Clinical Psychosomatic Medicine Dr. Hill Flashcards
(34 cards)
avoid what drugs in elderly
benzodiazepines and benadryl
how to treat delirium in elderly
halodolol, not adavan
depression is a risk factor of what diseases and higher risk of getting in what disease
- coronary heart disease
- stroke
- diabetic sx
Anxiety can increase in what disorders
Coronary artery disease
asthma
phobias
stress is caused by
stimulation of ANS sympathetic nervous system
neurotransmitters responsible for stress
- catecholamines
- increase 5HT
- glucocorticoids
- DA increase
Hormones released during stress
CRF increasing ACTH
SLE psychiatric sx
depression, psychosis, delusions, hallucinations
MS psychiatric sx
anxiety, euphoria, mania
seizure disorder psychiatric sx
confusion, DeJa Vu, catatonic state,
MEAN/VIOLENT then no memory of it
hyperthyroidism sx
- heat intolerant
- WL
- tachy, tremor
- short attention span, impaired recent memory
- bulging eyes
hyperthyroidism psychiatric sx
nervous, excitability, irritability, pressured speach, insomnia, psychosis, visual hallucinations
Hypothyroidism sx
- cold intolerance
- dry skin
- C + Weight gain
Hypothyroidism psychiatric sx
- lethargy
- depression
- personality change
- paranoia
- sleeping all the time
DM psychiatric sx
- frustration
- loneliness
- withdrawn
- depression
Hyponatremia psychiatric sx
confusion (delirium), lethargy, personality change,
Thiamine deficiency psychiatric sx
poor concentration, confusion, confabulation
Vit B12 psychiatric sx
irritablity, inattentiveness, psychosis, dementia
this mood problem can lead to what disease in GI :
- stress
- MDD
- Panic disorder
- PUD
- Ulcerative Colitis
- Crohn’s Disease
most common cause of hallucinations
delirium tremens
most common cause of confusion and disorientation in hospital
delirium
corticosteroids can cause what psychiatric sxs
mania, psychosis, hallucinations
Benzodiazepines can cause what psychiatric sxs
sedation, paradoxical agitation (AVOID in elderly with delirium)
Antiparkinson’s meds can cause what psychiatric sxs
mania, anxiety, psychosis