Neurology

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Intracerebral hemorrhage related to waefarin

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Vit K , prothrombin complex concentrate PCC

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Alzheumer's disease

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Neuroimaging = atrophy , mainly in temporal & pariatel lobe

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Tourette syndrome

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Multiple motor and one or more vocal tics before age 18

◆ADHD , obsessive-compulsive disorder - comorbid condition

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Neonatal abstinence syndrome

Heroin

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Infant withdrawal to opiates and usually present in the frist few days of life = irritability , high pitched cry , poor sleeping , tremors, seizures , sweating , poor feeding

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Pyromania

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Intentional and repeated fire setting with no obvious motive

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Selective mutism children

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Verbal and talkative at home , but refuse to speak in specific social setting , commonly at school , it considered n anxiety disorder

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Generalized anxiety disorder

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Multiple worries lasting > 6 mounth with , restlessness , fatigue , difficulty concentrating , irritability , muscle tensionb, sleep disturbance

◆Buspirone

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Alcohol withdrawal

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Treated by intermediate-duration benzodiazepine , Lorazepam

◆Gama-glutamyl trasnpeptidase ⬆⬆

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Amphtamin intoxication

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Psychiatric symptoms - agitation , irritability , psychosis , chest pain , tachycardia , HTN , diaphorasis , mydrasis

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Anabolic -androgenic steroid

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"Testesterone ,trenbolone , boldenone , stanozolol , nandrolone ' side effect , acne , baldness , gynecomastia , hepatic dysfunction , altered lipid profile , virilization , testicular failure , mood behavioral change

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Anorexia nervosa

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Bupropion

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Frist line treatment for major depression not cause weight gain , sexual dysfunction -

Is contraindicated in seizure , anorexia , bulimia nervosa

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Neuroleptic malignant syndrome

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Life thereatening condition after admission of anticychotic medication

◆⬆Fever , lead pipe rigidity , altered mental status , autonomic instability

◆dopamine dysregulation

◆Creatinine kinase , wbc ⬆

◆mortality rate 10%-20%

◆Treated by dopamine agonist - bromocriptine & dantrolene

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Antisocial personality disorder

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Pervasive pattern of violating the rights of others , and lack of remorse , patient at least 18 with history of consuct disorder

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Avoidant personality disorder

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Avoiding social interaction , hypersensitivity to rejection- limited relationship feeling of inferiority

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Short acting benzodiazepine

Alprazolam

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Abrubt cessation = withdrowal symptoms = seizures & confusion

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Companation of alcohol & benzodiazepine

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Sedative hypnotonic , vital sign detangmentv , respiratory depression

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Acute menia

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Bipolar disorder 1

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Manic episodes +-Hx of major deppression

1st line mood satabilizer lithium & valproate +( 2nd anticychitic quetiapine , lamotrigine

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Bipolar disorder 2

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Hypomanic + major deppression

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Cyclothymic disorder

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.

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Borderline personality disorder

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Persistent pattern of unstable relationship , mood lability , impulsivity , recurrent suicidal behavior

◆ dialectical behavioral therapy , thycotherapy , behavioral focas

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Bulimia nervosa

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Recurrent bing eating , & restrictive compensatary behavior , normal weight to overweight patient

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Cannabis intoxication

Marijuana

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Conjuctival injection , dry mouth , tacychardia , ⬆appetite , psychomotor impairment , anxiety , paranoia

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Catatonia syndrome

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Seen in severe psychiatric & medical illness = immobility , mutism , posturing

◆Benzodiazepine , electroconvulsive therapy

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Treatment-resistant schizophrenia

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Clozapine = is unique superiorty in Treatment-resistant schizophrenia

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Cocaine abuse

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Wt loss , behavioral change , erythema of the turbinate and nasal srptum

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Cognitive behavioral therapy

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Reducing automatic negative thoughts , and avoidance behaviour that cause distress

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Conduct disorder age <18

Age >18 = antisocial personality disorder

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Childhood psychiatric disorder ,

Voilate major societal norms or rights of other

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Conversion disorder

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Sudden onset of neurological symptoms , cilinical finding that are incompatible with recognized neurilogical condition

Precipitated by stress

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Intellectualizationt

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Transformation of an emotianally difficult event into purly intellectual problem to avoid confronting its un comfortable emotialnal component

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Cyclothymic disorder

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◆Chronic , fluctuating mood disorder for many years

Fall within bipolar spectrum less severe form , >2 yrs for diagnosis

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Reaction formation

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Defence mechanism = transforming unacceltable feeling & impulse into their extreme opposite

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Defence mechanism

Unconscious mean of responding and adapting to different situation while preserving self image

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Displacement

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Immature defence mechanism = transfering emotions assosiated with an oudettung object to safer alternate object

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Delusional disorder

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One or More persistent delusion & no other prominant psychotic symptoms

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Normal aging & dementia

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.

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Dissociative disorder

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Volproate

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Anticonvulsant mood stabilizer , cause elevated aninotransferases , rere cases of hepatic failure

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Lamotrigine

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Serious rashes , stevens-Johnson syndrome

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Elctroconvulsive therapy

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Anterograde & retrograde amnesia

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Factitious disorder

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Intentuonally produce sign & symptoms , for purpusa of assyming sick role

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Malingering

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Falsification or exaggeration of stmptoms , with goal tu assume sick role

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Risperidone

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Second generation antipsychotic

Cause ⬆ freguency of prolactin elevation

◆Serotonin 2A & dopamine D2 receptor blocker

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Gambling disorder

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.قمار

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Gender dysphoria

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Persistent intense desire to be another gender

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Narcolepsy

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Excessive daytime sleepness , cataplexy and REM sleep

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Smoking cessation

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Nicotine replacement therapy

Varenicline & bupropoin

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Glucocirticoid induced psychosis

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Frist week

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Major depressive disorder

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◆⬆Cortisol level = hyperactivity hypothalamic-pituitary-adrenal axis

◆⬇Hippocampal & frontal lobe volume - change in sleep REM sleep latency

◆treated by bupripion

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ADHD

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◆Frist line = methylphenidate

◆Side effect = ⬇appetite , wt loss , insomnia

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Persistent depressive disorder

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Venlafaxine

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Antideppressant

Serotonin-norepinephrine reuptake inhibitor

◆dose delendent htn

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Post-traumatic stress disorder

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Caffeine intoxication

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Excessive amaunt of energy drink

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Schizophreniform disorder

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Schizophrenia present >1 month -<6 monuth

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Toxic megacolon

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Postopartom deppressiin

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◆SSRI = sertaline

◆> 4 WEEKS

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Somatic symptom disorder

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Ssri = fluxetine

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Illness anaxiaty disorder hypochondriasis

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Amphetsmine analogues

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Bath salt = prolonged duration of effect

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Stranger anxiaty

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Normal for age 8mnth to 2 yrs

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Obsessive compulsive disoeder

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Tourette syndrome

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Selective mutism

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Refuse to speak in specific social setting mainly at school

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Reactive attachment disorder

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Early child abuse or neglected= difficulty forming relationship

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Rett syndrome

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Girl , loss of speech , puposeful hand use , autism features

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Bevermeant

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Notmal reaction to loss

◆Persistent yearing to love

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CR vein

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