Page numbers in boldface refer to primary discussions. For interpretation of abbreviations, such as ACTH, see the guide printed on the volume endpapers.
Abnormal Involuntary Movement Scale (AIMS),577
Absence seizures,541
Acamprosate,576
Acetaminophen,291, 394
N-acetyl aspartate (NAA),188
Acetylcholinesterase,502
Acetylsalicylic acid,204
Acid-base imbalance,74
Acid-fast bacilli (AFB),265
Acidosis,74, 288, 295
Acoustic neuroma,121
Acquired CJD,368
Acquired immunodeficiency syndrome.
See HIV/AIDS
Acromegaly,161
Acute cholinergic crisis,502
Acute disseminated encephalomyelitis,495
Acute intermittent porphyria (AIP),278, 522
Acute tubular necrosis (ATN),399
Addison’s disease,88, 278.
See also Hypocortisolism
Adipose tissue,260
Adrenal insufficiency,2, 330–331
Adrenocorticotropic hormone (ACTH),2–3, 370, 371
Adult ADHD Self-Report Scale,346
Affective disorder, and MRI,185
Age.
See Children; Older adults
Agitation.
See also Irritability
catatonia and,355
glucose levels and,139
lorazepam and,178
Agranulocytosis,577
AIDS.
See HIV/AIDS
Akathisia, and restless legs syndrome,534
Akinetic mutism, and CJD,368
Alanine transaminase (ALT),4–6, 31, 83, 175, 176
Albumin,7–8.
See also Urine albumin
bilirubin cycle and,636, 636
CMP and,83
hypocalcemia and,441
liver function tests and,175
serum level of,225
urine and,384
Albuminuria,291
Alcohol.
See also Alcoholism; Alcohol use disorder; Blood alcohol level; Ethanol
anxiety and withdrawal from,345
benzodiazepines and,78, 103, 127, 178, 244
chlordiazepoxide and,73
fatty liver disease and,401
osmolality and,203
pancreatitis and,506, 508
sedative-hypnotics and,392
thiamine deficiency and,556
thrombocytopenia and,558
toxicity of,40
triglycerides and,260
urine bilirubin and,272
urine drug screen and,283
Alcohol dehydrogenase inhibitor,197
Alcoholic fatty liver disease,401
Alcoholism.
See also Alcohol; Alcohol use disorder
amylase and,17
carbon dioxide levels and,56
CSF protein and,68
ethylene glycol level and,119
folate level and,128
liver function tests and,176
Marchiafava-Bignami disease and,473
testosterone level and,245
tuberculosis and,562
Alcohol use disorder (AUD),332–
334.
See also Alcohol; Alcoholism; Substance use
alanine transaminase and,4, 5
alkaline phosphatase and,11
ammonia levels and,16
aspartate transaminase and,31, 32
bilirubin and,37, 38
blood alcohol level and,40
carbohydrate-deficient transferrin and,54
chlordiazepoxide level and,73
follicle-stimulating hormone and,131
gamma-glutamyltransferase and,137
glucose levels and,139
homocysteine level and,156
lipase and,167
magnesium and,182
mania and,471
mean corpuscular volume and,193
methanol level and,197, 483
phosphate and,209
potassium and,217
protein and,225
pyridoxine level and,227
reticulocyte count and,234
syphilis testing and,242
thiamine level and,249
triglycerides and,260
uric acid and,267
vitamin B12 level and,307
Wernicke’s encephalopathy and,570
Aldosterone,9–
10Alkaline phosphatase (ALP),11–
13, 83, 175, 176
Alkalosis,74, 295
Allergies,84, 313, 315
Alprazolam,14, 284, 622.
See also Benzodiazepines
Aluminum toxicity,335–
336Alzheimer’s disease (AD),337–
338aluminum toxicity and,335–336
apolipoprotein E genotyping and,29
CSF and,60, 70
daytime somnolence and,201
dementia and,375, 409
homocysteine level and,156
lead poisoning and,460
lithium level and,172
mild neurocognitive disorder and,485, 486
secondary psychosis and,530
thiamine deficiency and,556
total iron-binding capacity and,256
vitamin D level and,309
WBC count and,320
Amenorrhea,117, 131, 445
American Association for Clinical Chemistry,xv
American Cancer Society,191, 223
American College of Cardiology,631
American Diabetes Association,148, 383, 384
American Porphyria Foundation,522
American Psychiatric Association,632
American Society of Health-System Pharmacists,xv
American Urological Association,245
Amitriptyline,613, 622
Ammonia,15–
16Amnesiainhalant abuse and,391
Korsakoff’s syndrome and,557
mild cognitive impairment and,485
syphilis and,551
Wernicke’s encephalopathy and,570
Amniocentesis, and Down syndrome,387
Amoxapine,622
Amphetamines,283, 284, 390,
576Amylase,17–
18Amyloid PET scanning,486
Amyloidosis,297
Amyotrophic lateral sclerosis (ALS),172, 408
Anabolic steroids,247, 443, 445
Analgesics,209, 291.
See also Acetaminophen; Aspirin
Anemia,339–
340.
See also specific typesfecal blood testing and,123
ferritin and,125
folate level and,128
hematocrit and,144
hemoglobin and,146
iron deficiency and,81, 125, 165
mean corpuscular volume and,193
RBC count and,231
reticulocyte count and,234
total iron-binding capacity and,256
Anesthesia, and blood gases,42
Aneurysm,19, 21, 632
Angiography,19–
22Anorexia nervosa,341–
342.
See also Eating disorders
albumin level and,7
estrogen and,117
follicle-stimulating hormone and,131
glucose levels and,139
hepatitis panel and,150
magnesium and,182
potassium and,217
prealbumin and,219
prolactin and,220
protein and,225
thiamine level and,249
triglycerides and,260
Anoxia, and opioids,391
Antacids,182, 307
Anterior cerebral artery (ACA) occlusion,544
Antibioticshypokalemia and,447
Lyme disease and,464
porphyria and,522
urinary tract infection and,566
urine pH and,295
Antibody tests.
See also Antigen/antibody tests; Antinuclear antibody testing
for COVID-19,366
for HIV,154, 155, 425
for Lyme disease,465
for neuromyelitis optica spectrum disorder,496
for syphilis,242
Anti-β-2 glycoprotein 1 antibody,343
Anticonvulsants,322.
See also Carbamazepine; Phenytoin; Valproate
Antidepressants.
See also Psychotropic medications; Selective serotonin reuptake inhibitors; Tricyclic antidepressants
drug-induced liver injury and,394
electrocardiogram and,106
folate level and,128
hyponatremia and,451
lipid panel and,169
neutrophils and,322
osmolality and,203
platelet count and,209
REM sleep behavior disorder and,378
restless legs syndrome and,534
serotonin transporter polymorphism and,236
sodium and,240
Antidiuretic hormone (ADH),23–
24, 381, 549, 638–639
Antiepileptic drugs,110, 227, 305.
See also Carbamazepine; Phenytoin; Valproate
Antifreeze, and ethylene glycol,119, 399
Antigen-antibody response,317
Antigen/antibody testsfor HIV,154, 155, 425
for Lyme disease,179
Antinuclear antibody (ANA) testing,25–
26, 351, 555
Antiphospholipid (aPL) antibodies,27–
28, 555
Antiphospholipid syndrome (APS),27,
343–
344, 554
Antipsychotics,575.
See also Atypical antipsychotics; Psychotropic medications
creative kinase and,92
drug-induced liver injury and,394
hyponatremia and,451
liver function tests and,175
neuroleptic malignant syndrome and,493
neutrophils and,322
parkinsonism and,379
platelet count and,209
prolactin and,220
restless legs syndrome and,534
schizophrenia and,539
sodium and,240
Antiretroviral therapy,317, 424
Anxiety.
See also Anxiety disorders
blood gases and,42
carotid ultrasound and,58
chest X-ray and,71
cholinesterase levels and,76
Cushing’s syndrome and,370
electrocardiogram and,106
fragile X DNA testing and,134
glucose levels and,139
hematocrit and,144
medical causes of chronic,345
metanephrines and,195
myocardial infarction and,489
parathyroid hormone and,207
testosterone level and,245
thyroid function testing and,251
Anxiety disorders.
See also Anxiety; Generalized anxiety disorder; Substance/medication induced anxiety disorder
dexamethasone suppression test and,101
diabetes and,383
fragile X DNA testing and,134
functional MRI and,136
Anxiety disorder due to another medical condition,345, 411
Aortic stenosis,209, 632
Apathetic hyperthyroidism,251, 253
Aplastic anemia,234
Apnea-hypopnea index (AHI),213, 500
Apolipoprotein E (ApoE) genotyping,29–
30, 338
Arboviruses,397
Argyll Robertson pupil,551, 552
Aripiprazole,480,
576Arsenic,142
Arthritis, and Lyme disease,464, 465.
See also Rheumatoid arthritis
ARUP Laboratories,xv, 284
Arylsulfatase A gene,481
ASCVD Risk Estimator Plus,629
Asenapine,578Aseptic meningitis,475
Aspartate transaminase (AST),31–
33, 83, 175, 176
Aspiration pneumonia,71
Aspirin,152, 286
Asthma,313, 315, 630
Asymptomatic bacteriuria,269, 566
Ataxiaangiography and,19, 21
CT head scan and,84
MRI and,186
Wernicke’s encephalopathy and,570
Atherosclerosis,152, 169, 260
Atherosclerotic cardiovascular disease (ASCVD),629
Atomoxetine,579
Atonic seizures,541
Atrial hypertrophy,106
Attention-deficit/hyperactivity disorder (ADHD)in adults,346–
347MRI and,185
PET and,215
SPECT and,238
Atypical antipsychotics.
See also Antipsychotics; Clozapine; Psychotropic medications
glucose levels and,139
lipid panel and,169
metabolic syndrome and,480
Autism Diagnostic Observation Schedule, Second Edition (ADOS-2),348
Autism spectrum disorder,348–
349fragile X syndrome and,405
MRI and,185
PET and,215
pica and,521
schizophrenia and,538
Autoimmune diseases.
See also Autoimmunity; HIV/AIDS
antinuclear antibody testing and,26
antiphospholipid antibodies and,28
CSF glucose and,66
C-reactive protein and,90
Down syndrome and,386
DRESS syndrome and,388
ESR and,115
hepatitis as,363, 394, 395
hypothyroidism and,453
limbic encephalitis as,462
meningitis as,475
narcolepsy and,491
neuromyelitis optica spectrum disorder and,495
prolactin and,220
pyridoxine level and,227
syphilis testing and,242
vitamin D level and,309
Autoimmune OCD,497
Autoimmunity, and lymphocytes,317.
See also Autoimmune diseases; Immune system
Automatisms, and seizures,541
Azotemia,44
Bacillus Calmette-Guerin (BCG) vaccine,265
Bacterial meningitis,475, 476
Bacteriuria,566
Barbiturates,283
Basal ganglia, calcification of,350
Basic metabolic panel (BMP).
See also Comprehensive metabolic panel
anxiety and,345
creatinine and,95
potassium and,217
sodium and,240
subdural hematoma and,547
Basilar artery stroke,545
Basophils,311,
313–
314B cells,317
Behavioral variant frontotemporal dementia (bvFTD),337, 375, 407, 408, 409
Benign ethnic neutropenia (BEN),584
Benzodiazepines,283, 284,
579.
See also Alprazolam; Chlordiazepoxide; Clonazepam; Diazepam; Flurazepam; Lorazepam; Oxazepam; Temazepam
Beriberi,249, 556, 557
Beta-blockers,139, 209, 260
Bezoars, and pica,521
Bile acids,35–
36Bile duct obstruction,175, 303, 636
Bilirubin, and bilirubin cycle,37–
39, 636
alkaline phosphatase and,11
CMP and,83
liver function tests and,175
in urine,272, 303
Binge drinking,332
Binge eating/purging type, of anorexia nervosa,341
Biochemical testing, for metachromatic leukodystrophy,481
Biomarkers, for dementia with Lewy bodies,379
Biosynthetic tests, of liver function,175
Bipolar disorder.
See also Mania
carbamazepine and,52
clozapine level and,79
FTD and,408
lithium level and,172
magnetic resonance spectroscopy and,188
PET and,215
serotonin transporter polymorphism and,236
syphilis testing and,242
thyroid function testing and,251
valproate level and,305
Bipolar and related disorder due to another medical condition,350–
351Bladder epithelial cells,286
Bleeding disorders, and platelet count,211
Blood, neuroimaging signal appearance of,624.
