Mental heath Core Conditions Flashcards

Question

Risk factors for somatisation?

Answer 1

``` Genetics Difficulties expressing emotions as a child Maladaptive/anxious styles Poor coping mechanisms Anger Disengagment Avoidance Internalising High familial pressure on children Trauma Abuse Family secrets School stressors ```

Answer 2

``` Multiple, vague symptoms that span organ systems Rejection of previous doctors Stress worsens symptoms SOB Palpitations Chest pain D+V/abdo pain Muscle/joint pain Headaches Dizziness Amnesia Vision changes Impotence ```

Answer 3

``` ARDS Alcoholism Adjustment disorders Amphetamine related Androgen excess Eating disorders AF ADHD Autism Delirium Munchasen's Fibromyalgia IBS Insomnia Meningitis Sleep apnoea Premenstrual dysphoric disorder ```

Answer 4

Thorough history and exam Psych eval Diagnosis by exclusion

Answer 5

``` BATHE techniques Goal setting Physical exercise Relaxation Psychotherapy ```

Answer 6

``` Background Affect Trouble Handle Empathy ```

Answer 7

Elderly Pre-existing cognitive impairment Malignancy HIV

Answer 8

``` Systemic infection Renal/hepatic failure Dehydration/electrolyte imbalance Hypoxia Vit def Hypothyrid Cushing's IC truma/tumour/abscess SAH Epilepsy Drugs Post-op stress Terminal illness ```

Answer 9

``` >65 Male Pre-existing cog impairment Burns AIDS # Low albumin Infeciton Dehydration Benzos Alcohol abuse Hyper/hypothermia Poor mobility Social isolation Stress ICU High serum urea ```

Answer 10

``` Acute/subacute Impaired cognition Poor concentration/short term memory Abnormal sleep-wake cycle Hallucinations Agitation Emotional lability Psychotic ideas Unsteady gait, tremor Hypo/hyperactive Mixed Drug induced ```

Answer 11

``` Dementia (Lewy body) Depression Bipolar Fucntional psychoses Stroke/TIA MI Infection Hypoglycaemia Meningitis Brain tumour Post-tictal state ```

Answer 12

``` Full Hx and cognition assessment Lymphadenopathy FBC, U+E, creatinine, BM, Ca, Mg, LFTs, TFTs, cardiac enzymes, B12, syphillis serology, autoAb test, PSA Urinalysis and microscopy Blood cultures ECG Imaging (inc EEG) ```

Answer 13

``` Clear communication and reminders Staff consistency Relaxation Familiar objects around Avoid sensory extremes Haloperidol Lorazepam Delirium tremens - diazepam oe chlorodiazepoxide Mianserin helps with non-cog symptoms ```

Answer 14

``` Degenerative Vascular Metabolic Meningiomas, gliomas, mets Alcohol/solvent abuse Brain injury SOL Prion disease Neurosyph MS Pseudodementia ```

Answer 15

``` Age FHx Down syndrome Alcohol Atherosclerosis HTN Hyperlipidaemia Depression DM High oestrogens Smoking Elevated serum homocysteine ```

Answer 16

``` Progressive loss of ability to learn new information Decline in language abilities Apraxia BVR change Loss of insight Loss of gait Motor/sensory impairment Seizures later ```

Answer 17

``` Fluctuating cognition Memory loss Depression Sleep disorders Visual hallucinations Parkinsonism ```

Answer 18

``` Slow thinking Memory loss Depression Personality changes Confusion Incontinence Stroke like symptoms ```

Answer 19

``` Progressive deterioration of social bvr Disinhibition OCD Aggressive Problems planning Lack of interest in personal hygiene Childlike bvr Easily distracted ```

Answer 20

``` Delirium Depression Normal aging Mild cog impairment Parkinsonism Chronic SDH Mets Uraemia Chronic hepatic encephalopathy ```

Answer 21

``` Full bloods CXR CTH+MRI MMSE SMTS Genetics EEG Dalton's brief praxis test ```

Answer 22

``` Supportive, individualised care Address ADL Treat fever, pain etc Oral feeding for as long as possible then move to PEG if appropriate Benzos, anticonvulsants NMDA antagonists ```

Mental heath Core Conditions Flashcards

(47 cards)