Flashcards in Mental Health/GI Deck (18)
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
Labs for depression
CBC. lytes, glucose, BUN, creat, lives, TSH, b12, folate
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.
SIG: E CAPS
Psychomotor agitation or irritation
Examples of SSRIs
Side effects TCAs
TIme frame for taking antidepressants
cholecystitis, right lower lobe pneumonia, acute hepatitis
appendicitis, ectopic pregnancy, ovarian cyst, diverticulitis, endometriosis, ureteral calculi
diverticulitis, RLQ diseases
gastritis, pancreatitis, MI, left lower lobe pneumonia
Psoas sign/Obturator test
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
Sx inconsistent with IBS
rectal bleeding, nocturnal or progressive abd pain, weight loss, anemia, elevated inflammatory markers, lyte disturbances
If HCV test result is negative:
Anti HCV not needed, no infection
If HCV test is positive and RIBA is negative:
no HCV infection, no further action needed