Articles: Volume 19.06 November 2015

A case of endometrial carcinoma with depression – diagnostic dilemma

Depressive symptoms such as loss of appetite, weight loss, tiredness and lack of energy may be due to a psychiatric disorder or equally be due to physical illness, including carcinoma. Here, Drs Guruvaiah and Kranidiotis describe the diagnostic challenge faced when a patient presents with …

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An overview of delirium for the community and hospital clinician

Despite an increasing prevalence of delirium in hospitals and community settings, it is a condition often overlooked by clinicians and this carries considerable cost implications for the NHS. In this review, Dr Raju and Dr Coombe-Jones describe risk factors for delirium, symptoms, how to diagnose …

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Assessment and management of delirium in primary care

Our commentaries from the Primary Care Neurology Society (P-CNS) provide a primary care perspective on the neurology articles in Progress. Here, Dr Stephens considers ‘An overview of delirium for the community and hospital clinician’
Assessment and management of delirium in primary care

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Bullying and mental health – the risk factors and legacy

Bullying damages lives and can leave a legacy of increased risk of mental illness for its victims. Mark Greener reviews some of the recent research into bullying and considers what more need to be done to help understand and deal with this pervasive problem.
Bullying and …

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Diagnosis and management of ASD in children and adolescents

As part of our series on managing neurological and psychiatric conditions in children and adolescents, Dr Ellison-Wright and Dr Boardman discuss autism spectrum disorders (ASD).
Diagnosis and management of ASD in children and adolescents

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Six-item Cognitive Impairment Test: suitable for the visually impaired?

Unsurprisingly, visually impaired individuals perform worse than controls on MMSE items requiring vision. The issue of meaningful cognitive assessment in visually impaired individuals may become of increasing importance due to an association between cognitive decline and visual loss. Dr Larner reports on the effectiveness of …

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Transforming mental health wards utilising new technologies?

Over the last 10 years, increasing concern has been expressed about the provision of beds for people with acute mental health difficulties. The recent interim report published by Lord Crisp identified five themes.
Transforming mental health wards utilising new technologies

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Treatment resistant catatonia secondary to clozapine withdrawal

Catatonia has a wide range of psychiatric and organic causes. It has been less commonly associated with withdrawal of clozapine. The authors describe the case of a male with paranoid schizophrenia presenting with catatonia following abrupt cessation of clozapine, which showed little improvement with benzodiazepines …

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