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12 Cards in this Set

  • Front
  • Back
Define psychosomatic medicine.
Interplay of psychological and social phenomena with physiologic functions.
Consultation Liaison Psychiatry involves what three components?
Research

Education

Clinical service
What is this an example of?

48 year old man with inappropriate behavior and impulsivity is found to have a frontal meningioma.
Psychiatric presentation of medical condition.
What is this an example of?

For surgical resection of the meningioma, tx with high dose decadron is associated with irritability, sleepiness, and pressured speech.
Psychiatric complication of medical condition/treatment.
What is this an example of?

Upon learning of the diagnosis of brain tumor and need for surgical resection, a 48 year old man becomes apprehensive, demoralized, and depressed.
Psychiatric reaction to a medical condition.
What is this an example of?

A 28 year old woman with persistent problems with eating is diagnosed with anorexia nervosa; she weighs 60 pounds and is plagued by bone fractures, hypoglycemia, hypokalemia, and cardiac arrhthmias.
Medical presentations of psychiatric conditions.
What is this an example of?

52 year old man with schizophrenia has been successfully treated with an atypical antipsychotic; unfortunately, he has gained 40 pounds i the past year and has developed sleep apnea and diabetes.
Medical complication of psychiatric conditions or treatments.
What is this an example of?

A 52 year old man with OCD has lost 30 pounds and developed a cough. Work up reveals a lung CA.
Co-morbid medical and psychiatric conditions.
T/F - Depression is dependent of the pathophysiologic progression of CV dz. In other words, it is a secondary emotional response to the ill ness.
False - Independent
What does depression do to the autonomic components?
Increase sympathetic tone

Decrease parasympathetic tone
What is the major CV side effect when using TCA's?
Orthostatic hypotension
What is the major CV side effect of SSRI's?
No major effect.

Bradycardia is occasional side effect.