See also Blood gases; Blood glucose level; Cardiac blood flow; Clotting; Complete blood count; Hemorrhage; Red blood cells; White blood cells
Blood alcohol level (BAL),40–
41, 333
Blood-brain barrier, and WBC count,320
Blood chemistries.
See Complete blood count
Blood gases,42–
43, 56.
See also Carbon dioxide
Blood glucose level,139, 287, 480.
See also Hyperglycemia; Hypoglycemia
Blood pressure.
See Hypertension Blood urea nitrogen (BUN),
44–
45, 83, 95, 564
Body mass index (BMI), and antipsychotics,577
Bone, neuroimaging signal appearance of,626.
See also Bone mineral density scan
Bone marrow.
See also Leukemia
platelet count and,211
reticulocyte count and,234
WBC count and,311, 315, 317
Bone mineral density scan,46Borrelia burgdorferi,179, 464, 465
Bovine spongiform encephalopathy,368
Brachial plexus neuritis,150
Bradycardia,107
Bradykinesia, and Parkinson’s disease,512
Brain.
See also Brain death; Brain fog; Brain tumors
abscess of,68,
352ADHD in adults and,346
glucose and function of,139
infections of,188
lesions of and secondary mania,350
MRI and,185
maps of,229
neuroimaging signal appearance of,626
neuromyelitis optica spectrum disorder and,495
progressive multifocal leukoencephalopathy and biopsy of,526, 527
serotonin transporter polymorphism and,236
Brain death, and electroencephalogram,111
Brain-derived neurotrophic factor (BDNF),172
Brain fog,452, 491
Brain natriuretic peptide (BNP),47–
48Brainstem auditory evoked response,121
Brain tumors,353CSF and,65, 68
electroconvulsive therapy and,632
magnetic resonance spectroscopy and,188
mammography and,191
secondary mania and,350
Breast cancer,191, 336
Bremelanotide,580Brexpiprazole,580, 622
Bubble cells,286
Bulimia nervosa,217,
354.
See also Eating disorders
Buprenorphine,283,
580, 622
Bupropion,581, 622
Burn trauma,81, 249
Bush-Francis Catatonia Rating Scale,355
Buspirone,581Caffeine, and panic attacks,510
CAG (cytosine-adenine-guanine) trinucleotide repeat,426
Calcification, and neuroimaging signal appearance,626
Calcium,49–
51.
See also Hypercalcemia; Hypocalcemia
CMP and,83
hypoparathyroidism and,452
lithium and,593
magnesium and,182
osteoporosis and,505
parathyroid hormone and,207
phosphate and,209
stones in acidic or alkaline urine,295
Callosal disconnection syndrome,473
Cancer. See also specific typesalkaline phosphatase and,11
antiphospholipid antibodies and,28
calcium levels and,49
CSF glucose and,66
depression and,380
homocysteine level and,156
limbic encephalitis and,462
neutrophils and,322
PET and,215
prealbumin and,219
prostate-specific antigen and,223
SIAD and,549
vitamin D level and,309
Cannabis,283, 284, 390
Capgras syndrome,379
Carbamazepine,52–
53, 580
pregnancy and,158
pyridoxine and,227
sodium and,240
testosterone levels and,245
therapeutic and toxic levels of,622
Carbohydrate-deficient transferrin (CDT),54–
55, 137, 332
Carbon dioxide,56–
57blood gases and,42
CMP and,83
electrolytes panel and,113
Carbon monoxide poisoning,92
Carcinomatous meningitis,61, 65
Cardiac blood flow,104, 215
Cardiac dysrhythmia,447, 632
Cardiac effects, of Lyme disease,464
Cardiac muscle injury,263
Cardiac-related tests,xvii
Cardiomyopathy,263, 354
Cardiopulmonary failure, and ethylene glycol poisoning,399
Cardiovascular disease.
See also Chest pain; Heart attack; Heart disease; Heart failure
c-reactive protein and,90
homocysteine level and,156
hypomagnesemia and,449
hypothyroidism and,453
lithium and,593
phosphate and,209
triglycerides and,260
uremic syndrome and,564
uric acid and,267
urine microalbumin and,291
Cardiovascular risk assessment,631
Cariprazine,582, 622
Carotid artery disease,21
Carotid dissection,85
Carotid ultrasound,58–
59Carotid vascular disease,19
Carotid vascular surgery,58
Carpopedal spasm,441
Casal necklace, and pellagra,514
Casts, in urine,276
Catalepsy, and catatonia,355
Cataplexy,491
Catatonia,85, 110,
355–
356Catecholamine-secreting tumors,519
Celiac disease,128, 387
Cell-free DNA screening,387
Cell-mediated immunity,317, 320
Cellular casts,276
Center for Disease Control and Prevention (CDC),421–422, 460
Central diabetes,381
Central nervous system.
See also Nervous system
ethylene glycol poisoning and,399
infections of,61
lithium toxicity and,172
secondary mania and lymphoma of,350
SIAD and diseases of,549
uremic syndrome and,564
Central pontine myelinolysis (CPM),357–
358Cerebellar signs, of CJD,368
Cerebral blood flow, and SPECT brain scanning,238
Cerebral folate deficiency,403, 404
Cerebral hemorrhage,68
Cerebritis,352
Cerebrospinal fluid (CSF)amyloid-β1 and,42, 60
analysis of,61–
62cell count and differential of,63–
64cytology and,65glucose and,66lactate and,67fluid protein of,68–
69,
70Cerebrospinal fluid testing,xvii,
Alzheimer’s disease and,60, 338
catatonia and,356
chronic traumatic encephalopathy and,362
CJD and,368
FTD and,408
Hashimoto’s encephalopathy and,412, 413
hydrocephalus and,428
limbic encephalitis and,462
Lyme disease and,465
meningitis and,476
mild neurocognitive disorder and,486
multiple sclerosis and,488
OCD and,498
progressive multifocal leukoencephalopathy and,526
sarcoidosis and,537
syphilis and,552
systemic lupus erythematosus and,555
tuberculosis and,563
viral encephalitis and,398
Cerebrovascular diseasecarotid ultrasound and,58
dementia and,375
SPECT and,238
uric acid and,267
Ceruloplasmin,572–573
Cervical bruit,58
Challenge testsfor diabetes insipidus,381
for panic attacks,510
Chaparral,272
Chemical- or drug-induced meningitis,475
Chest painelectrocardiogram and,107
troponins and,263
Chest X-ray (CXR),71–
72, 366, 562
Child-Pugh Score for Cirrhosis Mortality,364
Children.
See also Developmental issues
ammonia levels in,15
ADHD and,346
brain abscess in,352
calcium levels and prolonged immobilization with fracture in,50
ethylene glycol poisoning and,119, 399
evoked potential testing and,121
folate deficiency in,403
follicle-stimulating hormone and,132
fragile X syndrome and,134, 405
heavy metal screening and,142
human growth hormone level and,160, 161
Huntington gene mutation in,163, 426
hypogonadism and,445
inhalant abuse and,391
lead poisoning and,460
methanol poisoning and,197, 483
mercury poisoning and,478
organophosphate poisoning and,76
Prader-Willi syndrome and,524
progressive multifocal leukoencephalopathy and,526
22q11.2 deletion syndrome and,328
urine nitrite and,293
Chlordiazepoxide,73, 620.
See also Benzodiazepines
Chloride,74–
75, 83, 113
Chlorpromazine,175, 539, 622
Cholecystitis,481
Cholesterol levelsestrogen and,117
lipid panel and,169
triglycerides and,260
Cholinesterase,76–
77Chorea, and Huntington’s disease,163
Chorionic villus sampling,387
Chromaffin cell tumors,195
Chromosomal microarray (CMA),348
Chromosome 21,386, 387
Chromatography/mass spectrometry,283
Chronic adrenal insufficiency,330
Chronic fatigue syndrome (CFS),201,
359–
360, 455
Chronic interictal psychosis,530
Chronic inflammatory diseases,115
Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI),95
Chronic obstructive pulmonary disease (COPD),42, 71, 632
Chronic organophosphate-induced neuropsychiatric disorder (COPIND),503
Chronic traumatic encephalopathy (CTE),361–
362Chvostek’s sign,441
Cigarettes.
See Smoking
Cirrhosis,363–
364.
See also Liver disease
alkaline phosphatase and,11
ammonia levels and,16
aspartate transaminase and,31
bile acids and,35
bilirubin and,37
hepatic encephalopathy and,418
phosphate and,209
protein and,225
testosterone level and,245
urine bilirubin and,272
urobilinogen and,303
Citalopram,100,
583, 622
Claustrophobia, and neuroimaging,185, 238
Clinically isolated syndrome (CIS), multiple sclerosis as,487
Clomipramine,615, 616, 622
Clonazepam,78, 284, 620.
See also Benzodiazepines
Clotting, of blood,211
Clozapine,584.
See also Atypical antipsychotics
electrocardiogram and,106
laboratory test for level of,79–
80metabolic syndrome and,480
schizophrenia and,539
therapeutic and toxic levels of,622
thrombocytopenia and,211
WBC count and,311, 323
Cluster headaches,414
Coagulation profile,211
Cobalamin,199, 568, 569
Cocaine,283, 390–391
Codeine,601
Cognitive impairment.
See also Executive function impairment; HIV-associated neurocognitive impairment; Memory; Mental status changes
Alzheimer’s disease and,337
CSF tau protein and,70
chronic traumatic encephalopathy and,361
CJD and,368
dementia with Lewy bodies and,378
event-related potential testing and,120
folate level and,128
FTD and,407
hepatitis panel and,150
homocysteine level and,156
Huntington’s disease and,163
hypoparathyroidism and,452
lead poisoning and,460
lithium level and,172
metachromatic leukodystrophy and,481
multiple sclerosis and,487
organophosphate poisoning and,503
Parkinson’s disease and,512
polysomnography and,213
renal function panel and,233
sarcoidosis and,536
schizophrenia and,538
subdural hematoma and,547
vitamin B12 level and,307
vitamin D level and,309
Collagen vascular diseases,313
Colon cancer,123
Color, of urine,278–279
Color duplex ultrasound,58
Comablood alcohol level and,40
electroencephalogram and,111
evoked potential testing and,121
inhalant abuse and,391
osmolality and,203
renal function panel and,233
Communicating hydrocephalus,428
Comorbidities, psychiatricanorexia nervosa and,341
autism spectrum disorder and,348
bulimia nervosa and,354
organophosphate poisoning and,503
Parkinson’s disease and,512
Prader-Willi syndrome and,524
schizophrenia and,538
Complete blood count (CBC),81–
82Alzheimer’s disease and,339
anorexia nervosa and,341
folate deficiency and,403
mean corpuscular volume and,193
pancreatitis and,509
peripheral neuropathy and,517
platelet count and,211
secondary mania and,350
subdural hematoma and,547
vitamin B12 deficiency and,568, 569
Complex partial seizure,541
Comprehensive metabolic panel (CMP),83.
See also Albumin; Basic metabolic panel
anxiety and,345
creatinine and,95
pancreatitis and,509
peripheral neuropathy and,517
potassium and,217
secondary mania and,350
serum protein and,225
sodium and,240
uremic syndrome and,564
Compulsions, and OCD,497
Computed tomography (CT).
See also Neuroimaging; Single-photon emission computed tomography
alcohol-related dementia and,333
Alzheimer’s disease and,337
angiography and,19–
20brain tumor and,353
central pontine myelinolysis and,357
COVID-19 and,366
dementia with Lewy bodies and,379
ethylene glycol poisoning and,400
fatty liver disease and,401
headaches and,415
head scan and,84–
86, 185, 627
hydrocephalus and,428
meningitis and,476
mild neurocognitive disorder and,485
pancreatitis and,506, 507, 508
pheochromocytoma and,520
porphyria and,523
progressive multifocal leukoencephalopathy and,527
secondary mania and,350
signal appearance by type of image,626
stroke and,546
Confusion, and thiamine deficiency,557
Confusion Assessment Method,373
Congenital heart disease, and Down syndrome,386
Congestive heart failure (CHF),47, 214, 297
Conjugated hyperbilirubinemia,37
Connective tissue disease,297
Consciousness, and seizures,541
Contrast-enhanced mammography,191
Conversion disorder,542
Copper, and Wilson’s disease,573
Coronary artery disease (CAD),632
Coronary heart disease (CHD),169, 489
Corpus callosum, and Marchiafava-Bignami disease,473
Correctional facilities, and tuberculosis testing,265, 266, 562
Corticotropin-releasing factor (CRF),87
Corticotropin-releasing hormone (CRH) stimulation test,371
Corticosteroids,167, 601
Cortisol,2, 9,
87–
89, 101
Cosyntropin test,2
Counseling.
