Psychiatry 

Slideshows

Find out how much you know about substance use among US high school students with our 9-question true/false quiz based on the 2019 CDC Youth Risk Behavior Survey results. 

US Teen Substance Use: A True/False Quiz

Articles

They may determine the presence of alcohol and drug dependence better than longer screening tools, according to a new study.

Single Screening Questions Gauge Alcohol, Drug Use

The goal is better developing the necessary skills for evaluating and managing patients who have persistent pain.

AMA Pain Management Education Program Updated

Is hydrocodone less likely to cause addiction than morphine or hydromorphone? The US DEA wants the FDA to reclassify the Schedule 3 opioid to Schedule II.

FDA Revisits Hydrocodone Reclassification

A 38-year-old man with a history of alcoholism, intravenous drug use, and cerebrovascular accident was referred for assessment of possible endocarditis, based on history, fever 39 °C (102.9 °F) and mildly elevated troponin level. 

Pseudo-MI in a Patient with Pancreatitis and Polyarteritis Nodosa

A 71-year-old woman presents to the emergency department for evaluation of a blistering, intensely pruritic generalized rash that started 5 days earlier. Multiple ruptured and intact hemorrhagic bullae are obvious on the hands, arm, neck, chest, back, and abdomen and to a lesser extent on the lower extremities. The mucous membranes are spared. The Nikolsky sign is absent. The patient reports recent use of furosemide for periodic leg swelling.

What Is This Intensely Pruritic Rash?

A 71-year-old African American man presented to the emergency department (ED) with chest pain, dyspnea, and hemoptysis. He had had a few ED visits for similar symptoms within the previous 4 weeks.

Chest Pain, Dyspnea, and Hemoptysis in an Older Smoker

The patient has a history of hospital admissions for complications of alcoholism, including pancreatitis and trauma from falls. What's your diagnosis?

Jaundice, Anorexia, and Fever in a 52-Year-Old Man

A 38-year-old man found lying on the floor in his home was hospitalized because of alcohol intoxication. A chest radiograph showed a large calcified lesion in the left upper abdomen. A CT scan with intravenous contrast revealed a large, well-defined, cystic mass with mural calcification in the spleen. The CT findings were not consistent with a vascular malformation or echinococcal cyst-specifically, the mass was sharply demarcated, unilocular without septations, and round with a thin wall and attenuation similar to water. Urine Histoplasma antigen test results were negative.

Calcified Splenic Cyst

A 51-year-old man was hospitalized for subacute alteration of mental status. The patient had a history of alcohol abuse. He had no other medical disorders. Vital signs were normal. The patient scored 15 out of 30 on the Mini-Mental State Examination. He had an ataxic gait; all other physical findings were normal. The family reported that he had been treated in the emergency department 3 days earlier for hypoglycemia. Results of a complete metabolic profile and complete blood cell count were normal.

Substance-related Disorders