Shreedhar Paudel | Psychiatrist.com

Rounds in the General Hospital

A Prescription for Deprescribing Antipsychotics

In this issue's Rounds in the General Hospital, the authors discuss the risks and benefits of polypharmacy and strategies for tapering and discontinuing antipsychotics in those with schizophrenia.

Rounds in the General Hospital

Respiratory Failure Leading to Intubation After Flibanserin Ingestion in a Toddler

Have you ever seen a toddler who ingested a toxic agent, been uncertain about the dangers of psychotropics in children, or wondered if antidotes exist to reverse such toxidromes?...

Managing Clozapine in Primary Care

Rounds in the General Hospital

Managing Clozapine in Primary Care

In this article, gain insight into the management of patients taking clozapine. The authors also provide critical steps for early detection and management of life-threatening complications of clozapine, including...

Facilitating Smoking Cessation in Primary Care

Rounds in the General Hospital

Facilitating Smoking Cessation in Primary Care

Here, the authors discuss the importance of tobacco cessation, best practices involving pharmacologic agents and counseling techniques, and strategies to address myths related to smoking cessation.

New-Onset Paranoia in an Elderly Woman With Bipolar Disorder

Rounds in the General Hospital

New-Onset Paranoia in an Elderly Woman With Bipolar Disorder

If you ever wondered how often paranoia develops in the elderly and in those with preexisting bipolar disorder or what other conditions can contribute to or precipitate psychotic symptoms,...

Agitation and an Altered Mental Status in the ED

Rounds in the General Hospital

Agitation and an Altered Mental Status in the ED

Mr A was brought to the ED by police due to increasingly irritable and disturbing behavior for the last month. This Rounds report provides guidance on managing altered mental...

Diagnosis and Management of Acute Psychosis

Rounds in the General Hospital

Diagnosis and Management of Acute Psychosis

The underlying cause of psychotic disorders is often uncertain. Determination of the nature, time course, and severity of psychotic symptoms and whether they are a consequence of a primary...

Use of Physical Restraints in the ED

Rounds in the General Hospital

Use of Physical Restraints in the ED

Restraints are the emergency intervention of last resort to manage agitated or aggressive behavior in the ED.

Drug-Induced Abnormal Involuntary Movements

Rounds in the General Hospital

Drug-Induced Abnormal Involuntary Movements

Treatment of involuntary movements is based on their underlying etiology; however, symptomatic treatments are indicated to reduce motoric and psychological symptoms that impair social function and worsen quality of...