See Genetic counseling; Patient counseling
COVID-19,365–
367adrenal insufficiency and,330
antiphospholipid antibodies and,27
antiphospholipid syndrome and,343
bulimia nervosa and,354
catatonia and,355
chest X-ray and,71
chronic fatigue syndrome and,359
C-reactive protein and,90
creative kinase and,92
delirium and,373
drug abuse and,390
HIV/AIDS and,424
hypercortisolism and,370
immune-mediated encephalitis and,368
iron level and,165
lipase and,165
methanol poisoning and,197, 483
neutrophils and,322
thiamine level and,249
thyroid function testing and,251, 254
triglycerides and,260
urine casts and,276
Cranial irradiation,160
C peptide level,444
Craniopharyngiomas,220
Craniotomy,353
Creatine kinase (CK),92–
94C-reactive protein (CRP),90–
91, 115, 152
Creatinine,83,
95–
97, 98
Creutzfeldt-Jakob disease (CJD),70, 110,
368–
369, 526
Cryptococcal meningitis,476
Cryptorchidism,246
Crystals, in urine,280–
281Cushing’s syndrome,370–
372.
See also Hypercortisolism
adrenocorticotropic hormone and,2
aldosterone and,9
cortisol levels and screening for,87, 88, 101
dexamethasone suppression test and,101
secondary mania and,350
CYP2D6 and CYP2C19 genotypes,100
Cystatin-C,98–
99Cystic fibrosis,307
Cystine,295
Cystitis,566
Cytochrome P450 (CYP450) genotyping,100Cytotoxic therapy,267
Daytime sleepiness,201, 491, 499
Dehydrationdiabetes insipidus and,381
osmolality and,203
urine crystals and,280
urine specific gravity and,301
Delayed hypersensitivity reactions,317
Delayed-onset neuropathy,399
Delirium,373–
374ammonia level and,15
blood gases and,42
CSF glucose and,66
chest X-ray and,71
C-reactive protein and,90
creatinine and,95
echocardiogram and,104
electroencephalogram and,109, 110
heavy metal screening and,142
lead poisoning and,460
magnesium and,182
osmolality and,203
parathyroid hormone and,207
phosphate and,209
prealbumin and,219
protein and,225
quantitative electroencephalogram and,229
renal function panel and,233
sedative-hypnotics and,392
sodium and,240
thiamine level and,249
thyroid function testing and,251, 253
uremic syndrome and,564
urinalysis and,269, 290, 293, 302
vitamin B12 level and,307
WBC count and,311
Delirium-onset prodrome,378
Delirium tremens,92, 473
Delta hepatitis (hepatitis D),150
Delusions.
See also Hallucinations
delirium and,373
FTD and,408
psychogenic polydipsia and,528
psychotic disorder due to another medical condition and,530
schizophrenia and,538
vitamin B12 level and,307
Dementia,375–
377.
See also Alzheimer’s disease; Dementia with Lewy bodies; Frontotemporal dementia; Vascular dementia
alcohol use disorder and,333
chest X-ray and,71
chronic traumatic encephalopathy and,361
cortisol level and,87
event-related potential testing and,120
folate deficiency and,403
heavy metal screening and,142
homocysteine level and,156
Huntington’s disease and,426
inhalant abuse and,391
lithium level and,172
MRI and,185, 188
metachromatic leukodystrophy and,481
neurosyphilis and,242, 551, 552
PET and,215, 238
thyrotoxicosis and,560
valproate level and,305
vitamin B12 level and,307
Dementia with Lewy bodies,378–
379Alzheimer’s disease and,337
clozapine level and,79
mild neurocognitive disorder and,485
parkinsonism and,375, 512
secondary psychosis and,530
Demyelinating disorders,189
Dentistry, and mercury poisoning,478
Depression.
See also Depressive disorder due to another medical condition; Major depressive disorder; Postpartum depression; Substance/medication-induced depressive disorder
anemia and,339
brain natriuretic peptide and,47
cholinesterase levels and,76
cortisol levels and,87
Cushing’s syndrome and,370
daytime somnolence and,201
dexamethasone suppression test and,101
diabetes and,383
electrocardiogram and,106
event-related potential testing and,120
ferritin and,125
folate level and,128
glucose levels and,139
hematocrit and,144
human growth hormone level and,160
Huntington’s disease and,163, 426
hypoparathyroidism and,452
hypothyroidism and,453
infectious mononucleosis and,455
magnesium and,182
medical conditions and,467
neuromyelitis optica spectrum disorder and,495
parathyroid hormone and,207
Parkinson’s disease and,512
polysomnography and,213
PET and,215
pyridoxine level and,227
RBC count and,231
serotonin transporter polymorphism and,236
stroke and,544
systemic lupus erythematosus and,555
testosterone level and,245, 246
thyroid function testing and,251, 253
total iron-binding capacity and,256
transferrin and,258
vitamin B12 level and,307
vitamin D level and,309
Depressive disorder due to another medical condition,380, 467
Dermatitis, and pellagra,514
Dermatomyositis,26
Desipramine,622
Desvenlafaxine,585, 622
Developmental issues.
See also Children
fragile X DNA testing and,134
22q11.2 deletion syndrome and,328
Dexamethasone suppression test (DST),2, 87,
101–
102, 371
DEXA scan,46, 342, 505
Diabetes,381–
385.
See also Pancreatogenic diabetes
antidiuretic hormone and,23
chloride levels and,74
electroconvulsive therapy and,631
glucose levels and,139
hemoglobin A1C and,148
hypoglycemia and,443
hypomagnesemia and,449
ketonuria and,288
osmolality and,203
renal function panel and,233
sodium and,240
triglycerides and,260
uric acid and,267
urine microalbumin and,291
urine nitrite and,293
urine protein and,297
Diagnostic algorithm, for anemia,339–340
Dialysis.
See also Kidney disease
aluminum toxicity and,335, 336
BUN and,44
potassium and,217
Diarrhea,74, 514
Diazepam,100,
103, 284, 622.
See also Benzodiazepines
Diet.
See also Eating disorders; Malnutrition
BUN and,45
folate level and,128, 403
homocysteine level and,156
iron level and,165
magnesium and,182
manganese poisoning and,469
mercury and,478
MAOIs and,598
osteoporosis and,505
pellagra and,514
phosphate and,209
protein and,225
potassium and,217
pyridoxine and,227, 532
sodium and,240
thiamine and,249, 556
triglycerides and,260
urine crystals and,280
urine ketones and,288
vitamin B12 and,568
Digital systems, of electroencephalogram,229
“Dippers’ flu,”503
Direct testing, for pyridoxine,532
Diseases.
See Medical conditions
Diuresis, and chloride levels,74
Diuretic medications,217, 249, 447
Divalproex,616Dizziness, and carotid ultrasound,58
Donepezil,585Doppler analysis,58
Double-stranded DNA antigen (anti-dsDNA),555
Down syndrome,386–
387Down syndrome disintegrative disorder (DSDD),386
Doxepin,100, 620
DRESS syndrome,388–
389Drowning, and magnetic resonance spectroscopy,188
Drug abuse See Substance abuseDrug-induced leukopenia/neutropenia,577
Drug-induced liver injury (DILI),394–
395Drug-induced lupus,25, 26, 554
Drug Information (American Society of Health-System Pharmacists),xv
Drug interactionsclozapine and,79
MAOIs and,598
Duloxetine,586, 622
Dwarfism,160
Dysgraphia,407
Dysphagia,396Dyspnea,42, 71
Eating disorders.
See also Anorexia nervosa; Bulimia nervosa
amylase level and,17
calcium level and,49
carbon dioxide and,56
chloride levels and,74
creatinine and,95
diabetes and,383
electrocardiogram and,106
PET and,215
thiamine level and,249
Echocardiogram,104–
105Echolalia, and catatonia,355
Echopraxia, and catatonia,355
Ectopic pregnancy,158
Edema,225, 626
Elastography, and liver disease,395, 401
Electrocardiogram (ECG),106–
108anorexia nervosa and,341
heart blocks and,631hyperkalemia and,434
hypokalemia and,448
Lyme disease and,180, 465
myocardial infarction and,489
polysomnography and,213
ten rules for normal,630
thyrotoxicosis and,561
Electroconvulsive therapy (ECT)human chorionic gonadotropin and,158
medical evaluation for,632–633
urine blood, hemoglobin, and myoglobin,274
Electroencephalogram (EEG),109–
112.
See also Quantitative electroencephalogram
adrenal insufficiency and,330
brain abscess and,352
brain tumor and,353
catatonia and,356
CJD and,368
delirium and,373
dementia with Lewy bodies and,379
Down syndrome and,386
Hashimoto’s encephalopathy and,412
hepatic encephalopathy and,418
limbic encephalitis and,462
OCD and,498
polysomnography and,213
secondary mania and,350
seizures and,542–543
uremic syndrome and,564
vitamin B12 deficiency and,569
Electrolyte balance,203, 354
Electrolyte panel,113, 217, 240
Electromyography (EMG),114, 213, 333, 517
Elemental mercury,478
Embolic strokes,544
Emphysema,71
Encephalitis,185, 238,
397–
398Encephalopathy,109, 180, 460.
See also Hypertensive encephalopathy
Endocrinologydepression and,380
Down syndrome and,386
follicle-stimulating hormone and,132
hypoglycemia and,444
pancreatitis and,508
sarcoidosis and,536
Enhanced Liver Fibrosis Score,401
Enterovirus-related encephalitis,397
Environmentheavy metal poisoning and,142
organophosphate poisoning and,502
progressive multifocal leukoencephalopathy and,526
systemic lupus erythematosus and,554
Environmental Protection Agency,469
Enzyme immunoassay (EIA),179, 465
Enzyme-linked immunosorbent assay (ELISA),552
Eosinophil(s),311,
315–
316Eosinophilia myalgia syndrome (EMS),315
Epilepsyaluminum toxicity and,335
CSF protein and,68
homocysteine level and,156
magnetic resonance spectroscopy and,188
PET and,215
secondary mania and,350
seizures and,541
Epinephrine,195
Epithelial casts,286
Epstein-Barr virus (EBV),359, 455
Epworth Sleepiness Scale,500
Erythema migrans,179, 464, 465
Erythrocyte aspartate aminotransferase (EAST),532
Erythrocyte sedimentation rate (ESR),115–
116Erythropoiesis,234
Escitalopram,100,
586, 622
Esketamine,590Esophageal cancer,193
Esophageal dysphagia,396
Esterase,290
Estimated average glucose (eAG),148
Estrogen,117–
118, 342, 445
Eszopiclone.
See Nonbenzodiazepine hypnotics
Ethanol,54, 197, 483.
See also Alcohol
Ethnicity.
See Race
Ethylene cysteine diethylester (99m Tc-ECD),238
Ethylene glycol,119, 204, 280,
399–
400European Association of Urology,223
European Registry of Severe Cutaneous Adverse Reactions (RegiSCAR),388
Euthymia,188
Euthyroid sick syndrome,251
Event-related potential (ERP) testing,120Evoked potential (EP) testing,120,
121–
122, 488
Executive function impairment.
