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Biomedical subjects

A Pomerantz

Publications and source records attributed to A Pomerantz.

6 recordsLinked to original sources
PubMed1997

Transient postictal psychosis associated with a course of ECT.

Postictal psychoses, defined as episodic, time-limited psychiatric disturbances of diverse phenomenology, temporally related to a seizure or cluster of seizures, have been well described in patients with focal and generalized epilepsies. Although similar disturbances have been reported in patients undergoing electroconvulsive therapy (ECT), the syndrome of ECT-associated postictal psychosis has not been well described. We review the literature defining the syndrome of postictal psychosis (PIP) associated with the epilepsies, as well as reports of confusional and manic disturbances meeting accepted criteria for PIP, which have been reported to occur as complications of ECT. In addition, we report a case of delusional and hallucinatory psychosis associated with a course of ECT, also having the characteristics of a PIP. We conclude that time-limited psychiatric disturbances, phenomenologically (and possibly pathophysiologically) similar to the PIP of epilepsy can occasionally occur as complications of ECT, and that they may have confusional, manic, delusional, or hallucinatory symptoms. The implications of these occurrences for the use and continuation of ECT are discussed.

Aged↗
PubMed1995

Preceptors' strategies for correcting residents in an ambulatory care medicine setting: a qualitative analysis.

PURPOSE: To understand the interactional strategies preceptors use as they relate to and occasionally correct interns in a general internal medicine teaching clinic. METHOD: An observational, cohort study was carried out from May 1990 through May 1993 of the precepting conversations between 11 pairs of interns and faculty preceptors in the general internal medicine ambulatory care clinic of the Hospital of the University of Pennsylvania. All interactions were videotaped and transcribed. The interactions provided numerous examples of preceptors' correcting of interns. These were analyzed qualitatively by ethnographic and conversation-analytic methods. RESULTS: The strategies the preceptors used to correct the interns were complicated and quite indirect, and tended to minimize exposing the interns' errors. These strategies revealed the dilemmas inherent in being a preceptor and also the beliefs the preceptors brought to their task. The preceptors' strategies demonstrated their high regard for maintaining the interns' self-esteem and sense of responsibility, as well as the preceptors' willingness to forego, at least for the moment, correctional strategies that might have been more explicit and direct. CONCLUSION: The preceptors' general approach to correcting interns was consistent with pedagogic norms favoring discovery learning and with societal norms favoring egalitarianism and respect for individuals. This approach, however, may not be free of problems, and raises questions regarding the effects such strategies have upon the interns' capacity for accurate self-assessment, including the assessment of their own knowledge bases.

Ambulatory Care↗
PubMed1995

Toxocariasis: a diagnostic dilemma.

Visceral larva migrans (VLM) is endemic in Israel; therefore, a positive serology is not unusual in our general population. The clinical manifestations of the disease may mimic other clinical conditions. Sometimes life-threatening disorders have to be considered in the differential diagnosis. This diagnostic dilemma can be solved occasionally only by histological examination. We report two patients, one with a lymphoma-like presentation and the other with an intraocular tumoral mass suggesting retinoblastoma, and discuss the diagnostic difficulties.

Child, Preschool↗