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Clinical Psychosomatic Medicine Dr. Hill Flashcards

(34 cards)

1
Q

avoid what drugs in elderly

A

benzodiazepines and benadryl

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2
Q

how to treat delirium in elderly

A

halodolol, not adavan

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3
Q

depression is a risk factor of what diseases and higher risk of getting in what disease

A
  1. coronary heart disease
  2. stroke
  3. diabetic sx
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4
Q

Anxiety can increase in what disorders

A

Coronary artery disease
asthma
phobias

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5
Q

stress is caused by

A

stimulation of ANS sympathetic nervous system

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6
Q

neurotransmitters responsible for stress

A
  1. catecholamines
  2. increase 5HT
  3. glucocorticoids
  4. DA increase
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7
Q

Hormones released during stress

A

CRF increasing ACTH

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8
Q

SLE psychiatric sx

A

depression, psychosis, delusions, hallucinations

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9
Q

MS psychiatric sx

A

anxiety, euphoria, mania

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10
Q

seizure disorder psychiatric sx

A

confusion, DeJa Vu, catatonic state,

MEAN/VIOLENT then no memory of it

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11
Q

hyperthyroidism sx

A
  1. heat intolerant
  2. WL
  3. tachy, tremor
  4. short attention span, impaired recent memory
  5. bulging eyes
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12
Q

hyperthyroidism psychiatric sx

A

nervous, excitability, irritability, pressured speach, insomnia, psychosis, visual hallucinations

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13
Q

Hypothyroidism sx

A
  1. cold intolerance
  2. dry skin
  3. C + Weight gain
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14
Q

Hypothyroidism psychiatric sx

A
  1. lethargy
  2. depression
  3. personality change
  4. paranoia
  5. sleeping all the time
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15
Q

DM psychiatric sx

A
  1. frustration
  2. loneliness
  3. withdrawn
  4. depression
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16
Q

Hyponatremia psychiatric sx

A

confusion (delirium), lethargy, personality change,

17
Q

Thiamine deficiency psychiatric sx

A

poor concentration, confusion, confabulation

18
Q

Vit B12 psychiatric sx

A

irritablity, inattentiveness, psychosis, dementia

19
Q

this mood problem can lead to what disease in GI :

  1. stress
  2. MDD
  3. Panic disorder
A
  1. PUD
  2. Ulcerative Colitis
  3. Crohn’s Disease
20
Q

most common cause of hallucinations

A

delirium tremens

21
Q

most common cause of confusion and disorientation in hospital

22
Q

corticosteroids can cause what psychiatric sxs

A

mania, psychosis, hallucinations

23
Q

Benzodiazepines can cause what psychiatric sxs

A

sedation, paradoxical agitation (AVOID in elderly with delirium)

24
Q

Antiparkinson’s meds can cause what psychiatric sxs

A

mania, anxiety, psychosis

25
Antidepressants can cause what psychiatric sxs
mania IN bipolar pt, anxiety, insomnia
26
PCP sx
htn, tachy, nystagmus, muscular rigidity, V
27
PCP can cause what psychiatric sxs
agitation, blank stare, anxiety, stupor, aggression, panic, bizarre behavior
28
head trauma can cause what psychiatric sxs
confusion, personality changes, memory impairment, agitation, impulsivity
29
Frontal Lobe Tumor can cause what psychiatric sxs
mood changes, irritability, facetiousness (laugh when no one is), impaired judgement, impaired memory, delirium, loss of speech, loss of smell = usually no psych history,
30
Pancreatic Carcinoma can cause what psychiatric sxs
WL, abdominal pain, depression*, lethargy, low energy, no emotion
31
Acute Intermittent Porphyria can cause what psychiatric sxs
acute depression, agitation, paranoia, visual hallucinations
32
Acute Intermittent porphyria sx
ABD pain, fever, V, C, Peripheral neuropathy, paralysis
33
Hepatic Encephalopathy can cause what psychiatric sxs
euphoria, disinhibition, psychosis, depression or manic
34
Hepatic encephalopathy sx
asterixis, hyperreflex, spider angioma, palmar erythema, ecchymosis, hepatomegally