See also Cognitive impairment; Memory; Mental status changes
ADHD in adults and,346
bulimia nervosa and,354
Extractable nuclear antigen (ENA) antibody panel,25
Extrahepatic biliary obstruction,31
Extrapontine myelinolysis (EPM),357
Eye exam, and diabetes,384
Eye-tracking data, and autism in adults,348
“Face of the giant panda,” and Wilson’s disease,573
Factitious disorder,313, 444
Familial autosomal dominant AD,338
Fasting plasma glucose (FPG),384
Fatty acids,260
Fatty casts,276
Fatty liver disease,175,
401–
402Fecal blood testing,123–
124Fecal elastase-1, and pancreatitis,508
Fecal fat test, and pancreatitis,509
Fecal immunochemical test (FIT),123
Fecal occult blood test (FOBT),123
Fentanyl,283
Ferritin,125–
126FeverCSF analysis and,61
Lyme disease and,465
Fiberoptic endoscopic evaluation of swallowing (FEES),396
Fibromyalgia,201, 359
Fibrosis-4Index for Liver Fibrosis,363, 401
Flaccid paralysis,433
Flumazenilchlordiazepoxide level and,73
clonazepam level and,78
diazepam level and,103
flurazepam level and,127
oxazepam level and,206
temazepam level and,244
Fluorescence in situ hybridization (FISH),387
Fluorodeoxyglucose (FDG).
See Positron emission tomography
Fluoxetine,587, 622
Fluphenazine,622
Flurazepam,127Fluvoxamine,588, 622
Folate deficiency,403–
404Folate level,128–
130, 156, 193, 234
Follicle-stimulating hormone (FSH),131–
133Fomepizole,197
Formes frustes,551
Formic acid,197, 483
4AT Rapid Clinical Test for Delirium,373
Fracture risk,46
Fracture Risk Assessment Tool (FRAX),505
Fragile X-associated neuropsychiatric disorders (FXAND),134, 405
Fragile X-associated primary ovarian insufficiency (FXPOI),405
Fragile X DNA testing,134–
135Fragile X mental retardation 1 gene (FMRI),134
Fragile X primary ovarian insufficiency (FXPOI),134
Fragile X syndrome (FXS),134, 348,
405–
406Fragile X tremor/ataxia syndrome (FXTAS),134, 405
Free T4 (FT4) level,251, 253
Frontotemporal dementia (FTD),407–
410.
See also Behavioral variant frontotemporal dementia
FTD/amyotrophic lateral sclerosis,163
FTA-ABS,242, 552
“Fume events,” and organophosphate poisoning,502
Functional MRI (fMRI),136Functional neurological symptom disorders,114, 121, 307
Functional nonepileptic seizures (FNES),542, 543
Fungal meningitis,476
Gabapentin,233,
588, 622
Gadolinium,185
Gait disorder, and manganese poisoning,470
Galantamine,589Gallstones,167, 506
Gamma-glutamyl transferase (GGT),137–
138, 175, 332
Gastric bypass surgery,128, 307
Gastric cancer,219
Gastric ulcer,123
Gastroesophageal reflux disease,396
Gastrointestinal (GI) diseasesfecal blood testing and,123
fragile X DNA testing and,134
lithium level and,172
Gender.
See also LGBT+ population
alcohol use disorder and,332
amylase level and,17
autism spectrum disorder and,348
BUN and,45
bone mineral density scan and,46
brain abscess and,352
drug-induced liver injury and,394
electroencephalogram and,110
ESR and,116
estrogen and,117
follicle-stimulating hormone and,131, 132
fragile X syndrome and,405
gamma-glutamyltransferase and,137
hyperparathyroidism and,438
hypogonadism and,445
hypoparathyroidism and,452
insomnia disorder and,456
Klinefelter’s syndrome and,458
lipase and,165
mammography and,191
myocardial infarction and,489
neuromyelitis optica spectrum disorder and,495
OCD and,497
osteoporosis and,505
obstructive sleep apnea and,499
pancreatitis and,506
porphyria and,522
prolactin and,220
systemic lupus erythematosus and,554
testosterone level and,245, 246
urine nitrite and,293
vitamin D level and,309
Generalized anxiety disorder,134, 188,
411Generalized seizures,541
General paresis,551
Genetic(s), and genetic testing,xvii.
See also Genetic counseling
Alzheimer’s disease and,338, 486
apolipoprotein E genotyping and,29
ADHD in adults and,346
autism spectrum disorder and,348
cobalamin defects and,199
cytochrome P450genotyping and,100
dementia and,375, 376
diabetes and,381
Down syndrome and,386
fragile X syndrome and,134, 405
FTD and,407, 408
hemochromatosis and,416
hemoglobin variants and,146
Huntington’s disease and,163, 426
Klinefelter’s syndrome and,458
metachromatic leukodystrophy and,481
multiple sclerosis and,487
neuroleptic malignant syndrome and,493
organophosphate exposure and,76
pancreatitis and,506
porphyria and,522, 523
Prader-Willi syndrome and,524
restless legs syndrome and,534
schizophrenia and,538
serotonin transporter polymorphism and,236
22q11.2 deletion syndrome and,328
systemic lupus erythematosus and,554
Wilson’s disease and,572, 573
Genetic counseling,134, 163, 387
Genomic imprinting disorder, Prader-Will syndrome as,524
Geriatrics.
See Older adults
Germander,272
Gestational diabetes,381
Gestational trophoblastic tumors,158
Gigantism,160, 161
Gilbert’s syndrome,37
Glioblastomas,353
Globulins,225
Glomerular filtration barrier,291
Glucocorticoids,87
Glucose,139–
141CMP and,83
hemoglobin A1C and,148
osmolality and,203
urinalysis and,287
Glucuronic acid, and bilirubin cycle,636
Glycerol,260
Glycogen synthase kinase-3β,172
Glycosuria,287
Gonadotropin-releasing hormone (GnRH),131
Gout,267
Graft rejection,317
Gram stain, and meningitis,476
Granular casts,276
Granulomatous disease,537
Graves’ disease,560, 561
Ground-glass opacities, and COVID-19,366
Growth hormone deficiency, and Prader-Willi syndrome,524
Guanfacine,585Guillain-Barré syndrome,61, 150
Gummas,551
Gunshot wounds, and lead poisoning,460
Hallucinationsdelirium and,373
dementia with Lewy bodies and,378
FTD and,408
psychotic disorder due to another medical condition and,530
schizophrenia and,538
Hallucinogens,391
Haloperidol,622
“Halo vision,” and methanol poisoning,483
Hand sanitizer,197, 483
Hashimoto’s encephalopathy,412–
413HbA1c test,384
Headaches,414–
415.
See also Migraines
angiography and,21
antiphospholipid syndrome and,343
carotid ultrasound and,58
CSF analysis and,61
chronic traumatic encephalopathy and,361
CT and,19, 84
MRI and,185
prolactin and,220
subdural hematoma and,547
Head CT scan,84–
86, 185, 627
Head trauma.
See also Traumatic brain injury
blood gases and,42
CSF lactate and,67
chronic traumatic encephalopathy and,361
Hearing impairments, and evoked potential testing,121
Heart attack high-sensitivity C-reactive protein and,152
platelet count and,209
troponin testing for diagnosis of,92
uric acid and,267
Heart disease, and triglycerides,260.
See also Congenital heart disease; Coronary heart disease
Heart failure, and thiamine,249, 556.
See also Congestive heart failure
Heart valve function,104
Heavy metal poisoning,115,
142–
143, 286
Helminths,313, 315
Hematocrit,144–
145, 234
Hematological/oncological disorders, and Down syndrome,386
Hematology, relevance of to psychiatric practice,xvii
Hematopoiesis,320
Hematuria,274, 299
Heme production, and porphyria,522
Hemochromatosis,416–
417ferritin and,125
iron level and,165, 256
prolactin and,220
transferrin and,258
Hemodialysis, and secondary mania,350
Hemoglobin,146–
147CBC and,81
iron level and,165
RBC count and,231
and urine blood, hemoglobin, and myoglobin,274
Hemoglobin A1C (HbA1C),148–
149Hemoglobinuria,274
Hemolytic anemia,37, 636
Hemolytic disease,272, 303
Hemolytic jaundice,5
Hemorrhage, and pancreatitis,506
Heparin,313, 558
Hepatic encephalopathy (HE),418–
419Hepatic failure, and ammonia levels,15
Hepatitis.
See also Hepatitis panel; Liver disease; Viral hepatitis
alanine transaminase and,4, 5
ammonia levels and,16
aspartate transaminase and,31, 32
bile acids and,35
bilirubin cycle and,636
cirrhosis and,363
drug-induced liver injury and,395
HIV testing and,155
infectious mononucleosis and,455
liver function tests and,175, 176
urine bilirubin and,272
urine color and,278
urobilinogen and,303
Wilson’s disease and,572
Hepatitis panel,150–
151Hepatobiliary disease,37, 137, 272
Hepcidin,416
Herbal and alternative medicines drug-induced liver injury and,394
lead poisoning and,460
liver function tests and,175
urine bilirubin and,272
Herpes simplex virus (HSV),397
High-density lipoprotein cholesterol (HDL-C),169
High-performance liquid chromatography,283
High-resolution manometry,396
High-sensitivity C-reactive protein (haCRP),90,
152–
153Hirsutism,246
Histamine,313
Histoplasmosis,220
HIV/AIDS,424–
425antiphospholipid antibodies and,28
brain abscess and,352
chest X-ray and,71
diabetes and,384
hepatitis and,422
lymphocytes and,317
MRI and,185
syphilis testing and,242, 551, 552
testing for,154–
155thiamine level and,249, 556
tuberculosis testing and,265, 562
HIV-associated neurocognitive impairment,320, 424
Holotranscobalamin,199, 569
HomelessHIV/AIDS and,154, 424
tuberculosis testing and,265, 266, 562
Home testing, for obstructive sleep apnea,500
Homocysteine level,156–
157Hormone replacement therapy,117
Human chorionic gonadotropin (hCG),158–
159Human growth hormone,160–
162, 524
Huntington gene mutation,163–
164Huntington’s disease (HD),163, 185, 426–427
HPA axis suppression,101
Hyaline casts,276
Hydrocephalus,428–
429, 632
Hydrocodone,283, 603
Hydronephrosis,280, 381
Hyperactivity, and fragile X DNA testing,134
Hyperaldosteronism,9
Hyperammonemia,15
Hyperarousal, and insomnia disorder,456
Hypercalcemia,49, 50,
430–
431, 591
Hyperchromia,81
Hypercortisolism,2, 88, 370
Hyperemesis gravidarum,249
Hyperglycemia,432CSF glucose and,66
diabetes and,139, 383
osmolality and,203
Hyperkalemia,217,
433–
434Hyperlipidemia,167, 480
Hypermagnesemia,435–
436Hypernatremia,437Hyperparathyroidism,438calcium elevation and,430
lithium and,593
PTH test for diagnosis of,207, 431
Hyperphagia,524
Hyperphosphorylated tau deposition,361
Hyperplasia,223
Hypersensitivity reactions,313
Hypersomnia,201
Hypertensionfragile X DNA testing and,134
homocysteine level and,156
metabolic syndrome and,480
metanephrines and,195
troponins and,260
uric acid and,267
urine microalbumin and,291
urine protein and,297
Hypertensive encephalopathy,439–
440Hyperthyroidismelevated basophil levels and,313
Hashimoto’s encephalopathy and,412
secondary mania and,350
thyroid function testing and,251, 253, 254
thyrotoxicosis and,560
urine bilirubin and,272
Hypertriglyceridemia,169
Hyperventilation,42, 74, 106
Hypoalbuminemia,450
Hypocalcemia,49,
441–
442, 450
Hypochromia,81
Hypochromic anemia,340
Hypocortisolism,2, 88
Hypocretin levels, and narcolepsy,492
Hypoglycemia,139, 160,
443–
444Hypogonadism,445–
446diabetes and,384
Klinefelter’s syndrome and,458
testosterone levels and,245, 246
Hypokalemia,217,
447–
448, 450
Hypomagnesemia,449–
450Hyponatremia ADH measurement and,23
central pontine myelinolysis and,357
osmolality and,203
porphyria and,522
psychogenic polydipsia and,528
sodium and,240
SIAD and,549, 550
Hypoparathyroidism,207,
452Hypopituitarism,3, 240
Hypopnea,213
Hypothalamic disease,131, 245
Hypothalamic-pituitary axis,161, 253
Hypothyroidism,453–
454follicle-stimulating hormone and,131
Hashimoto’s encephalopathy and,412
homocysteine level and,156
mean corpuscular volume and,193
secondary mania and,350
thyroid function testing and,251, 253, 254
Hypoventilation,42, 214
Hypovolemia,437
Hypoxic/ischemic insults,189
Iatrogenic CJD,368
Idiopathic hypersomnia,201
Idiopathic OCD,497
Idioventricular rhythm,107
IgG index, and multiple sclerosis,488
IGRA tests, for tuberculosis,265, 562
Iloperidone,590, 622
Imipramine,522, 622
Immune system,227, 317, 320, 386.
