Chest Pain in a Psychiatric Patient Due to Clozapine-Induced Myopericarditis

Drug-induced myocarditis is a rare, but underrecognized complication of clozapine therapy for schizophrenia. We present a case of clozapine-induced myocarditis with recovery of cardiac function after drug cessation and summarize the literature to highlight the variable presentation of this condition.

Experiencing Trauma Before Trauma: Posttraumatic Memories, Nightmares and Flashbacks Among Finnish Soldiers

This chapter discusses the appearance of trauma symptoms among the Finnish soldiers of World War II. Kivimäki analyzes three kinds of sources: wartime psychiatric patient files, war veterans’ dream reminiscences and war-related fiction movies in the postwar era. These materials reveal that posttraumatic memories, nightmares and flashbacks were a wide-spread phenomenon already in the 1940s, although the concept of trauma was not yet developed within Finnish psychiatry. The chapter suggests that traumatic symptoms are not simply born out of psychiatric paradigms, but that the culture that shapes and produces the symptoms must be understood more broadly. In the end, Kivimäki proposes the concept of experience as a move forward in the historical analysis of human reactions to trauma.

Neurology in the psychiatric patient: how to think about differentials in altered mental status and diagnoses not to miss

SUMMARY A wide variety of neurological conditions may present first to a psychiatrist and it is important to be aware of these in differential diagnosis. A careful history, examination and a broad differential diagnosis can help set up an appropriate management plan – with room to change if things change in unexpected ways. In this article we explore common ground shared by psychiatry and neurology and show how incorporation of neurological knowledge can improve the practice of psychiatry. Using four fictional case vignettes of altered mental status we explore important neurological differential diagnoses which could present to the Psychiatrist.

Case Report: Penetrating Thoracic Trauma by A Gunshot Involving the Heart

Firearm-related mortality is not frequently encountered in a country like Nepal where there are stringent laws prohibiting the buying, selling, carrying or storing of firearms. To possess a firearm a person must have a valid license. Wounds produced by firearms have typical characteristics the knowledge of which helps to identify the type of firearm used, range of fire, the position of the victim, and whether the manner of death was homicidal, suicidal, or accidental. The present case is the first autopsy-based study from Nepal which discusses the wounds produced by firearms with an interpretation of such findings for medicolegal purposes. The present case highlights a social problem where the victim, a psychiatric patient, had no access to prescription medication due to coronavirus disease (COVID-19) related lockdown.

Case Report: Penetrating Thoracic Trauma by A Gunshot Involving the Heart

Firearm related mortality is not frequently encountered in a country like Nepal where there us a stringent law prohibiting buying, selling, carrying or storing of firearms. It is required to have a valid license to have a firearm in possession. Wounds produced by firearm have a typical characteristic the knowledge of which helps to identify the type of firearm used, range of fire, position of the victim and whether the manner of death was homicidal, suicidal or accidental. The present case is a first autopsy-based study from Nepal which discusses the wounds produced by firearm with interpretation of such findings for medicolegal purposes. The present case highlights a social problem where the victim, a psychiatric patient, had no access to prescription medication due to coronavirus disease (COVID-19) related lockdown.