Clinical medicine Flashcards
(48 cards)
What is mood?
The patient tells the doctor about their mood
What is affect?
The doctor observes the patient’s emotions
What is anhedonia?
Loss of positive pleasure
Does a diurinal depression or reactive mood suggest depression is more severe?
Diurinal depression
What is blunting?
Total absence of emtion, seen most commonly in chronic schizophrenia
What is incongrous mood?
Where emotion fails to match thoughts and actions
For example- Patient laughing when describing the death of a close relaive
What is presure of speech and when does it mainly occur?
Mainluy occurs in mania and can be recognised by loudness, rapidability and difficult to interrupt
What is poverty of speech?
Appears to be an absence of any thoughts and patients report their minds to be empty
Occurs in depressive illness
What is Thought block?
Occurs in schizophrenia
Abrupt and complete interruption of the stream of thought. Mind goes blank
What us flight of ideas?
Patient’s thoughts rapidly jump from one topic to another.
What is perseveration?
Persistent and inappropriate repetition of the same thoughts and ideas
What is thought broadcast?
When the patient experiences their thoughts as being understood by others without talking, as though their thoughts are being broadcasted to others
What is thoguht insertion?
Occurs when a patient’s thought is percieved as being planted in their mind by someone else
What is thought withdrawl?
When a patient experiences their thoughts being taken away without their control
What is an obsession rumination?
Recurrent, persisten thought, impulse or image or musical theme that occurs despite the patient’s efforts to resist
Recognises the obsessional thoughts is their own, but it os usually unpleasant and often out of character
What is a compulsion?
Repetitive and seemingly purposeful action performed in a steyotypical way
Accompanied in a subjective sense that they must be carried out by an urge to resist
What is insight?
The degree to which a person recognises that they are unwell
What is illness beliefs?
Patient’s own exxplanation of their ill health
What are primary delusion?
Rare and appear suddenly and with full conviction but without any preceding events
What are secndary delusion?
Derived from a preceding morbid experience, such as auditory hallucinations
What are overvalued ideas?
Deeply held personaly convictions that are understandable when the individuals background is known
What are ideas of self reference?
Fall short of delusions
Held by people who are particularly self conscious
Cannot help feeling that people take notice of them in public places
What are illusions?
Misperceptions of external stimuli and are most likely to occur when the general level of sensory stimulation is reduced
What are hallucinaions?
Hallucinations may affect any of the following perceptions- auditory, visual, tactice, gustatory, olfactory or deep sensation
