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12 Cards in this Set
- Front
- Back
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Define psychosomatic medicine.
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Interplay of psychological and social phenomena with physiologic functions.
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Consultation Liaison Psychiatry involves what three components?
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Research
Education Clinical service |
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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False - Independent
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What does depression do to the autonomic components?
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Increase sympathetic tone
Decrease parasympathetic tone |
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What is the major CV side effect when using TCA's?
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Orthostatic hypotension
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What is the major CV side effect of SSRI's?
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No major effect.
Bradycardia is occasional side effect. |