See also Autoimmune diseases; Autoimmunity
Immunoassay, and drug abuse,392
Infarction,106
Infectious meningitis,475
Infections.
See also Bacterial meningitis; Lyme disease; Viral hepatitis; Viral meningitis
antiphospholipid antibodies and,28
brain abscess and,352
CSF cell count and differential,63
CSF glucose and,66
chronic fatigue syndrome and,359
CBC and,81
C-reactive protein and,90
ESR and,115
hepatitis panel and,150
lymphocytes and,317
neuroimaging signal appearance of,626
relevance of testing for to psychiatry,xviii
secondary mania and,350
WBCs and,302, 311, 322
Infectious mononucleosis (IM),455Infertilityestrogen and,117
follicle-stimulating hormone and,131
fragile X DNA testing and,134
hypogonadism and,445
Klinefelter’s syndrome and,458
prolactin and,220, 221
testosterone level and,245, 246
Inflammation.
See also Chronic inflammatory diseases
CSF glucose and,66
CBC and,81
C-reactive protein and,90
ESR and,115
high-sensitivity C-reactive protein and,152
neuroimaging signal appearance of,626
platelet count and,209
prostate-specific antigen and,223
total iron-binding capacity and,256
WBCs and,302, 313, 315, 320, 322
Inflammatory bowel disease,227
Inhalants, and drug abuse,391
Inhalation, of organophosphates,502
Inorganic mercury,478
Inositol monophosphatase (IMP),172
Insomnia disorder,456–
457Insulin,139, 288
Insulin-like growth factor (IGF),160
Intellectual development disorder,521
Intellectual disability, and fragile X syndrome,405
Intensive Care Delirium Screening Checklist,373
Intermediate syndrome, and organophosphate poisoning,502
Internal carotid artery occlusion,544
International Encephalitis Consortium,398
Interstitial nephritis,276
Intracerebral hemorrhage,263
Intrahepatic cholestasis,35
Iodine, and hypothyroidism,453
Ipsilateral Horner syndrome,19, 84
Iron deficiency anemia,339ferritin and,125
mean corpuscular hemoglobin and,81
reticulocyte count and,234
total iron-binding capacity and,256
Iron level,165–
166.
See also Hemochromatosis; Total iron-binding capacity; Transferrin
Irritability.
See also Agitation
Huntington’s disease and,163
vitamin B12 level and,307
Ischemia,106, 632
Ischemic stroke,263, 544, 546
Isoniazid,167
Jaundicealanine transaminase and,5
aspartate transaminase and,32
bilirubin and,38, 272
drug-induced liver injury and,394
hepatitis panel and new-onset,150
John Cunningham virus (JCV),526
Kallmann syndrome,445
Kanamycin,295
Karyotyping, and Klinefelter’s syndrome,458
Kava kava,272
Kayser-Fleischer rings,572
Ketamine,283, 522,
588Ketones,288
Ketonuria,288
Kidney disease.
See also Dialysis; Renal failure; Uremic syndrome
antipsychotics and,577
carbon dioxide and,56
creatinine and,95, 96
cystatin-C and,98
DRESS syndrome and,388
folate level and,128
homocysteine level and,156
lithium and,591
mean corpuscular volume and,193
parathyroid hormone and,207
potassium and,217
protein and,225
risk factors for,233
triglycerides and,260
uric acid and,267
urinalysis and,269, 297
urine microalbumin and,291
vitamin B12 level and,307
Kidney stonescalcium levels and,49
uric acid and,267
urine pH and,295
Klinefelter’s syndrome,131,
458–
459Korsakoff’s syndrome,249, 556, 557, 570
Laboratory tests. See also specific diseases and specific testsgeneral guidelines for,xvi
in preparation for electroconvulsive therapy,632
role of in psychiatry,xvi
selection of tests for inclusion in text,xv
Lactation, and prolactin,220
Lacunar strokes,545
Lamotrigine,591, 622
Language.
See also Mutism
developmental issues in children and,121
fragile X DNA testing and delay in,134
Latent autoimmune diabetes of adulthood (LADA),383
Latent infection, and tuberculosis,562
Lead, and heavy metal poisoning,142,
460–
461Learning disorders,134
Left hand apraxia,473
Left shift, and neutrophils,322
Left ventricular dysfunction,104
Lemborexant,591Leucine-rich glioma-inactivated 1 (LGH) encephalitis,462
Leukemia,267, 317
Leukocyte esterase (LE),282, 290, 293, 566
Leukopenia,577
Levetiracetam,592, 622
Levomilnacipran,592, 622
Lewy bodies.
See Dementia with Lewy bodies
LGBT+ population.
See also Gender
bulimia nervosa and,354
HIV/AIDS and,154, 424
testosterone level and,245, 246
Lhermitte’s sign, and multiple sclerosis,487
Life expectancy, and Down syndrome,386
Lifestyle, and triglycerides,260.
See also Diet; Smoking; Stress
Limbic encephalitis (LE),462–
463Lipase,17,
167–
168, 506
Lipid panel,169–
171Lithium,593antidiuretic hormone and,23
calcium level and,49
chloride levels and,74
creatinine and,95
cystatin-C and,98
electrocardiogram and,106
electrolytes panel and,113
human chorionic gonadotropin and,158
hypercalcemia and,430
hypernatremia and,437
osmolality and,203
potassium and,217
renal function panel and,233
sodium and,240
test for levels of,172–
174therapeutic and toxic levels of,622
thrombocytopenia and,211
thyroid function testing and,251
toxicity of,110, 172, 173, 622
WBC count and,311
Liver biopsy,363, 364, 395
Liver disease.
See also Cirrhosis; Fatty liver disease; Hepatitis; Jaundice
alanine transaminase and,4, 5
alkaline phosphatase and,11
antipsychotics and,577
aspartate transaminase and,31
bile acids and,35
bilirubin and,38
DRESS syndrome and,388
folate level and,128
gamma-glutamyltransferase and,137
glucose levels and,139
hepatic encephalopathy and,418
liver function tests and,175, 176
protein and,225
transferrin and,258
urobilinogen and,303
vitamin B12 level and,307
Wilson’s disease and,572
LiverTox,394
Locked-in syndrome,357
Lofexidine,594Long-haul COVID,366
Lorazepam,178, 284, 623.
See also Benzodiazepines
Low-density lipoprotein cholesterol (LDL-C),169
L-tryptophan,315
Lumateperone,594Lumbar puncture (LP)CSF sampling and,61, 63, 65, 67, 68
hydrocephalus and,428
hypertensive encephalopathy and,439
meningitis and,476
Lung disease,71, 144.
See also Chronic obstructive pulmonary disease; Pulmonary disease
Lupus,25.
See also Systemic lupus erythematosus
Lupus anticoagulant,343
Lupus nephritis,555
Lurasidone,595, 623
Luteinizing hormone (LH),131, 132, 245
Lyme disease,63,
179–
181,
464–
466Lymphadenopathy,388
Lymphocytes,311,
317–
319Lymphocytosis,455
Lymphoma,317
Lymphoproliferative states,317
Macroalbuminuria,291
Macroamylasemia,17
Macrocytic anemia,307, 340, 403, 568
Macrocytosis,307
Magnesium,182–
184, 435, 449
Magnetic resonance angiography (MRA),19, 21
Magnetic resonance cholangiopancreatography,508
Magnetic resonance imaging (MRI),185–
187.
See also Functional MRI
alcohol-related dementia and,333
Alzheimer’s disease and,337
brain abscess and,352
brain tumor and,353
central pontine myelinolysis and,357
CJD and,368, 369
Cushing’s syndrome and,370
dementia with Lewy bodies and,378
diabetes insipidus and,381
ethylene glycol poisoning and,400
fatty liver disease and,401
fragile X DNA testing and,134
FTD and,409
Hashimoto’s encephalopathy and,412
headaches and,415
hydrocephalus and,428
hypertensive encephalopathy and,439
limbic encephalitis and,462
manganese poisoning and,469
Marchiafava-Bignami disease and,473–474
metachromatic leukodystrophy and,482
mild neurocognitive disorder and,485
multiple sclerosis and,487
neuromyelitis optica spectrum disorder and,495
OCD and,498
organophosphate poisoning and,503
pancreatitis and,508
pheochromocytoma and,520
porphyria and,523
progressive multifocal leukoencephalopathy and,527
prostate-specific antigen and,223
sarcoidosis and,537
secondary mania and,350
seizures and,542
signal appearance by type of image,626
stroke and,546
subdural hematoma and,547
systemic lupus erythematosus and,555
thiamine deficiency and,557
uremic syndrome and,564
vitamin B12 deficiency and,569
Wernicke’s encephalopathy and,570
Magnetic resonance spectroscopy (MRS),188–
190Magnesium ammonium phosphate crystals,280
Maintenance of wakefulness test (MWT),201–
202Major depressive disorder (MDD),467–468.
See also Depression
cortisol level and,87
PET and,215
WBC count and,320
Major neurocognitive disorder,375
Malingering, and seizures,542
Malnutrition.
See also Diet
folate level and,129
magnesium and,182
Marchiafava-Bignami disease and,473
prealbumin and,219
thiamine level and,249
Mammography,191–
192Manganese,142,
469–
470Mania, and manic episodes,471–
472.
See also Bipolar disorder; Secondary mania
magnetic resonance spectroscopy and,188
serotonin transporter polymorphism and,236
vitamin B12 level and,307
Manometry,396
Mantoux test,265
Marchiafava-Bignami disease (MBD),473–
474, 556
Marginated pool, of neutrophils,322
Marijuana.
See Cannabis
Mast cells,313
Matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF),476
MDMA (Ecstasy),283, 357, 391
Mean corpuscular hemoglobin (MCH),81
Mean corpuscular hemoglobin concentration (MCHC),81
Mean corpuscular volume (MCV),144,
193–
194Mean platelet volume (MPV),211
Medical conditions.
See also Cancer; Cardiovascular disease; Diabetes; Infections; Inflammation; Kidney disease; Liver disease; Lung disease;
specific conditionscriteria for inclusion in text, xv depression and,380, 467
mania and hypomania with,471
obstructive sleep apnea and,500
psychotic disorder due to another medical condition,530–531
schizophrenia and,538
Medications.
See also Analgesics; Betablockers; Diuretic medications; Drug interactions; Herbal and alternative medicines; Opioids; Psychotropic medications
chronic anxiety and,345
depression and,467
diversion of prescribed,284
folate levels and,128, 156
follicle-stimulating hormone and,131
hyperkalemia and,433
mania and,471
pellagra and,514
peripheral neuropathy and,516
phosphate and,209
porphyria and,522
protein levels and,225
pyridoxine deficiency and,532
SIAD and,549
thrombocytopenia and,558
thrombocytosis and,559
urine crystals and,280
Megaloblastic anemia,129, 217, 234, 568
MELD Score (Model for End-stage Liver Disease),364
Memantine,595Memory.
See also Amnesia; Cognitive impairment; Executive functions
carotid ultrasound and,58
FTD and,407
mild neurocognitive disorder and,485
vitamin B12 level and,307
Meningiomas,353
Meningitis,475–
477.
See also specific typesC-reactive protein and,90
CSF and,63, 65, 67, 68
encephalitis and,397
MRI and,185
tuberculosis and,562
Meningoencephalitis,150
Meningovascular syphilis,551
Menopauseestrogen and,117
follicle-stimulating hormone and,131
human chorionic gonadotropin and,158
hypogonadism and,445
Menstruation and menstrual cycle,117, 131.
See also Amenorrhea
Mental status changes.
See also Agitation; Cognitive impairment; Irritability
electroencephalogram and,109
ESR and,115
thiamine deficiency and,557
urinalysis and,269, 290, 293, 302
vitamin B12 level and,307
Wernicke’s encephalopathy and,572
Mental status examination, and dementia,375
Mercury,142,
478–
479Metabolic acidosis,43, 494
Metabolic alkalosis,43
Metabolic conditions, and catatonia,355
Metabolic syndrome,480antipsychotics and,562, 577
C-reactive protein and,90
hemoglobin A1C and,148
lithium and,593
schizophrenia and,539
testosterone level and,245
uric acid and,267
Metabolizer status, and psychotropic drugs,100
Metachromatic leukodystrophy (MLD),481–
482Metal fume fever,335
Metals.
