A 41-year-old man with hypothalamic hypopituitarism (CRF-ACTH type) that persisted for 2 years after discontinuation of exogenous dexamethasone was treated with bilateral ECT for severe chronic depression. The depression improved only evanescently after 17 ECT sessions but the hypothalamic-pituitary suppression cleared completely and permanently, based on responses to four metyrapone stress tests in a 2-year follow-up period. ECT may be an effective treatment for persistent hypothalamic-pituitary suppression, even in the absence of a psychiatric disorder.

Adrenocorticotropic Hormone↗

PubMed1978

Psychiatrists and physical examinations: a survey.

Alumni from the 1965-1974 psychiatric residency classes at the Los Angeles County-University of Southern California Medical Center were surveyed about their individual practices regarding physical examinations. Ninety-eight of 155 alumni returned the anonymous questionnaire. None of the respondents routinely performed physical examinations on new outpatients. The 61% who had inpatient practices usually delegated the hospital admission physical examination.

Ambulatory Care↗

PubMed1977

A possible mechanism of the antiarrhythmic action of glucagon.

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Animals↗