Module G Flashcards
Schizophrenia
Cause: unclear but excess dopamine
ROS: social isolation/withdrawal, flat affect
Psychotic Episode (Schizo)
(1 or more must be present)
+ symptoms: delusions, hallucinations, disordered thoughts/incoherence, unusual postures/mannerisms/rigidity
Non-psychotic Period (Schizo)
- symptoms: eccentric behavior, social isolation, flat affect, reduced social drive, poverty of speech, poor attention span, lack of motivation
*lateral and 3rd ventricles enlarged
Dx Schizophrenia
Exclusion of: encephalitis/meningitis, intoxication, brain tumor, manic-depressive illness
Typical Antipsychotic drugs
D1 and D2 receptor antagonists
Side effects: hand tremor, muscle rigidity (long term = tardive dyskinesia)
*E.g. - Haloperidol
Major Depression
ROS: dysfunction in work, focus, sleep, eating, and enjoyable activities
Antidepressive Tx
SSRI and MAOI: to keep serotonin in synaptic cleft
ECT: for life-threatening cases
Prophylactic tx: Li, carbamacepine, lamotrigine, valproate
Bipolar Disorder (manic depressive illness)
Depressed phase - sx of major depression
Manic phase - overactive, over-talkative, excessive energy
Tx: antipsychotics
Retrograde amnesia
Cause: hippocampus damage
ROS: loss of past mems (months-years before trauma)
*can only form new mems
Anterograde amnesia
Cause: hippocampus damage
ROS: inability after trauma to form new mems (can only recall past mems)
Brain Dead
Dx: isoelectric EEG
ROS: no movement, no response to stimuli, no spontaneous respiration, pupils dilated and nonreactive, no corneal reflex
Coma
Deep state of unconsciousness, pt is alive but not able to move or respond to environmental stimuli
Persistent Vegetative State
Loss of higher brain functions w breathing/circulation intact; unable to respond to commands, speak, and respond to stimuli
Locked-In Syndrome
Cause: basilar a. occlusion (pons)
*bilateral involvement of ventromedial basilar a. branches
ROS: paralysis of voluntary muscles in body except for eye movements, ascending sensory is mainly intact
GCS
Eye (4)
Verbal (5)
Motor (6)
*intubate @ GCS: 8
Transcortical Sensory Aphasia
Cause: damage to perisylvian area (hypoxia)
ROS: fluent, poor comprehension, good repetition, inability to speak spontaneously
Gerstmann Syndrome
Cause: lesion of angular gyrus
ROS: fluent speech, decreased comprehension of written language, agraphia, acalculia
*hemianopia
Conduction Aphasia
Cause: lesion of arcuate fasciculus
ROS: fluent, good comprehension, poor repetition
Broca’s Aphasia
Cause: damaged Broca’s area (frontal)
ROS: nonfluent, good comprehension, poor repetition
Transcortical Motor Aphasia
Cause: damage anterior and superior to Broca’s area
ROS: nonfluent, good comprehension, good repetition (similar to Broca’s, but less severe bc CAN repeat)