"A Case Approach to Medical-Psychiatric Practice" represents an unapologetic attempt to reinstate consultation-liaison psychiatry as a medical discipline. Intended as a teaching instrument rather than a comprehensive textbook, this volume presents case discussions that accurately capture the problem-oriented bedside world of medical-psychiatric practice. Psychiatrists at all stages of experience-from the resident to the seasoned practitioner-will find this book to be an invaluable guide to the complex clinical dilemmas encountered in hospital settings. The focus is on the differential diagnosis and pharmacological management of patients with medical conditions-for example, cardiovascular disease, pulmonary disease, cancer, delirium, gastrointestinal conditions, alcoholism with cirrhosis, kidney disease, HIV infection-who develop concurrent psychiatric problems. A consultation-liaison guide to DSM-IV is included, and guidelines for identifying and managing these disorders and their symptoms are provided. There are chapters on managing steroid-induced psychiatric syndromes, treating gynecological patients including breast cancer patients, and working with psychiatric illness during pregnancy. Each chapter contains case presentations followed by multiple-choice questions designed to challenge the reader's knowledge and ingenuity in responding to real-life clinical quandaries. The comprehensive literature reviews and discussion provided for each topic can be used by readers to expand their knowledge in areas of interest. Numerous appendixes serve as concise pull-out summaries for handy bedside reference. Reviews are clearly organized and extensively cross-referenced, making thisbook not only an exceptional learning tool but also an excellent resource for further study.