was found to have a cerebral venous sinus...
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Financial Abuse of Older Adults
Rounds in the General Hospital

June 13, 2023

This case demonstrates some of the vulnerabilities common to older adults, the variety of possible financial scams, and the determination with which criminals can target vulnerable elders.
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COVID Exacerbates Psychosis in Schizophrenia
Case Report

June 28, 2022

Here, read about a patient with preexisting schizoaffective disorder who experienced an acute worsening of psychosis temporally related to COVID-19.
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Trust in the Doctor-Patient Relationship
Rounds in the General Hospital

June 21, 2022

If you have ever wondered how trust in the doctor-patient relationship can be established, reflected on how that trust can be fractured or lost, or deliberated on how trust...
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Rounds in the General Hospital

October 14, 2021

Have you ever wondered whether, and why, Wernicke’s encephalopathy can develop in someone without an alcohol use disorder? Have you been uncertain about treatment? If you have, then this...
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Patient-Centered Approach to Opioid Use Disorder
Rounds in the General Hospital

April 8, 2021

Explore the neurobiological, psychological, psychosocial, and cultural determinants of opioid use disorder and review approaches to integrated, culturally competent care.
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Rounds in the General Hospital

February 18, 2021

Have you ever wondered what is responsible for an altered mental status with agitated behaviors or how to evaluate a patient with such symptoms? If so, then this article...
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Narrative Review

February 18, 2021

In this narrative review, the authors draw upon their experiences as both life-long learners and educators and also review literature pertaining to novel teaching methodologies developed in medical education...
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Rounds in the General Hospital

January 4, 2018

Have you ever wondered what is responsible for an altered mental status with abnormal movements? Have you been uncertain about when and how to evaluate a patient with such...
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Celebrating
85 Years

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