Differentials Psych

Question 1

DIFFERENTIAL DIAGNOSIS OF DELIRIUM

Answer 1

DIFFERENTIAL DIAGNOSIS OF DELIRIUM

- DEMENTIA 
- Depression/Drugs/alcohol
- Ears/Eyes
- Metabolic (hyponatreamia, hypoxia, Hypoglycemia, diabetes, hypothyroidism)
- Emotion/encephalopathy (loneliness)
- Nutrition (Vitamin B12/diet)
- Trauma/tumor
- Infections
- Arteriovascular disease (CVA, MI)

Question 2

DIFFERENTIAL DIAGNOSIS OF GAD

Answer 2

DIFFERENTIAL DIAGNOSIS OF GAD

- Generalized Anxiety Disorder 
- Panic Disorder 
- Phobia 
- Adjustment disorder w/ anxiety 
- PTSD 
- Depression with anxiety 
- Hyperthyroidism 
- Pheochromocytoma 
- Coffee

Question 3

DIFFERENTIAL DIAGNOSIS OF DISTRESSED MOTHER

Answer 3

DIFFERENTIAL DIAGNOSIS OF DISTRESSED MOTHER 
	- Acute Stress reaction 
	- Adjustment disorder 
	- GAD 
	- Panic disorder 
	- PTSD 
	- OCD
	- Organic causes 
		○ Hyperthyroidism 
		○ Pheochromocytoma 
	- Coffee 
	- Drugs

Question 4

DIFFERENTIAL DIAGNOSIS OF PTSD

Answer 4

DIFFERENTIAL DIAGNOSIS OF PTSD 
	- PTSD 
	- OCD 
	- GAD 
	- Phobia 
	- Panic Disorder 
	- Acute stress reaction 
	- Adjustment disorder 
	- Depression  
	- Substance abuse 
	- Side effect of drug - Midazolam 
	- Organic cause 
		○ Infection 
		○ Thyroid 
		○ Drugs

Question 5

PTSD - POST TRAUMATIC STRESS DISORDER

Answer 5

PTSD - POST TRAUMATIC STRESS DISORDER

- Flashbacks and Nightmares 
- Avoid place, people and things that remind 
- Hyperalarmed

Question 6

DIFFERENTIAL DIAGNOSIS OF OCD

Answer 6

DIFFERENTIAL DIAGNOSIS OF OCD 
	- Obsessive compulsive disorder 
	- Organic causes 
		○ Thyroid 
		○ Head trauma 
	- Drugs - substance abuse 
	- PTSD 
	- Adjustment disorder 
	- GAD 
	- Depression

Question 7

Obsessive Compulsive Disorder

Answer 7

Obsessive Compulsive Disorder

- How do these thoughts make you feel? 
- Have you tried to resist these thoughts? 
- Do you think these thoughts are unreasonable and excessive? 
- Do you have any habits or rituals which you need to carry out everyday?

Question 8

DIFFERENTIAL DIAGNOSIS OF DEPRESSION WITH HALLUCINATION

Answer 8

DIFFERENTIAL DIAGNOSIS OF DEPRESSION WITH HALLUCINATION  
	- Depression 
	- Bipolar do
	- Adjustment disorder 
	- Acute stress reaction 
	- PTSD 
	- GAD 
	- Organic cause 
		○ Anemia 
		○ Hypothyroidism 
		○ Brain tumor 
		○ Brain injury 
	- Mania 
	- Bipolar do with psychotic features 
	- Psychosis
	- Schizophrenia 
	- Schizophreniform
	- Shizoaffective do

Question 9

DIFFERENTIAL DIAGNOSIS OF DEPRESSION WITHOUT HALLUCINATION

Answer 9

DIFFERENTIAL DIAGNOSIS OF DEPRESSION WITHOUT HALLUCINATION 
	- Depression 
	- Bipolar do
	- Adjustment disorder 
	- Acute stress reaction 
	- PTSD 
	- GAD 
	- Organic cause 
		○ Anemia 
		○ Hypothyroidism 
		○ Brain tumor 
		○ Brain injury 
		○ Drugs

