The Why and How of Psychiatric Consultation
A consultation request was received by fax. The request sheet simply had the patient’s name and ward number and the statement, “Behavioral problem. Please evaluate.”When the consultant called the requesting physician, she said, “I don’t really know what the problem is, but the nurses seem to be upset about the patient. The patient just had a myocardial infarction but is doing OK. I think he may be a little depressed, though, because he is so quiet.” In the patient’s chart the night nurse had written that the patient was observed crying in the middle of the night. Upon interview, the consultant was able to diagnose a recurrent major depression.
KeywordsDigit Span Brain Dysfunction Psychiatric Consultation Metabolic Derangement Expressive Aphasia
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