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15 Cards in this Set
- Front
- Back
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What is CAGE Mnemonic
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Cut down
Annoyed Guilty Eye Opener |
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SIGECAPS
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Sleep, interest, guilt, energy deficit, concentration deficit, appetite disorder, psychomotor retardation or agitation
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DIGFAST Bipolar Disorder
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Distractibility, Indiscretion (excessive involvement in pleasurable activities, hight potenital painful outcome
Grandiosity, flight of ideas, Activities increase Sleep deficit Talkativess (pressure speech) |
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Anxiety AND I CREST
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Anxous, no control over worry, duration 6 month, irritability concentration impairment, restlessness, energy decrease, sleep impairment tension in muscles.
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Mental Status Exam
All Borderline Subjects Are Tough Troubled Characters |
Appearance, Behavior, Speech, Affect, Thought process, Thought content, Cognitive Examination
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Cognitive Examination Include:
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Assess cognition by asking memory questions
- Three item recall after three minutes (also Folstein Mini-Mental Status), see Caring for Older Persons, Name the last three presidents, Name 10 common kitchen objects in 10 sec. |
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Cognitive Examination (continued)
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Demo - simple repetitive motor tasks palm up/palm down
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Assessment Tools
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Abnormal Involuntary Movement Scale
Folstein Mini Mental Status Exam Connor's parent and teacher symptoms questionnaire a. Assesses both parents and teachers observations of the child with ADHD Hamilton Depression Rating Scale Hamilton Anxiety Rating Scale Brief Psychiatric Rating Scale Assesses psychosis Scale for the Assessment of Negative/and Positive Symptoms Young Mania Rating Scale Clock Test |
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Clock Test - What disorder does it test?
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Dementia
Scoring - 12 must appear (3 pt), There must be 12 numbers (1 pt); Two disting points (1 pt), Time identified 1 point. Score <4 = impairment |
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Examples of Self Reportsing Assessment:
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Beck Depression Inventory
Zung Inventory Symptom Check List-90 Profile of Mood States |
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Lab Work Include
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General Screening
Drug Levels Screening Lab related to medication effects Dexamethasone-Suppression Test (DST) |
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Lab-General Screeing
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General Screening = CBC, Chemistry panel, Thyroid panel, Liver panel, B-12 and Folate
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Drug levels:
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Drug Levels = therapeutic levels and toxic levels of some prescribed meds/abused substances.
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Screening labs r/t medication effects
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Screening labs Example:
Lithium:evaluate thyroid indices Divalproic acid:check hepatic function |
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Lab Work DST
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Historically used to determine clinical depression, but validity issues limit is useflness
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