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Generalized anxiety disorder (GAD) and panic disorder (PD) are two common mental illnesses that present in primary care clinics, often with physical symptoms that can inhibit appropriate diagnosis and treatment. Recognition of these disorders by primary care physicians is much lower than the expected rates--in part due to somatic presentations but also due to the lack of routine screening that is in place for some other mental illnesses. Patients with anxiety disorders are often high utilizers of health care resources, and when their anxiety disorders are not diagnosed and treated, they can frequently undergo more expensive testing to rule out medical causes. Identification of accurate and feasible screening instruments for GAD and PD that have been validated in primary care settings have the potential to improve detection and facilitate treatment of these disorders within the primary care clinic, or to generate appropriate referral. Our report is a systematic review of the literture to evaluate the performance of self-report instruments used to diagnose GAD and PD in primary care settings.

Anxiety disorders. --- Diagnosis, Differential. --- United States.

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Evidence-Based Medicine --- Diagnosis, Differential --- Drug Therapy --- Emergencies --- Therapie --- Geneesmiddelen --- Thérapeutique --- Médicaments --- Diagnosis, Differential - handbooks --- Drug Therapy - handbooks --- Emergencies - handbooks

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DSM-5 Manuel diagnostique et statistique des troubles mentaux, 5 ème édition qui sont chacun décrits de façon claire, concise et systématique (caractéristiques diagnostiques, prévalence, développement et évolution, facteurs de risque et pronostiques, questions diagnostiques liées à la culture ou au genre, retentissement fonctionnel, diagnostic différentiel, comorbidité). Le DSM-5 permet d'enregistrer les diagnostics avec les codes actuels de la classification internationale des maladies dde l'OMS (CIM-10). De plus, l'organisation des chapitres du DSM-5 a été conçue pour être compatible, autant que possible, avec la future CIM-11. Les troubles apparus dans l'enfance sont pris en compte dans une perspective développementale et logitudinale, ce qui aboutit à un chapitre sur les troubles neurodéveloppementaux et à la définition d'un "trouble du spectre de l'autisme". D'une façon plus générale le DSM-5 adopte une perspective développementale dans l'ordre de présentation des troubles. -Cetains chapitres sont nouveaux ou profondément remaniés: ex: les troubles de l'humeur du DSM-IV sont scindés en troubles bipolaires et troubles dépressifs, les troubles obsessionnels compulsifs et les troubles liés à des traumatismes ou à des facteurs de stress sont distingués des troubles anxieux, les troubles neurocognitifs intègrent des paramètres issus des recherches biologiques récentes. -D'autres chapitres ne changent guère d'intitulé mais évoluent significativement pour ce qui est de la définition des troubles qui les composent: les troubles disruptifs, du contrôle des impulsions et des conduites, les troubles bipolaires, la schizophrénie, les troubles dissociatifs, les dysfonctions sexuelles, les troubles à symptomatologie somatique. -Des trubles nouveaux apparaissent dans la classification principale: ex:le trouble de la communication sociale (pragmatique), le trouble disruptif avec dysrégulation émotionnelle, le sevrage du cannabis, les accès hyperphagiques, le sevrage de la caféine, la thésaurisation pathologique, la dermatillomanie, le jeu d'argent pathologique. -Une attention particulière est portée aux dimensions symptomatiques, qui transcendent parfois les frontières des catégories diagnostiques: ex: l'évaluation dimensionnelle de la sévérité des symptômes psychotiques par le clinicien, et le modèle alternatif pour des troubles de la personnalité dans la section III du DSM-5.

Mental illness --- Maladies mentales --- Diagnosis --- Classification --- Diagnostic --- Mental Disorders --- Diagnosis, Differential --- Diagnostic and Statistical Manual of Mental Disorders --- Classification. --- Diagnostic. --- Medische inrichtingen : Psychiatrische inrichtingen --- Etablissements médicaux : Etablissements psychiatriques --- Diagnosis.

