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41 Cards in this Set
- Front
- Back
Somatization Disorder
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Patient less than 30 has multiple complaints for 6MOS:
4 Pain 2 GI 1 Sexual 1 Neuro |
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Conversion Disorder
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ABRUBT loss of motor or sensory function
Motor: Shifting paralysis, globus hystericus, seizure Sensory: Parathesias, Vision problem |
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Dissociative Amnesia
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While amnesia is part of all dissociative disorders, this diagnosis requires it is the ONLY dissociative symptom.
Inability to remember important personal information (usually surrounds stressful/traumatic event). Rx: Amobarbital or Ativan during interview |
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Dissociative fugue
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Sudden unexpected travel away from home or work plus inability to recall one's past.
Often seen as response to a stressor. Rx: Amobarbital or Ativan for interview |
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Dissociative Identity disorder
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At least two identities recurrently take control of the person's behavior.
Do not recall personal information or events associative with the non-current personality |
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Adjustment Disorder
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Developement of an emotional response to a stressor within three months of the stressor. The sx do not last longer than 6mos.
Common emotions are depression, anxiety and conduct disturbance TOC is therapy. |
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Postpartum Blues
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Mood lability and hypersensitivity that lasts 7-14 days after child is born.
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Substance Induced Mood Disorder
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Persistent disturbance in mood that occurs within one month of substance intoxication or withdrawl.
After one month (if sx persist), treat. |
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Acute Stress Disorder
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Meet criteria for PTSD and also have dissociative symptoms for
2 DAYS TO ONE MONTH Rx: Social Support |
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PTSD
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Avoidance, reliving of event and increased arousal GREATER THAN ONE MONTH after life threatening event
Rx: Group Psychotherapy |
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Drugs absolutely contraindicated in Pregnancy
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Lithium, Valproic acid and Haldol
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When to use SSRI
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Any depressive disorder
OCD Social anxiety Panic attacks Bulimia PTSD Premenstrual Dysphoric Disorder |
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Amphetamine Intoxication
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Euphoria, tachycardia, paranoia, hypervigelence, DILATED PUPIL
Rx: Benzos, Amantadine, Bromocriptine |
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Cannabis Intoxication
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Red eyes, impaired judgement, slowed reaction time
No Rx |
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Hallucinogen
LSD, Mushrooms, Mescaline |
Ideas of reference, depersonalization, hallucinations, illusions, anxiety and DILATED PUPIL
Rx: Antipsychotic or Benzo |
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Inhalant Intoxication
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They effect the cerebellum so you see belligerence, nystagmus, lethargy, uncoordination and crusting around the nose
No Rx |
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Opiate intoxication
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Pupillary constriction, constipation, drowsiness, slurred speech, respiratory depression.
Rx: Naloxone/Naltrexone Methadone for addicts Buprenorphine for detox |
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Benzo/Barb Intoxication
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Slurred speech, unsteady gait and uncoordination
Rx: Phenobarbitol challenge for Barbs and slow taper for benzo |
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Benzo Withdrawal
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Autonomic hyperactivity
Tremor Anxiety Hyperactivity Grand Mal Seizure** Rx: Slow taper of benzo |
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Alcohol withdrawal
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Autonomic hyperactivity
Hand tremor Insomnia Hallucinations Anxiety **Usually on day 3 without alcohol Rx: Benzos |
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Treatment for NMS
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Dantrolene
Bromocriptine Amantadine |
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Conduct Disorder
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Before age of 13 patient has ONE YEAR of demonstrating disregard for rules as well as the basic rights of others
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ODD
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Patient has 6MOS of defiant, hostile, negativistic behavior
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ADHD
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For 6MOS before age 7 the child has demonstrated attention +/- hyperactivity problems in atleast two settings.
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How Asperger's is different from Autism and MR
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There is no clinically important language delay (words by age two, phrases by age four). No delay in cognitive development, self-help skills, adaptive behavior (separates from MR), and they have normal curiosity about the environment.
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What to do with a suicidal patient?
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Actively suicidal patient is put on one-to-one observation. A patient with an intent and a plan in place must be admitted to the hospital.
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Stages of Sexual Excitation
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Desire
Excitation Plateau Orgasm Resolution |
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Schizophrenia
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6MOS of sx with 1MOS active psychosis (2/5):
Delusions Hallucinations Disorganized speech Disorganized behavior Negative sx |
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Schizophreniform Disorder
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Patient has symptoms for 1-6MOS with 2/5 active symptoms for most of one month (or one constant/ 2 dialoging voices)
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Schizoaffective Disorder
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Meets criteria for either MDD or manic episode while simultaneously meeting criteria for Schizophrenia.
Has also has two weeks of delusions or hallucinations without any mood sx. |
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Common causes of delirium by age group
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Children: fever, infection
Young adults: drugs Middle aged: Alcohol withdrawl, injury Elderly:metabolic, CV and drugs |
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Naltrexone and Naloxone
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Naltrexone is a long lasting opioid antagonist that reduces cravings for alcohol in alcoholic patients. Naloxone is short acting and thus is the TOC for opiate overdose.
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Separation Anxiety Disorder
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4 WKS of sx must be present
Child must be <18 yrs old Usually associated with recent illness of a parent |
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Tourette's Disorder
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Tics almost daily for ONE YR
No tic free period for >3mos Has had motor and vocal tics <18 yrs old Rx: Dopamine antagonist like Haloperidol, Pimozide |
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TOC for Obsessive Compulsive Personality?
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Insight oriented psychotherapy
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Enuresis
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Voiding after age 5
Do not start drugs until age 7 Can use DDAVP (antidiuretic) or TCA |
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Delusional disorder
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Nonbizzare fixed delusions for atleast 1MOS.
Functioning is not significantly impaired. |
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Transient global amnesia
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Transient loss of memory where immediate recall and remote memory are preserved and nothing else.
No treatment. Resolves on its own and does not usually recur. |
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Signs and Sx of normal pressure hydrocephalus
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Ataxia, Dementia, Incontinence
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Nightmares
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Occur during REM sleep
Child reports "bad dream" the next day |
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Night terrors
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Occur during Delta wave sleep (Stage3/4). Child is inconsolable and does not remember the next day.
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