What's New

Treatment of Unhealthy Alcohol Use

    • Treatment of unhealthy alcohol use, including mild-moderate AUD, can be initiated in primary care.
    • The anticonvulsant, gabapentin, is a viable alternative to benzodiazepines for treating outpatient alcohol withdrawal in select patients.
    • New evidence strongly supports the use of disulfiram for AUD when abstinence is the goal.
    • Although not FDA approved, gabapentin and topiramate are effective options for treating AUD.

Special Considerations of Diverticulitis and Diverticular Bleeding

    • Changes in recommendations for treatment of diverticulitis in young patients
    • Increasing knowledge of segmental colitis associated with diverticulosis and symptomatic uncomplicated diverticular disease
    • Expansion of options and increasing accuracy regarding localization imaging or procedures for the diagnosis of diverticular bleeding

Diagnosis and Management of Acute Diverticulitis

    • Recent studies find that acute uncomplicated disease may not require antibiotics, suggesting diverticulitis is a primary inflammatory process.
    • Conflicting data emerge regarding necessity of colonoscopy after episode of acute diverticulitis.
    • Limited pneumoperitoneum without generalized peritonitis is not an indication for urgent surgery.

Antepartum and Intrapartum Fetal Assessment and Management

    • In growth-restricted fetuses, addition of Doppler velocimetry studies to standard antenatal surveillance improves outcomes.
    • There is standardized nomenclature for describing the features of electronic fetal monitoring aimed at improving communication of intermediate and abnormal tracings.
    • Fetal ST segment analysis is not a clinically useful adjunct to continuous electronic fetal monitoring.

Bipolar Disorders and Their Clinical Management, Part I: Epidemiology, Etiology, Genetics, and Neurobiology

    • Review of emerging genetics and etiologic theories of bipolar disorders
    • Correlation between recent neurobiologic findings and clinical manifestations of bipolar disorders
    • Discussion of the role of endocrine and immune alterations in metabolic derangements associated with bipolar disorders

Bipolar Disorders and Their Clinical Management, Part I: Epidemiology, Etiology, Genetics, and Neurobiology

    • Review of emerging genetics and etiologic theories of bipolar disorders
    • Correlation between recent neurobiologic findings and clinical manifestations of bipolar disorders
    • Discussion of the role of endocrine and immune alterations in metabolic derangements associated with bipolar disorders

The Psychiatric Interview and Mental Status Examination

    • Patient assessment precedes the development of the  comprehensive treatment plan
    • The interview must be adjusted to suit the patient and circumstance
    • The mental status examination is the psychiatrist’s equivalent of the internist’s physical examination 

Bipolar Disorders and Their Clinical Management, Part I: Epidemiology, Etiology, Genetics, and Neurobiology

    • Review of emerging genetics and etiologic theories of bipolar disorders
    • Correlation between recent neurobiologic findings and clinical manifestations of bipolar disorders
    • Discussion of the role of endocrine and immune alterations in metabolic derangements associated with bipolar disorders
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