Minicase - Loss of Vision and Depressed Mood Flashcards Preview

USMLE Step 2 CS > Minicase - Loss of Vision and Depressed Mood > Flashcards

Flashcards in Minicase - Loss of Vision and Depressed Mood Deck (11)
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1

Hx of retinal artery occlusion (6)

1. vision loss
2. acute
3. painless
4. no discharge, redness or photophobia
5. no assoc symptoms (no HA, weakness/numbness)
6. hx afib/emoblic events

2

Retinal artery occlusion w/u (8)

1. fluorescein angiogram
2. ECHO
3. doppler US carotid
4. intraocular tonometry (acute closure glaucoma)
5. ESR (temporal arteritis)
6. CRP (temporal arteritis)
7. temporal artery biopsy
8. CBC

3

Normal bereavement presentation (8)

1. Depressed mood
2. Hx of recent (~2mo) death
3. excessive sleep
4. crying spells
5. poor hygiene
6. wt loss (this sounds more like MDD or complicated grief to me...)
7. does not enjoy time with grandchildren
8. imagines wife

4

Normal bereavement w/u (6)

1. TSH
2. CBC
3. Urine tox
4. Beck Depression Inventory
5. PHQ-9
6. QIDS-SR16

5

MDD presentation (8)

1. depressed mood
2. excessive fatigue
3. insomnia
4. anhedonia
5. passive SI
6. prior episodes
7. hx of suicide attempts
8. increased substance use

6

MDD w/u (7)

1. Beck depression inventory
2. PHQ-9
3. QIDS-SR16
4. Blood EtOH level
5. TSH
6. CBC
7, Utox

7

BP 1 presentation (7)

1. depressed mood
2. wt loss
3. decreased sleep (early-morning awakening)
4. excessive guilt
5. psychomotor retardation
6. no trigger
7. hx of mania (increased energy, sexual promiscuity, irresponsible spending, racing thoughts)

8

BP1 w/u (4)

1. mood disorder questionnair
2. Utox
3. TSH
4. CBC

9

Loss of vision exam (4)

1. head and neck
2. fundoscopic
3. neuro exam
4. cardiac exam

10

Psychiatric documentation (mental status exam) (15)

1. appearance
2. behavior
3. attitude
4. level of consciousness
5. orientation
6. speech and language
7. mood
8. affect
9. though process
10. thought content
11. sucidality and homicidality
12. insight and judment
13. attention
14. memory
15. intellectual

11

What is QIDS-SR16

Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR-16)