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Most Commons Flashcards

(34 cards)

1
Q

Schizophrenia criteria:

A

must have at least 1 of these and it has to interfere w/ daily living

Delusions, hallucinations, disorganized speech x 6 months

*If >1 month and <6 months: Schizophreniform disorder!!
NOT Schizophrenia!!

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2
Q

Atypical antipsychotics for schizophrenia

A

Better for neg sx and cog dysfxn

Clozaril - reduces depression! :D
ADR: agranulocytosis, sz!
Monitor: WBC every week for 1st 6 months and every 2 wks forever :[

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3
Q

Schizoaffective disorder criteria

A

Schizophrenia + major mood disorder x 2 wks

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4
Q

Brief psychotic disorder

A

Delusions/hallucinations/ disorganized speech or behavior that returns to previous level of fxn x 1 day and < 1 month

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5
Q

Delusional disorder criteria

A

Delusion + no other sx of schizophrenia x 1 month

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6
Q

Substance/Med Induced Psychotic Disorder

A

Psychosis sx during or soon after substance intoxication or as part of w/drawal sx

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7
Q

Major Depressive Disorder Criteria

*most resolve spontaneously in 6 months w/o tx

A

At least 5 of 9 sx x 2 wks
+ one must be Depressed mood or Anhedonia
+ exclude other medical conditions or substance abuse
+ no evidence of mania, hypomania or mixed episode
+ must cause sig stress and disturb normal fxn

*If >2 yrs: Persistent Depressive d/o

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8
Q

Insomnia types

A

Initial: difficulty falling asleep
Middle: wake up in middle of night
Terminal: cannot make it through the night → *sign of severe depression!

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9
Q

Manic Episode Criteria

A

DIGFAST

3 listed sx or 4 if mood is irritable
+ Abnml persistent elevated, expansive or irritable mood x 1 wk [Any duration of elevated mood if hospitalization is required] + exclude other medical conditions and substance abuse + causes sig distress

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10
Q

Bipolar I Criteria

A

*more severe than Bipolar II

1 manic episode or mixed episode

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11
Q

Bipolar II Criteria

A

1+ major depressive episode + 1 hypomanic episode
*no full blown manic episode - if it does occur, they are now Bipolar I
Rapid cycling: 4+ episodes/yr

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12
Q

Mood disorder Criteria

A

Episodic + switch to opposite state or 2+ months of partial or full remission after an episode

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13
Q

Most common elderly complaint of MDD

A

New somatic complaint, loss of interest, panic attack

*⅕ of severely depressed will have psychotic sx!

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14
Q

MDD Rx regimen

A

Rx x 4-8 wks before inc dose or changing to different antidepressants
Once recovered: therapeutic dose x16-36 wks
*always check half lives to know how to taper!
If [+] psychotic sx: + antipsychotic

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15
Q

Hypomanic Episode Criteria

A

Abnml persistent elevated, expansive or irritable mood x 4 days but < 7 days

Similar sx to manic but less severe and briefer
No delusions, hallucinations, hospitalizations, and doesn’t impair social fxn

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16
Q

Cyclothymic Disorder Criteria

A

Mild swings b/w mild depression and hypomania x 2 yrs and not w/o sx for > 2 mths
No evidence of psychotic sx, no sig stress or social impairment

17
Q

Persistent Depressive Disorder Criteria

A

2 of 6 sx + Depressed mood x 2 yrs most days than not

18
Q

When to do full workup before referring to psych

A

No previous hx, lower SES, elderly

19
Q

Alcohol Use D/o

Indirect tests [long term damage]

A
CBC,
CMP
carbohydrate deficient transferrin [low after excessive consumption]
Thiamine [Wernike!]
Folate [anemia, HA, fatigue, glossitis]
20
Q

Alcohol use

A
Direct Test to evaluate for alcoholism
BAC
> 300 mg/dL: abuse d/o!
> 150 mg/dL w/o gross evidence of intoxication
> 100 mg/dL upon routine exam
21
Q

Most common sx for alcohol withdrawal

A

delirium

Confusion and autonomic hyperarousal

22
Q

Alcohol use d/o tx

A

Disulfiram - for committed pts who want to stop drinking

Naltrexone - not for liver dz!

Acamprostate: reduces craving

23
Q

Substance-related Disorders Criteria

A

2 of 11 behaviors x 12 mths + interfering w/ life

Assessment: PHQ-9 and CAGE questions, complete MSE, social hx, hx from fam/friends,

24
Q

EARLY Physical exam for alcohol use

A
rosacea
palmar erythema
palpable liver from fatty liver dz
resp infxn
Easy bruising
25
Late Physical exam for alcohol use
caput medusae ascites jaundice esophageal varices/hemoptysis/hematochezia
26
What is the CIWA | what is the max score
clinical institute withdrawal assessment of alcohol Max score of 67
27
Most common time of relapse
During 1st 6 mths following initial tx
28
Somatic Sx D/O Criteria
Somatic sx: any sx that disrupts life + excessive thoughts + disproportionate & persistent thoughts about seriousness of one’s sx x 6 mths
29
Conversion disorder criteria Pop: Women, lower income, lower educational level, rural areas
Voluntary motor or sensory fxn loss and not consistent w/ any known illness x 6 mths [acute is < 6, chronic is > 6] If pt’s main complaint is limited to PAIN: Somatic Symptom D/O!
30
Illness Anxiety Disorder Criteria
Preoccupation w/ having or acquiring a serious illness | Disrupts life x 6 mths
31
Factitious disorder
Falsification of physical or psychological s/sx or induction of injury or dz Get psych consult! If [+] external gain: malingering
32
Dissociative identity d/o
2+ distinct personality states, marked discontinuity in sense of self, memory gaps, disrupts life Pop: women, childhood, sex abuse
33
Dissociative amnesia
Can’t recall important info usually hx traumatic event
34
Depersonalization/ | derealization d/o
Cut off from own thoughts, “outside observer” of their life