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This second edition of a much praised and widely used reference manual on anatomic pathology has been extensively revised and expanded to cover the entire field of anatomic pathology, including molecular pathology, human genetics, electron microscopy, microbiology for surgical pathologists, transplant pathology, and cytopathology. A distinguished panel of 70+ recognized experts from around the world have incorporated recent advances in molecular pathology, cytology, and immunohistochemistry, adopted the new series of World Health Organization classification books, and used the 2002 TNM staging system and classifications throughout the book. Several new chapters on transplant pathology, the spleen, non-neoplastic skin diseases, the head and neck, the eye and ocular adnexa, the vulva and vagina, and the penis and scrotum significantly expand the book's coverage. The 2000+ new black-and-white images added to the text are also available in full color on a companion CD-ROM packaged with each book. The comprehensive, evidence-based practice information is presented in an outline format that is clear and easy to follow. A full text version of the book, including the color images, is available on CD-ROM and sold separately (ISBN 1-59259-926-5). Up-to-date and richly detailed, Essentials of Anatomic Pathology, Second Edition offers both the pathologist-in-training and the practicing pathologist a concise summary of all the critical information needed to recognize, understand, and interpret anatomic pathology.

Medicine & Public Health. --- Pathology. --- Medicine. --- Médecine --- Pathologie --- Anatomy, Pathological. --- Diagnosis, Differential. --- Neoplasms -- Pathology. --- Pathology, Surgical. --- Physiology, Pathological. --- Anatomy, Pathological --- Pathology, Surgical --- Diagnosis, Differential --- Physiology, Pathological --- Pathology --- Diagnosis --- Medicine --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Health Occupations --- Disciplines and Occupations --- Health & Biological Sciences --- Clinical physiology --- Pathological physiology --- Pathophysiology --- Physiopathology --- Differential diagnosis --- Surgical pathology --- Anatomy, Morbid --- Morbid anatomy --- Pathological anatomy --- Physiology --- Surgery --- Anatomy --- Disease (Pathology) --- Medical sciences --- Diseases --- Medicine, Preventive

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This book explains how radiology can be a powerful tool for establishing the diagnosis of many internal medicine diseases that are usually diagnosed on the basis of their laboratory or clinical presentation. It is organized in the classic fashion for internal medicine books, with eleven chapters covering the different internal medicine specialties. Within these chapters, more than 450 diseases are considered, some of which are rarely encountered but are nonetheless significant. For each disease, radiological and clinical features are displayed in images and high-quality digital medical illustrations, and those differential diagnoses are identified that can be ruled out by imaging alone. In addition, the pathophysiology underlying the radiological features is described, enabling the reader to understand why a particular sign is seen on MR images, CT scans, or plain radiographs. The book will serve as an excellent radiological atlas for internal medicine practitioners and family physicians, showing disease presentations that may be hard to find in standard medical textbooks and explaining which imaging modalities are likely to be most informative in particular patients.

Diagnosis, Differential -- atlases. --- Diagnostic Imaging -- atlases. --- Internal Medicine -- methods -- atlases. --- Radiology -- methods -- atlases. --- Signs and Symptoms -- atlases. --- Diagnosis --- Diagnostic Techniques and Procedures --- Medicine --- Pathological Conditions, Signs and Symptoms --- Internal Medicine --- Signs and Symptoms --- Diagnosis, Differential --- Radiology --- Diagnostic Imaging --- Diseases --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Health Occupations --- Disciplines and Occupations --- Radiology, MRI, Ultrasonography & Medical Physics --- Health & Biological Sciences --- Radiology, Medical. --- Internal medicine. --- Medicine, Internal --- Clinical radiology --- Radiology, Medical --- Radiology (Medicine) --- Medicine. --- Radiology. --- Medicine & Public Health. --- Internal Medicine. --- Imaging / Radiology. --- Diagnostic Radiology. --- Medical physics --- Radiological physics --- Physics --- Radiation