Question 10

DIFFERENTIAL DIAGNOSIS OF MANIA

Answer 10

DIFFERENTIAL DIAGNOSIS OF MANIA

- Acute Mania 
- Acute relapse of schizophrenia 
- Manic episode of bipolar disorder 
- Depression with psychosis 
- Brain tumor 
- Thyroid problem 
- Severe glycemic dysfunction

Question 11

DIFFERENTIAL DIAGNOSIS OF BULIMIA NERVOSA

Answer 11

DIFFERENTIAL DIAGNOSIS OF BULIMIA NERVOSA

- Bulimia Nervosa 
- Anorexia Nervosa 
- Thyroid 
- Infections 
- GAD 
- PTSD 
- OCD 
- Depression 
- Substance abuse

Question 12

DIFFERENTIAL DIAGNOSIS OF ANNIVERSARY GRIEF

Answer 12

DIFFERENTIAL DIAGNOSIS OF ANNIVERSARY GRIEF

- Anniversary grief 
- Depression 
- PTSD 
- Adjustment disorder

Question 13

DIFFERENTIAL DIAGNOSIS OF SCHIZOPHRENIA

Answer 13

DIFFERENTIAL DIAGNOSIS OF SCHIZOPHRENIA 
	- Mania 
	- Schizophrenia /Relapse Schizophrenia 
	- Bipolar disorder 
	- Schizophreniform 
	- Schizoaffective disorder 
	- Brain tumor 
	- Brain trauma 
	- Brain infections 
Substance induced psychosis

Question 14

DIFFERENTIAL DIAGNOSIS OF FEELING DOWN

Answer 14

DIFFERENTIAL DIAGNOSIS OF FEELING DOWN 
	- Loneliness 
	- Depression 
	- Adjustment disorder 
	- Acute stress reaction
	- Anxiety 
	- Bipolar disorder
	- Organic causes 
		○ Menopause 
		○ Hypothyroidism

Question 15

SCHIZOPHRENIA RISK ASSESSMENT (SAD PERSONS)

SAD PERSON

Answer 15

SCHIZOPHRENIA RISK ASSESSMENT (SAD PERSONS) 
SAD PERSON 
Sex 
Age 
Depression 
Previous attempts and previous psych history 
Excessive drugs or alcohol 
Rationality loss 
Separated and loss spouse 
Organized plan 
No support 
Sickness or chronic illness

Question 16

MSE

Answer 16

MSE ASEPTTICJRRR
	- Appearance and behaviour 
	- Speech (Tone, volume and rate) 
	- Emotion (Mood and affect) 
	- Perceptions (Hallucinations) 
	- Thought form 
		○ Monosyllabic 
		○ Loosening association 
		○ Tangentiality 
		○ Concrete thinking 
		○ Flight of ideas 
	- Thought content 
		○ Delusions 
		○ Overvalued ideas 
		○ Obsessions 
	- Insight 
	- Cognition 
	- Judgement 
	- Risk 
	- Rapport 
	- Reliability

Question 17

DIFFERENTIALS QUESTIONNAIRES

Answer 17

DIFFERENTIALS QUESTIONNAIRES

PTSD

- Any traumatic event that made you stressed 
- Any nightmares or flashbacks 

Panick attack

- Any funny racing of the heart 
- Shortness of breath in particular area or situation 

Phobia
- Anything that you are afraid of ?

GAD
- Are you an anxious person?

Depression

- How's your mood 
- Do you still enjoy the things you used to enjoy before? 

Hypothyroidism

- Do you have weather preferences? 
- Any swelling? 
- Recent weight gain? 
- Sluggishness? 

Schizophrenia
- Under alot of stress some people see or hear things that other’s cannot is that the same for you ?

Body Dysmorphic Disorder
- Do you have any parts of your body that you don’t like or wish you could have changed?

OCD
- Do you have repetitive thoughts which you cannot resist?

Adjustment disorder
- Is there any particular that happened recently before you started having these thoughts?

Question 18

MMSE

Answer 18

MMSE
Orientation and A = Delirium
Recall and R = Chronic Alcohol Abuse, Dementia or Alzheimers