See Aluminum toxicity; Heavy metal poisoning
Metanephrines,195–
196, 519–520
Methadone,283, 284
Methamphetamine,284, 390
Methcathinone,469
Methanol,197–
198osmolality and,203
poisoning and,40, 197,
483–
484Methionine metabolism,156
Methylmalonic acid (MMA) level,199–
200, 569
Methylphenidate,284,
594Microalbuminuria,291
Microcytic anemia,340
Microdeletion syndromes,328
Micro-hemagglutination assay,242, 552
Middle cerebral artery (MCA) occlusion,545
Migraines,121, 414.
See also Headaches
Mild cognitive impairment with Lewy bodies (MCI-LB),378
Mild neurocognitive disorder,485–
486Military tuberculosis,562
Milnacipran,596, 623
Minimal hepatic encephalopathy,418
Miosis,391
Mirtazapine,260,
597, 623
Mixed connective tissue disease,26
Modification of Diet in Renal Disease (MDRD),95
Modified barium swallow (MBS),396
Monoamine oxidase inhibitors (MAOIs),139,
598Monocytes,311
Monoglycerides,260
Mononeuropathy,516
Monospot antibody test,455
Montreal Cognitive Assessment (MoCA),375, 485
Mood disorderscortisol level and,87
fragile X DNA testing and,134
functional MRI and,136
Lyme disease and,180, 464
neurosyphilis and,242
schizophrenia and,538
thyroid function testing and,251, 253
total iron-binding capacity and,256
Mood instability, and lithium,172.
See also Agitation; Irritability
Morel’s laminar sclerosis,473
Morphine,283
Mosaicism, and Down syndrome,386
Mosquitos, and viral encephalitis,397
Motor vehicle accident cases,40
Motor symptomscholinesterase levels and,76
of chronic traumatic encephalopathy,361
of CJD,368
of FTD,407, 408
of Hashimoto’s encephalopathy,412
of Huntington’s disease,163, 426
manganese poisoning and,469
of peripheral neuropathy and,516
Multiple mononeuropathy,516
Multiple sclerosis,487–
488CSF protein and,68
evoked potential testing and,121
neuroimaging signal appearance of,626
neuromyelitis optica spectrum disorder and,496
secondary mania and,350
Multiple sleep latency test (MSLT),201–
202, 491
Muscle injury,92, 274
Muscle rigidity, and neuroleptic malignant syndrome,493
Mutism, and catatonia,355.
See also Akinetic mutism
Myalgia,92
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS),359
Mycobacterium tuberculosis,265, 562
Myeloma,297
Myelotoxicity, and thrombocytopenia,558
Myocardial infarction (MI),107, 263,
489–
490Myocarditis,388
Myoclonus,305, 368
Myoglobin,274
Myoglobinuria,274, 494
Myopathy,92
Naltrexone,599Narcolepsy,201,
491–
492National Institute on Aging-Alzheimer’s Association (NIA-AA),337
National Institutes of Health,526
National Library of Medicine,xv, 394
Nefazodone,600Negativism, and catatonia,355
Neocortical atrophy,163
Neomycin,295
Neoplastic meningitis,475
Nephrogenic diabetes,381
Nerve conduction testing (NCT),114, 333, 517
Nervous system.
See also Central nervous system; Neurological symptoms; Neuropathy; Neuropsychiatric symptoms
Lyme disease and,180, 464, 465
neuro-COVID and,365
Neurobehavioral dysregulation, and chronic traumatic encephalopathy,361
Neuroborreliosis,179
Neurodegenerative diseases,186, 350
Neurofilament light chain (NfL),488
Neuroimaging.
See also Chest X-ray; Computed tomography; Magnetic resonance imaging; Positron emission tomography
Cushing’s syndrome and,370
ethylene glycol poisoning and,400
FTD and,409
headaches and,415
hypertensive encephalopathy and,439
insomnia disorder and,456
meningitis and,477
viral encephalitis and,398
Neuroinflammation, and PET,215
Neuroleptic malignant syndrome (NMS),92, 274,
493–
494Neurological symptoms.
See also Functional neurological symptom disorders; Nervous system; Neuropathy; Neuropsychiatric symptoms
catatonia and,355
depression and,380
Down syndrome and,386
organophosphate poisoning and,503
vitamin B12 level and,307
Wilson’s disease and,572
Neuromuscular disease,114
Neuromyelitis optica spectrum disorder (NMOSD),488,
495–
496Neuropathic pain,320
Neuropathy.
See also Peripheral neuropathy
electromyography and,114
restless legs syndrome and,534
thiamine deficiency and,557
Neuropsychiatric symptoms of brain tumor,353
of pellagra,514
of syphilis,551
of systemic lupus erythematosus,554
of uremic syndrome,564
of Wilson’s disease,572
Neuropsychological testing, and ADHD in adults,346
Neurosarcoidosis,61, 536–537
Neurosyphilis,63, 68, 242, 552
Neurotoxicity, of aluminum,335
Neutropenia,323
Neutrophils,311,
322–
325Next-generation sequencing (NGS),477
Niacin, and pellagra,514
Nitrate,293
Nitrite,282, 293, 566
Nitrous oxide,568
Nocturnal hypoglycemia,444
Nocturnal leg cramps,534
Non-AD primary progressive aphasia,337
Non-alcoholic fatty liver disease (NAFLD),363, 401
Nonbenzodiazepine hypnotics,598Noncommunicating hydrocephalus,428
Noncompliance, with medicationbenzodiazepine levels and,14, 52, 73, 78, 103, 127, 178, 206, 244
clozapine level and,79
valproate level and,305
Non-convulsive status epilepticus,110
Nonfluent variant primary progressive aphasia (nfvPPA),407, 409
Nontreponemal tests,242
Normochromic anemia,340
Normocytic anemia,340
Nortriptyline,615, 623
NPH, as subtype of hydrocephalus,428
N-terminal pro B-type natriuretic peptide (NT-proBNP),47
Nucleic acid tests, for HIV,154, 155, 425
Nursing homes hypernatremia and,437
SIAD and,549
tuberculosis testing and,265, 562
urinalysis and,269
vitamin D level and,309
Nutrition.
See Diet; Malnutrition
Obesitycortisol levels and,87
diabetes and,383
fragile X DNA testing and,134
human growth hormone level and,160
metabolic syndrome and,480
obstructive sleep apnea and,499
testosterone level and,245
triglycerides and,260
urine microalbumin and,291
Obsessive-compulsive disorder (OCD),188, 215,
497–
498Obstructive sleep apnea (OSA),213,
499–
501Occupational exposurealcohol use and,40
aluminum toxicity and,336
heavy metal poisoning and,142, 143
organophosphate poisoning and,76, 502
urine drug screen and,283
Ocular signs, of Wernicke’s encephalopathy and Wernicke-Korsakoff syndrome,570.
See also Vision
Olanzapine,480,
601–
602, 623
Older adults anemia and,339
BUN and,45
bone mineral density scan and,46
brain natriuretic peptide and,47
chest X-ray and,71
clonazepam and,78
clozapine and,79
CT and,84
delirium and,373
drug-induced liver injury and,394
electrocardiogram and,106
electroconvulsive therapy and,632
electroencephalogram and,110
ESR and,115, 116
estrogen and,117
folate level and,129
follicle-stimulating hormone and,131
fragile X DNA testing and,134
homocysteine level and,156
human growth hormone level and,160
Huntington gene mutation in,163
hydrocephalus and,428
hypernatremia and,437
hyperparathyroidism and,438
hypoglycemia and,444
hypokalemia and,447
hyponatremia and,451
hypoparathyroidism and,452
hypothyroidism and,453
infectious mononucleosis and,455
lithium and,172, 173, 593, 622
MRI and,185
mild neurocognitive disorder and,485
neuroleptic malignant syndrome and,493
osteoporosis and,505
Parkinson’s disease and,512
polysomnography and,213
prostate-specific antigen and,223
protein and,225
pyridoxine deficiency and,227, 532
sodium and,240
stroke and,544
subdural hematoma and,547
thiamine level and,249
thyroid function testing and,251, 253
thyrotoxicosis and,560, 561
urinalysis and,269, 290, 291, 293, 299, 302
urine dipstick testing and,282
vitamin B12 level and,307–
308, 568, 569
vitamin D level and,309
Wilson’s disease and,572
Oligoclonal bands (OCBs), and multiple sclerosis,488
Open MRI,185
Opioids,603drug abuse and,391–392
polysomnography and,213
sodium and,240
urine drug screen and,283
Optical coherence tomography (OCT),496
Optic neuritis,495
Oral glucose tolerance test (OGTT),384
Oral hypoglycemic agents,288
Orexin, and narcolepsy,491
Organic mercury,478
Organophosphate-induced delayed neuropathy,502
Organophosphate poisoning,76,
502–
504Organ transplantation,90, 317, 422
Oropharyngeal dysphagia,396
Orthostatic proteinuria,297
Osmolal gap,203
Osmolality,203–
205hypernatremia and,437
SIAD and,550, 639
urine specific gravity and,301
Osmotic demyelination syndrome (ODS),357, 473
Osteomalacia,11
Osteopenia,46, 354, 505
Osteoporosis,11, 46, 209,
505Otitis media,134
Oval fat bodies,286
Overdoseof benzodiazepines,14, 73, 78, 103, 127, 178, 206, 244
of opioids,391
of valproate,305
Oxazepam,73,
206, 284, 623.
See also Benzodiazepines
Oxcarbazepine,604, 623
Oxycodone,283, 603
Oxygen blood gases and,42
hematocrit and,144
hemoglobin and,146
Paget’s disease,11, 49, 50
Painin chest,107, 263
neuropathic,320
pancreatitis and,506, 508
porphyria and,522
restless legs syndrome and,534
Paliperidone,220,
605, 623
Pancreas, and DRESS syndrome,388
Pancreatitis,506–
509amylase testing and,17
blood glucose levels and,139
C-reactive protein and,90
lipase and,167
triglycerides and,169, 260
Pancreatogenic diabetes,508, 509
Panic attacks,510–
511carotid ultrasound and,58
drug abuse and,390
glucose levels and,139
metanephrines and,195
polysomnography and,213
Panic disorder,195,
510–
511Paraganglioma,195, 519
Paralysis, and narcolepsy,491
Parasomnias,213
Parathyroid hormone (PTH),207–
208, 431, 441, 452
Parenchymal hemorrhage,19, 21
Parkinsonism,142, 185, 197
Parkinson’s disease,512–
513daytime somnolence and,201
lead poisoning and,460
lithium and,172
SPECT and,238, 238, 239
Parkinson’s disease dementia (PDD),378
Paroxetine,606, 623
Paroxysmal hypertension, and pheochromocytoma,519
Partial seizures,541
Partial trisomy 21,386
Patient counseling, and HIV testing,154, 425.
See also Genetic counseling
Pellagra,514–
515Pericardial effusion,104
Pericarditis,106
Peripheral neuropathy,516–
518acute intermittent porphyria and,522
hepatitis C and,150
homocysteine level and,156
vitamin B12 and,307
Peripheral vascular disease,534
Pernicious anemia,303, 307, 568, 569
Peroxidase,313
Perphenazine,623
Personality disorders,52, 242
Personality traits, and 22q11.2 deletion syndrome,328
Pesticides.
See Organophosphate poisoning
P-glycoprotein pump function,215
pH, and urinalysis,295
Phantom boarder syndrome,379
Phencyclidine (PCP),283
Phenothiazines,139, 240, 288
Phenytoin,227, 623
Pheochromocytoma,195,
519–
520Phosphate,209–
210Phosphatidyl ethanol (Peth),333
Phosphorus,209
Phosphorylated tau (P-tau),70, 486
Physical exam, and dementia,376
Pica,165, 339,
521Pimavanserin,606Pitolisant,607Pituitary disorders,132, 160, 245
Pituitary lesions, and Cushing’s syndrome,371
Pituitary stroke,330
Pituitary tumors,220
Plasma cholinesterase,76, 503
Plasma fibrinogen level,115
Plasma metanephrine testing,195
Platelet count,81,
211–
212, 558, 559
Pleocytosis,63
PML-associated immune reconstitution inflammatory syndrome (PML-IRIS),526, 527
Poisoning.
