Flashcards in Mental Health/GI Deck (18)
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1
Geriatric Screening - 5 items
Are you basically satisfied with your life?
Do you often get bored?
Do you feel helpless?
Stay home rather than going out?
Feel pretty worthless?
2 or more yes is positive
2
Labs for depression
CBC. lytes, glucose, BUN, creat, lives, TSH, b12, folate
3
Major depression
5 or more of the following symptoms present most of the day nearly every day for 2 consecutive weeks. At least one symptom must be depressed mood or loss of interest or pleasure.
4
SIG: E CAPS
Sleep issues
Interest
Guilt
ENergy
Concentration Difficulties
Appetite
Psychomotor agitation or irritation
Suicidality
5
Examples of SSRIs
citalopram, escitalopram
Fluoxetine
Paroxetine
Sertaline
Fluvoxamine
6
Side effects TCAs
Can't see
Can't pee
Can't spit
Can't defecate
7
TIme frame for taking antidepressants
6-9 months
8
RUQ conditions
cholecystitis, right lower lobe pneumonia, acute hepatitis
9
RLQ conditions
appendicitis, ectopic pregnancy, ovarian cyst, diverticulitis, endometriosis, ureteral calculi
10
LLQ conditions
diverticulitis, RLQ diseases
11
LUQ conditions
gastritis, pancreatitis, MI, left lower lobe pneumonia
12
Murphy's sign
cholecystitis
13
Psoas sign/Obturator test
appendicitis test
14
Rome III croteria - IBS
Recurrent abdominal pain or discomfort at least 3 days/month in the last 3 months associated with 2 or more of the following:
Relief with defecation
Onset associated with a change in frequency of stool
Onset associated with change in form or appearance of stool
15
Sx inconsistent with IBS
rectal bleeding, nocturnal or progressive abd pain, weight loss, anemia, elevated inflammatory markers, lyte disturbances
16
If HCV test result is negative:
Anti HCV not needed, no infection
17
If HCV test is positive and RIBA is negative:
no HCV infection, no further action needed
18
