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78 Cards in this Set

  • Front
  • Back
two categories of disordered thought
thought content
thought process
false belief that one is guilty or resonsible for something
delusions of guilt
common cause of olfactory hallucinations
epilepsy aura
illusion
misinterpretation of an existing sensory stimulus
mistaking a shadow for a cat
illusion
unawarenss of where one's mind and body and those of others begin
loss of ego boundaries
differential for psychosis
secondary to GMC
substance induced
delirium/dementia
BPD
MDD with psychotic
Brief psychotic
schizo
schiphreniform
SAD
delusional disorder
CNS diseases associated with psychosis
cv disease
MS
neoplasm
Parkinson's
Huntington's
temporal lobe eliplepsy
encephalitis
prio disease
endocrinopathies associated with psychosis
Addison's/Cushing's
hyper/hypothyroidism
hyper/hypo calcemia
hypo pituitary
vitamin deficiencies associated with psychosis
B12
folate
niacin
connective tissue diseases associated with psychosis
lupus
temporal arteritis
metabolic disorder associated with psychosis
porphyria
DSM IV criteria for psychotic d/o secondary to GMC
prominent hallucinations or delusions
don't occur only during delirium
evidence for medical cause

PED
DSM criteria for psychosis secondary to medication or substance use
prominent halllucinations or delusions
not only during delirium
evidence
not better accounted for by non-substance caused

Hallucination DENS
time criterion for schizophrenia
6 months
three stages of schizophrenia
prodromal
psychotic
residual
5 As of schizophrenia
Anhedonia
Affect flat
Alogia (poverty of speech)
Avolition/apathy
Attention poor
DSM criteria fo schizophrenia
2 or more of
- delusions
- hallucinations
- disorganized speech
- grossly disorganized or catatonic behavior
- negative symtpoms
impairment
6 months
not due to med, neuro, substance
subtypes of schizophrenia
paranoid
disorganized
catatonic
undifferentiated
residual
criteria for paranoid type of schizophrenia
preoccupation with one or more delusions OR frequent AH
no predominance of
- disorganized speech/behavior
- catatonic behavior
- inappropriate affect
criteria for disorganized type of schizophrenia
disorganized speech
disorganized behavior
flat or inappropriate affect

DID it disorganizedly
criteria for catatonic type of schizophrenia
2 of:
- motor immobility
- excessive purposeless motor activity
- extreme negativism/mutism
- peculiar voluntary movements or posturing
- echolalia or echopraxia

PIN EveryMovement
lifetime prevalence of schizophrenia
1%
monozygotic twin concordance for schizophrenia
50%
repeating words or phrases
echolalia
mimicing behavior
echopraxia
neurobiology of schizophrenia
increased dopamine activity in
- prefrontal cotex
- mesolimbic system
brain pathway responsible for negative symptoms of schizophrenia
prefrontal cortical
brain pathway responsible for positive symptoms of schizophrenia
mesolimbic
dopamine pathway affected by neuroleptics
tuberoinfundibular
nigrostriatal
pathway related to EPS of schizophrenia treatment
nigrostriatal
pathway related to hyperprolactinemia of schizophrenia treatment
tuberoinfundibular
NT abnormalities in schizophrenia
dopamine
serotonin
NE
GABA
signs of schizophrenia on CT
enlargement of ventricles
diffuse cortical atrophy
antipsychotics that antagonize serotonin
risperidone
clozapine
assocations with better prognosis for schizophrenics
later onset
social support
positive symtpoms
mood symptoms
acute onset
female sex
few relapses
good premorbid functioning
typical neuroleptics
chlorpromazine
thioridazine
trifluoperazine
haloperidol
action of typical neuroleptics
D2 antagonists
type of symptoms that typicals best treat
positive vs. negative
main side effects of typical neuroletics
EPS
neuroleptic malignant syndrome
TD
atypical neuroleptics
risperidone
clozapine
olanzapine
quetiapine
aripiprazole
ziprosidone
action of atypicals
antagonisis D2 and 5HT2
spasms of face, neck tongue
dystonia
resting tremor, rigidity, bradyinesia
parkinsonism
feeling of restlessness
akathisia
EPS
dystonia
parkinsonism
akathisia

outside of the pyramid is a PAD
anticholinergic symptoms
dry mouth
constipation
blurred vision
darting or writhing movements of face, tongue, head
TD
treatment for TD
discontinue rx
substitute atypical neuroleptic
benzos, beta blockers, cholinomimentics in short term
treatment for EPS
benztropine
amantadine
benzodiazepines
confusion, high fever, elevated BP, tachy, rigidity, sweating, elevated CPK
neuroleptic malignant syndrome
elevated CPK
neuroleptic malignant syndrome
lead pipe rigidity
neuroleptic malignant syndrome
high potency neuroleptics
haloperidol
trifluoperazine
low potency neuroleptics
chlorpromazine
thioridazine
type of antipsychotics associated with neuroleptic malignant syndrome
high potency
- haloperidol
- trifluoperazine
rx associated with agranulocytosis
clozapine (so weekly blood draws!)
rx that can cause irreversible retinal pigmentation at high doses
thioridazine
rx that can cause deposits in lens and cornea
chlorpromazine
quirk of clozapine treatment
weekly blood draws for agranulocytosis
time criterion for schizophreniform
1-6 months
mortality rate of neuroleptic malignant syndrome
20%
% of patients with schizophreniform ending up with SAD/SD
66%
Treatment for schizophreniform
hospitalization
3-6 mos of antipsychotics
supportive psychotherapy
criteria for SAD
criteria for MDD, manic or mixed episode AND schizophrenia

delusions or hallucinations for 2 weeks in absence of mood disorder

mood symtpoms present for substantial portion of psychotic illness

GMC/rx not cause
criteria for brief psychotic disorder
1 day to 1 month
not due to GMC/Rx
nonbizarre dellusions
beliefs that might occur in real life but are not currently true (e.g., having a disease)
delusions that revolve around love
erotomanic
phsycial delusions
somatic
delusions of unfaithfulness
jealous type
criteria for delusional disorder
nonbizarre, fixed delusions for at least 1 month

not meeting criteria for schizophrenia

no significant functional impairment
folie a deux
shared psychotic disorder
paranoid
odd or magical beliefs
eccentric
lack of friends
social anxiety
schizotypal personality disorder
withdrawn
lack of enjoyment from social interactions
emotionally constricted
schizoid personality disorder
patient believes that his penis is shrinking and will disappear, causing death
Koro, seen in Asia
sudden unprovoked outbursts of violence of which the person has no recollection
Amok, seen in Malaysia, SE Asia
headache
fatigue
visual distrubances
in male students
brain fag, seen in Africa
% of shared pschotic disorder patients that recover after separation
40%