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Flashcards in Functional Disorders Deck (17)
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1
Q

What is a functional disorder

A

Symptoms which are troubling and not fully explained by a physical disease process or injury- they are likely to be somatic manifestations caused by emotional distress

2
Q

What is a somatoform disorder

A

repeated presentation with physical symptoms, persistent requests for medical investigation ‘attention seeking behavirour’, resists attempts to discuss psychological basis

3
Q

what is somatisation

A

multiple, recurrent and frequently changing physical symptoms

4
Q

What kind of functional disorders exist

A
IBS
globus/dysphagia
Non epileptic attach disorder
Weakness and sensory disturbance
Fibromyalgia
Chronic fatigue
5
Q

What is the link between chronic fatique and fibromyalgia

A

CFS and fibromyalgia are spectrums of the same disorder characterised by fatique and musculoskeletal discomfort which is psychologically drive

6
Q

How common are functional disorders in neurology

A

make up a third of new outpatients

7
Q

Which gender are functional disorders more common in

A

female

8
Q

what age are functional disorders more common in

A

30-60 year olds

9
Q

what groups of people are more likely to have functional disorders

A

relatives of people with functional disorders
allied health service staff
patients with learning difficulties

10
Q

what things predispose to functional disorders

A

adverse childhood experiences - abuse, parental neglect, hospitalisation as a child, exposure to family illness

personality characterisitcs eg anxious

cognition - catastrophizing

11
Q

what factors may precipitate a functional illness

A

stressful life events - major threats to helath
personal loss
depression/anxiety

12
Q

what factors perpetuate functional illnesse

A
psychological issue overlooked
investigations etc consolidate the patients belief that this is an organis illness
iatrogenic illness
secondary gains eg exemption from work
intentional elaboration or feigning
13
Q

what maneuver is used to differentiate between organic weakness and functional weakness

A

hoovers sign

in organic weakness - attempting to flex the hip in supine position in the weak leg will result in extension of the hip ie the heel pushing down into the bed on the contralateral side

in functional weakness the contralateral hip extension will not occur as there is reduced effort in both legs

14
Q

define hypochonriasis

A

focus is on the potential diagnosis rather than the symptoms eg I have cancer

15
Q

what is factitious disorder

A

is a condition in which a person acts as if they have an illness by deliberately producing, feigning, or exaggerating symptoms

16
Q

what is malingering

A

feigning illness for secondary gain eg faking back pain to get out of work

17
Q

please not hypochondriasis, factitious disorder and malingering are not functional disorders

A

not the same as functional disorders