See Toxicity
Polycythemia,144, 146, 231
Polydipsia,240.
See also Psychogenic polydipsia
Polymerase chain reaction (PCR),179, 406, 526, 563
Polymyalgia rheumatica,115
Polymyositis,25
Polycystic ovary syndrome,246
Polyneuropathy,333, 516
Polysomnography (PSG),201,
213–
214, 456, 500
Polyuria,23
Porphyria,74, 278,
522–
523Positron emission tomography (PET),215–
216Alzheimer’s disease and,338
ADHD in adults and,346
brain tumor and,353
dementia with Lewy bodies and,379
mild neurocognitive disorder and,486
Posterior cerebral artery stroke,545
Posterior reversible encephalopathy syndrome (PRES),439
Postictal psychosis,530
Postpartum depression,144
Postrema syndrome,495
Posttraumatic stress disorder (PTSD) cortisol level and,87
dexamethasone suppression test and,101
magnetic resonance spectroscopy and,188
WBC count and,320
Posttreatment Lyme disease,464
Postural instability, and Parkinson’s disease,512
Potassium,217–
218CMP and,83
electrolytes panel and,113
hyperkalemia and,433
hypokalemia and,447
Potomania,528
POUND (mnemonic),414
Powassan encephalitis,397
Prader-Willi syndrome,160,
524–
525Pravastatin,92
Prealbumin,219
Prediabetes,384
Pregnancyanemia and,339
antiphospholipid syndrome and,343
bile acids and,35
electroconvulsive therapy and,633
estrogen and,117
folate level and,128
fragile X DNA testing and,134
hematocrit and,144
hepatitis testing and,422
human chorionic gonadotropin and,158
hypothyroidism and,453
MRI and,185
mercury poisoning and,478
pica and,521
prolactin and,220
pyridoxine level and,227
restless legs syndrome and,534
syphilis testing and,242
urinalysis and,269, 288, 293
Prescription drug monitoring programs,392
Primary headaches,414
Primary hyperparathyroidism (PHPT),438, 449
Primary hypogonadism,445
Primary myopathy,114
Primary ovarian failure,131
Primary polydipsia,381, 528
Primary progressive multiple sclerosis,487
Prion protein,368
Prodromal symptoms, of Parkinson’s disease,512
Progressive multifocal leukoencephalopathy (PML),526–
527Prolactin,220–
222, 245, 543
Prolactinoma,221
Propranolol,139, 211
Propylene glycol toxicity,178
Prostate cancer,223
Prostate-specific antigen (PSA),223–
224Proteinin CSF,68
CMP and,83
serum level of,225–
226urinalysis and,297
Protein misfolding cyclic amplification (PMCA),369
Protein-rich fluid, and neuroimaging signal appearance,626
Proteinuria,291, 297
Provocation, and electroencephalogram,109
Pseudocysts, and pancreatitis,508
Pseudoseizures,110
Pseudotumor cerebri,61
Psychiatric-onset prodrome,378, 379
Psychiatry.
See also Comorbidities; Psychotropic medications;
specific disorderslumbar puncture for diagnostic indications and,61
relevance of laboratory testing to practice of,xvi–xviii
Psychogenic nonepileptic seizures,220, 221, 238
Psychogenic polydipsia,23, 74, 203,
528–
529Psychopharmacology.
See Psychotropic medications
Psychosisantiphospholipid syndrome and,343
clozapine level and,79
CT and,84, 85
Cushing’s syndrome and,370
dementia with Lewy bodies and,379
drug abuse and,390, 391
electroencephalogram and,109
event-related potential testing and,120
Hashimoto’s encephalopathy and,412
heavy metal screening and,142
Huntington’s disease and,426
manganese poisoning and,469
metachromatic leukodystrophy and,481
systemic lupus erythematosus and,555
thyroid function testing and,251, 253
22q11.2 deletion syndrome and,328
viral encephalitis and,397
vitamin B12 level and,307, 568
WBC count and,320
Psychotic disorder due to another medical condition,530–
531Psychotropic medications.
See also Antidepressants; Antipsychotics; Benzodiazepines; Lithium; Monoamine oxidase inhibitors; Nonbenzodiazepine hypnotics; Noncompliance; Overdose; Sedative-hypnotics; Selective serotonin reuptake inhibitors
alanine transaminase and,4
albumin level and,7
alkaline phosphatase and,11
anemia and,339
antidiuretic hormone and,23
aspartate transaminase and potential hepatotoxicity of,31
bone mineral density and,46
DRESS syndrome and,388
drug-induced liver injury and,394
drug-induced lupus and,25
echocardiogram and,104
electrocardiogram and,106
eosinophilia and,315
human chorionic gonadotropin and,158
hyponatremia and,451
lipid panel and,169, 170
liver function tests and,175–176
metabolic syndrome and,480
metabolization of by CYP2D6,100
multiple sleep latency test and,201
OCD and,498
osmolality and,203
parathyroid hormone and,207
pheochromocytoma and,519
platelet count and,209
prolactin and,220
psychogenic polydipsia and,528
renal function panel and,233
restless legs syndrome and,534
screening and monitoring of,xviii
sodium and,240
testosterone level and,245, 246
therapeutic and toxic levels of,622–623
triglycerides and,260
upper GI bleeding and,123
urine color and,278
WBC count and,320, 322–323
P300, and event-related potential testing,120
Puberty, and follicle-stimulating hormone,131, 132
Pulmonary disease, and SIAD,549.
See also Cardiopulmonary failure; Chronic obstructive pulmonary disease; Respiratory disease
Pulmonary hypertension, and Down syndrome,386
Pulmonary manifestations, of DRESS syndrome,388
Pulsatile tinnitus,21
Purified protein derivative (PPD),265
P wave, and heart cycle,106
Pyelonephritis,269, 280, 566
Pyramidal tract signs, of Hashimoto’s encephalopathy,412
Pyridoxine,227–
228, 532–533
Pyuria,302, 566
QRS complex,106
QT interval, and electrocardiogram,106
QT prolongation, and antipsychotics,575
Quantitative electroencephalogram (qEEG),229–
230Quetiapine,339,
606, 621
Rabies,397
Race/ethnicitybilirubin levels and,39
carbamazepine level and,52
clozapine level and,79
creatinine and,95
diabetes and,383
drug-induced liver injury and,394
hemochromatosis and,416
HIV/AIDS and,154, 424
metabolization of psychotropic drugs and,100
multiple sclerosis and,487
neuromyelitis optica spectrum disorder and,495
osteoporosis and,505
pica and,521
platelet count and,211
porphyria and,522
prostate-specific antigen and,223
sarcoidosis and,536
serotonin transporter polymorphism and,236
22q11.2 deletion syndrome and,328
systemic lupus erythematosus and,554
urine microalbumin and,291
WBC count and,311
Ramelteon,609Rapid plasma reagin (RPR) test,242, 552
RashDRESS syndrome and,388
Lyme disease and,179, 465
pellagra and,514
secondary syphilis and,551
Rivastigmine,610Raynaud’s disease,26
RBC cholinesterase,76
Reactive thrombocytosis,559
Real-time quaking-induced conversion (RT-QuIC),368–369
Recombinant tissue plasminogen activator (rTPA),546
Recurrent hypoglycemia,444
Red blood cells (RBC).231–
232bilirubin cycle and,636
CBC and,81
ESR and,115
folate level and,128
hematocrit and,144
iron level and,165
manganese poisoning and,469
mean corpuscular volume and,193
organophosphate poisoning and,503
reticulocyte count and,234
urine blood, hemoglobin, and myoglobin,274
urine RBCs and RBC casts,299
Red cell distribution of width (RDW),81
Relapses, of neuromyelitis optica spectrum disorder,495
Relapsing-remitting multiple sclerosis,487
REM sleep behavior disorder,213, 378, 379
Renal failure.
See also Kidney disease
BUN and,44
ethylene glycol poisoning and,399
osmolality and,203
thiamine level and,249
urine crystals and,280
Renal function panel,233Renal tubule epithelial cells,286
Replacement therapy, for testosterone,245
Respiratory acidosis,43
Respiratory alkalosis,43
Respiratory disease,42, 74.
See also Lung disease; Pulmonary disease
Respiratory event index (REI),500
Resting tremor, of Parkinson’s disease,512
Restless legs syndrome,144, 213,
534–
535Restricting type, of anorexia nervosa,341
Reticulocyte count,234–
235Reticulocyte production index (RPI),234
Rett syndrome,348
Reverse transcription-PCR method,366
Reversible cerebral vasoconstriction,415
Reye’s syndrome,15
Rhabdomyolysis,92, 274
Rheumatoid arthritis,26, 227
Rigidity, and Parkinson’s disease,512
Risperidone,220, 260,
609, 623
Safety labs, and schizophrenia,539
S allele deletion,236
Sarcoidosis,220,
536–
537Schizoaffective disorder,79, 538
Schizophrenia,538–
540antidiuretic hormone and,23
clozapine level and,79
cortisol level and,87
C-reactive protein and,90
dexamethasone suppression test and,101
folate deficiency and,403
functional MRI and,136
homocysteine level and,156
iron level and,165
MRI and,185
pica and,521
PET and,215
psychosis and,530
22q11.2 deletion syndrome and,328
Wilson’s disease and,572
Scintigraphy,561
Scleroderma,25, 26
Scrapie prion protein,368
Screening, and screening questions.
See also Urine drug screen
restless legs syndrome and,534
for viral hepatitis,421–422
Secondary headaches,414
Secondary hypogonadism,445
Secondary mania (SM),350–
351Secondary progressive multiple sclerosis,487
Secondary psychosis,530
Sedative-hypnotics, and drug abuse,392
Seizures,541–
543ammonia levels and,15
brain abscess and,352
CSF and,61, 66
creative kinase and,92
electroencephalogram and,109, 110
Hashimoto’s encephalopathy and,412
limbic encephalitis and,462
methanol level and,197
opioid abuse and,391
phosphate and,209
polysomnography and,213
porphyria and,523
postictal psychosis and,530
prolactin and,220, 221
quantitative electroencephalogram and,229
sarcoidosis and,536
SPECT and,238
sodium and,240
uremic syndrome and,564
valproate level and,305
Selective serotonin reuptake inhibitors (SSRIs) bone mineral density and,46
OCD and,497
prolactin elevation and,220
serotonin transporter polymorphism and,236
upper GI bleeding and,123
Selegiline,598
Semantic variant primary progressive aphasia (svPPA),407, 409
Sensory neuropathies,516–517
Septic shock,249
Serdexmethylphenidate/dexmethylphenidate,610Serotonin syndrome,493
Serotonin transporter polymorphism,236–
237Sertraline,611, 623
Serum osmolality,23
Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2),365
Sexual behavior, and HIV testing,154–155
Sexually transmitted infection (STI),242.
See also Syphilis
Short corticotropin test,330
Sialic acid,54
Sickle cell disease,146
Sildenafil,611Simvastatin,92
Single-photon emission computed tomography (SPECT),238–
239, 338, 379
Sjogren’s syndrome,25, 26
Skin tests, for tuberculosis,265, 562
SLC6A4 gene,236
Sleep, and sleep disorders.
See also Daytime sleepiness; Insomnia disorder; Narcolepsy; Obstructive sleep apnea; Restless legs syndrome; Sleep-onset REM periods
anemia and,339
diabetes and,383
multiple sleep latency test and,201
polysomnography and,213
uremic syndrome and,564
Sleep diary,456
Sleep-onset REM periods (SOREMPs),491
Smith antigen (anti-Sm),555
Smokingbone mineral density and,46
hematocrit and,144
mean corpuscular volume and,193
pancreatitis and,508
stroke and,544
triglycerides and,260
urinalysis and,274, 299
Sneddon’s syndrome,27
Social Responsiveness Scale, Second Edition (SRS-2),348
SodiumCMP and,83
electrolytes panel and,113
hypernatremia and,437
hyponatremia and,451
serum osmolality and,203
SIAD and,549, 637
test for levels of,240–
241Somatic symptom disorder,58
Somatosensory evoked response,121
Special populations.
