PSYCHIATRY
Anaphylaxis
Anaphylaxis Evaluation Description—acute, potentially life-threatening hypersensitivity reaction with systemic effects Clinical: Cardiovascular—lightheaded and syncope secondary to hypotension Respiratory—rhinitis, sneezing → stridor, chest tightness, shortness of breath, wheeze, respiratory arrest Skin—pruritus,…
Allergic Rhinitis (Allergies)
Allergic Rhinitis (Allergies) Evaluation Description—inflammatory condition of the nasal mucosa Clinical—pruritus (severe itching), sneezing, rhinorrhea, and nasal congestion Mechanism—immunoglobulin E (IgE)-associated response to allergens Epidemiology—15% to 20% prevalence Classification Traditional—seasonal…
Acetaminophen (APAP/Tylenol) Overdose
Acetaminophen (APAP/Tylenol) Overdose Main pathways for acetaminophen (APAP) metabolism in the normal individual: APAP (˜90%) + glucuronide OR sulfate through conjugation → nontoxic metabolites APAP (˜5%) → toxic NAPQI (N-acetyl-p-benzoquinoneimine),…
Other Miscellaneous Tests Important to the Psychiatrist
Other Miscellaneous Tests Important to the Psychiatrist a. Magnesium 1.8 to 3.0 mg per dL (panic value: <A onclick="get_content(event,'AB1-M12'); return false;" onmouseover="window.status=this.title; return true;" onmouseout="window.status=''; return true;" title="<0.5 or ”…
Pulse Oximetry
Pulse Oximetry The normal reference range for arterial oxygen saturation (Sao2) is 95% to 100%. Pulse oximetry measures the oxygen saturation noninvasively, without the need to get the arterial blood…
Tests for Monitoring Anticoagulant Therapy
Tests for Monitoring Anticoagulant Therapy Prothrombin time (PT) 11 to 15 seconds (panic value: ≥30 seconds) NOTE: Thromboplastin converts prothrombin (factor II) to thrombin. The strength of the thromboplastin used…
Tests for Diabetes Mellitus and Prediabetes
Tests for Diabetes Mellitus and Prediabetes According to American Diabetic Association (ADA) position statement, 1994, the diagnosis of diabetes is made if A patient has the symptoms of diabetes (polyuria,…
Laboratory Tests for Myocardial Infarction
Laboratory Tests for Myocardial Infarction Troponin-I (cTnI) <A onclick="get_content(event,'AB1-M12'); return false;" onmouseover="window.status=this.title; return true;" onmouseout="window.status=''; return true;" title="<0.05 ng per mL Creatine kinase MB (CKMB) <A onclick="get_content(event,'AB1-M12'); return false;" onmouseover="window.status=this.title;…