1/3. burns are different: the child psychiatrist on the pediatric burns ward.This article is written from the dual perspective of a child psychiatrist, consultant to a burn unit, who also happens to have suffered burns to his hands and face as the result of a car accident in 1976. One of its central themes is that burns are different from other surgical conditions. The role of the child psychiatrist as a consultant to a pediatric burn unit is explored and illustrated with clinical vignettes.- - - - - - - - - - ranking = 1keywords = consultant (Clic here for more details about this article) |
2/3. The role of the psychiatric consultant in the treatment of burned patients.Two cases of seriously burned patients are presented which differ in initial psychiatric presentation and subsequent course. In each case, the role of the psychiatric consultant is described. The role includes direct evaluative and psychotherapeutic contact with the patient and liaison with the surgical and nursing staff. This dual approach is necessary for a consistent rehabilitative effort, particularly in hospitals that do not have a psychiatric liaison team.- - - - - - - - - - ranking = 2.5keywords = consultant (Clic here for more details about this article) |
3/3. Hypophosphataemia, delirium and cardiac arrhythmia in anorexia nervosa.OBJECTIVE: To draw attention to the occurrence of hypophosphataemia in anorexia nervosa and to suggest that it may be a factor contributing to cardiac arrhythmia, a potentially fatal complication. DESIGN: A retrospective study of patients under the consultant care of one of us. All were adolescent girls or young women aged 14 to 31. CLINICAL COURSE: During the index admission, three became acutely hypophosphataemic while receiving saline and potassium intravenously to correct hypokalaemia. Four patients were subsequently treated with phosphate supplementation. Two patients died, and three recovered. CONCLUSION: Hypophosphataemia in anorexia nervosa patients may play a role in the development of cardiac arrhythmia and delirium.- - - - - - - - - - ranking = 0.5keywords = consultant (Clic here for more details about this article) |