See Children; Homeless; LGBT+; Older adults; Race/ethnicity
Speech apraxia,407
“Spice” (synthetic cannabinoid),276, 284
Spinal cord lesions or stroke,121
Spinal tuberculosis,562
Splenic rupture,455
Sporadic CJD (sCJD),368
Spurious elevation, of potassium,433
Squamous epithelial cells,286
Stable angina,263
Statin drugs,92, 152
Status epilepticus,263
Status seizure,541
Steatohepatitis,401
Stercobilin,636
Stereotactic aspiration, of brain abscesses,352
Stereotactic biopsy, of brain tumors,353
Stereotypy, and catatonia,355
Sterile pyuria,566
Steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT),412
Steroid(s).
See Anabolic steroids; Corticosteroids
Stevens-Johnson syndrome,52
Stimulus-induced rhythmic, periodic, or ictal discharges (SIRPIDs),369
Stool DNA testing,123
STOP-BANG test, and obstructive sleep apnea,500
Strabismus,134
Streptomycin,295
Stressadrenocorticotropic hormone and,2, 3
cortisol level and,87, 88
glucose level and,139
insomnia disorder and,456
myocardial infarction and,489
panic disorder and,510
testosterone level and,245
urine protein and,297
Stroke,544–
546antiphospholipid syndrome and,343
carotid ultrasound and,58
CSF tau protein and,70
creative kinase and,92
folate deficiency and,403
hepatitis panel and,150
high-sensitivity C-reactive protein and,152
homocysteine level and,156
lipid panel and,169
magnetic resonance spectroscopy and,188
platelet count and,209
polysomnography and,213
secondary mania and,350
triglycerides and,260
uric acid and,267
Stroke-heart syndrome,263
Structural imaging, relevance of to psychiatry,xviii
ST segment elevation MI (STEMI),489
Stupor, and catatonia,355
Subacute combined degeneration,307
Subacute sclerosing panencephalitis,110
Subarachnoid hemorrhage,19, 61, 85, 263
Subclinical hypothyroidism,453, 454
Subcortical white matter lesions,343
Subdural hematoma,203,
547–
548Substance/medication-induced anxiety disorder,345
Substance/medication-induced depressive disorder,467
Substance use, and substance use disorders390–
393See also Alcohol use disorder; Withdrawal;
specific substancescortisol level and,87
hepatitis testing and,422
HIV testing and,154, 424
hyperglycemia and,432
hyponatremia and,451
liver function tests and,175
mania and,471
PET and,215
sodium and,240
syphilis testing and,242
urine bilirubin and,272
urine drug screen and,283–285
WBC count and,320
Suicide, and suicidal ideationanorexia nervosa and,341
ADHD in adults and,346
clozapine level and,79
Cushing’s syndrome and,370
headaches and,414
Huntington’s disease and,163
insomnia disorder and,456
Lyme disease and,180, 464
major depressive disorder and,467
methanol poisoning and,197, 483
OCD and,497
organophosphate poisoning and,502
panic disorder and,510
schizophrenia and,538
Suvorexant,612Syncope,107
Syndrome of apathetic hyperthyroidism,560
Syndrome of inappropriate antidiuresis (SIAD),549–
550,
638–
639antidiuretic hormone and,23
brain tumor and,353
chloride levels and,74
hyponatremia and,451
osmolality and,203
sodium and,240
Synthetic cannabinoids,276, 284
Syphilis,551–
553CSF cell count and differential,63
secondary mania and,351
tests for,242–
243, 485
WBC count and,320
Systemic lupus erythematosus (SLE),554–
555antinuclear antibody testing and,25
antiphospholipid antibodies and,28
C-reactive protein and,90
ESR and,115
secondary mania and,350
Tabes dorsalis,552
Table of Pharmacogenetic Association,100
Tapeworms,307
Tardive dyskinesia,79, 539
Tasimelteon,612Tau protein,70
T cells,317
Technetium-labeled hexamethylpropyleneamine oxime (99mTc-HMPAO),238
Temazepam,244.
See also Benzodiazepines
Temporal arteritis,115, 186
Tension-type headaches,414
Testicular tumor,246
Testosterone,221,
245–
248, 342, 445
Thalassemia,81
Therapeutic drug monitoring, with carbamazepine,52
Thiamine,249–
250, 342,
556–
557.
See also Wernicke’s encephalopathy
Three-dimensional (3D) mammography,191
Thrombocytes,211
Thrombocytopenia,211, 344,
558Thrombocytosis,211,
559Thrombosis,27
Thrombotic strokes,544
Thyroid antibodies,561
Thyroid disease,252, 253.
See also Hyperthyroidism; Hypothyroidism
Thyroid function testing,251–
255, 413, 524
Thyroid replacement therapy,254
Thyroid stimulating hormone (TSH),253–
255Down syndrome and,387
free thyroxine and,251
secondary mania and,350
thyrotoxicosis and,560
Thyroid storm,560
Thyroid surgery,207
Thyrotoxicosis,251, 313,
560–
561Thyrotropin-releasing hormone (TRH),251, 253
Thyroxine (T4),251, 253
Tic disorders,497
Ticks Lyme disease and,179, 464, 465
viral encephalitis and,397
Tissue biopsy, and sarcoidosis,537
Tissue plasminogen activator (tPA),185
Tobacco.
See Smoking
Tonic-clonic seizures,541, 543
Topiramate,613, 623
Torsades de pointes,106, 107
Total iron-binding capacity (TIBC),256–
257, 258
Toxic encephalopathy,238
Toxic epidermal necrolysis,52
Toxicity.
See also Heavy metal poisoning; Organophosphate poisoning
of alcohol,40
of aluminum and,335–336
of benzodiazepines,14, 73, 78, 103, 127, 178, 206, 244
of carbamazepine,52, 622
of clozapine,79, 622
of ethylene glycol,119, 280, 399–400
heavy metal screening and,142
iron level and,165
lead poisoning and,460
of lithium,110, 172, 173, 622
of manganese,469
of mercury,478
organophosphates and,76
phosphate and,209
protein levels and,225
of pyridoxine,227
of valproate,305, 623
vitamin D and,309
T. pallidum particle agglutination assay (TP-PA),242
Tramadol,613Transferrin,54, 256,
258–
259Transfusions, and hepatitis,422
Transient elastography,364
Transient ischemic attack (TIA),545angiography and,19, 21
carotid ultrasound and,58
CT and,85
MRI and,185
Transplant rejection,90.
See also Organ transplantation
Transthoracic echocardiography (TEE),104
Transverse myelitis,61, 495
Traumatic brain injury (TBI).
See also Head trauma
CSF and,67, 70
chloride levels and,74
creative kinase and,92
human growth hormone level and,160
magnetic resonance spectroscopy and,188
osmolality and,203
secondary mania and,350
SPECT and,238, 239
subdural hematoma and,547
troponins and,260
valproate level and,305
WBC count and,320
Trazodone,614, 623
Tremor, and Wilson’s disease,572
Treponema pallidum,242, 551, 552
Tricyclic antidepressants (TCA),615–
616electrocardiogram and,106
glucose levels and,139
prolactin levels and,220
serotonin transporter polymorphism and,236
Triggering receptor expressed on myeloid cells 2 (TREM2),338
Triglycerides,169,
260–
262Triiodothyronine (T3),253
Troponins,92,
263–
264, 490
Trousseau’s sign,441
Tuberculomas,562
Tuberculosis,562–
563CSF count and,63, 476
chest X-ray and,71
HIV testing and,155
lymphocytes and,317
osmolality and,203
prolactin and,220
syphilis testing and,242
testing for,265–
266WBC count and,320
Tubular necrosis,276
Tubulointerstitial disease,233
Tumors, and neuroimaging signal appearance,624.
See also Cancer;
specific typeT wave, and heart cycle,106
22q11.2 deletion syndrome,328–
329Ultrasounddrug-induced liver injury and,394
fatty liver disease and,401
pancreatitis and,506
Upper GI endoscopy,396
Uremic syndrome,44,
564–
566Urethelial carcinoma,299
Uric acid,267–268, 295
Urinalysis,269–
270.
See also Urine; Urine dipstick testing; Urine drug screen
anorexia nervosa and,341
bilirubin and,272blood, hemoglobin, and myoglobin,274–
275casts and,276–
277color and,278–
279crystals and,280–
281epithelial cells and epithelial casts,286glucose and,287ketones and,288–
289leukocyte esterase and,290nitrite and,293–
294pH and,295–
296porphyria and,522
protein and,297–
298RBCs and RBC casts,299–
300relevance of to psychiatry,xix
secondary mania and,350
specific gravity and,301
urinary tract infection and,566
WBCs and WBC casts,302urobilinogen and,303–
304Urinary tract infection (UTI),566–
567nitrite in urine and,293
protein in urine and,297
urinalysis and,269
urine dipstick testing and,282
urine leukocyte esterase and,290
urine WBCs and,302
Urine.
See also Urinalysis; Urinary tract infection; Urine dipstick testing; Urine drug screen
appearance of,271
characteristics of,269
culture of,293, 566
diabetes insipidus and,381
hypernatremia and,437
mercury levels in,479
osmolality of,203, 437, 550
Urine albumin,384.
See also Urine microalbumin
Urine arginine vasopressin,528
Urine copper test,573
Urine dipstick testing,282hyperglycemia and,432
initial screening for drug abuse,283
leukocyte esterase and,290
urinary tract infection and,566
Urine drug screen,283–
285.
See also Urinalysis
clonazepam and,78
lorazepam and,178
multiple sleep latency test and,201
opioids and,603
tampering with,392
temazepam and,244
Urine ethyl glucuronide,333
Urine home pregnancy tests,158
Urine microalbumin,291–
292Urobilinogen,303–
304, 634
Urochrome,278
Uveitis,536
U wave, and heart cycle,106
Vaccinesaluminum levels in adjuvants of,335
COVID-19 and,424
viral hepatitis and,420
Valproate,305–
306,
616pancreatitis and,167
pregnancy and,158
pyridoxine and,227
therapeutic and toxic levels of,623
urine ketones and,288
Vardenafil,617Varenicline,617Vascular dementia,267
Vascular disease,21, 160
Vascular inflammation,152
Vascular retinopathy,291
Vasculitis,297
Vasoconstriction,211
Venereal Disease Research Laboratory (VDRL) testing,242, 552
Venlafaxine,618, 623
Venoms,313
Ventricular arrhythmia,450
Ventricular dysfunction, and brain natriuretic peptide,47
Ventricular fibrillation,107
Ventricular hypertrophy,106
Ventricular tachycardia,107
Vertebral artery stroke,58, 545
Vertebral dissection,85
Vertebrobasilar insufficiency,58
Video electroencephalography,220
Vilazodone,618Viral hepatitis,420–
423Viral meningitis,475, 476
Virilization,246
Vision, and methanol level,197.
See also Eye exam; Ocular signs; Optic neuritis
Visual evoked response,121
Vitamin B1.
See Thiamine
Vitamin B6.
See Pyridoxine
Vitamin B12,307–
308deficiency of,568–
569folate level and,128
mean corpuscular volume and,193
methylmalonic acid level and deficiency of,199
secondary mania and deficiency of,350
Vitamin D,309–
310hypocalcemia and deficiency of,441
osteoporosis and,505
pancreatitis and,508
phosphate absorption and,209
Vitamin deficiencies, and depression,380
Vortioxetine,617, 621
Water deprivation tests,528
Waxy casts,276
Wernicke-Korsakoff syndrome,249, 556,
570–
571Wernicke’s encephalopathy,249, 473, 556,
570–
571Westergren method, and ESR,115
Western blot, and Lyme disease,179, 465
White blood cells (WBC),311–
312basophils and,313–
314CBC and,81
eosinophils and,315–
316lymphocytes and,317–
319monocytes and,320–
321neutrophils and,322–
325urinalysis and,302
Wilson’s disease,35, 572–573
Withdrawalalcohol use disorder and,332
amphetamines and,390
opioids and,392
sedative-hypnotics and,392
World Anti-Doping Agency,160
World Health Organization,505
Wrist actigraphy,456
Xanthine stones,295
Xpert MTB/RIF Ultra,476
Zaleplon.
See Nonbenzodiazepine hypnotics
Zika virus,397
Ziprasidone,480,
619, 623
Zolpidem.
See Nonbenzodiazepine hypnotics