Passmed- psychiatry Flashcards
When is the peak incidence of delirium tremens following alcohol withdrawal?
DT(coarse tremor, confusion, delusions, auditory and visual hallucinations, fever, tachycardia): 72 hours
symptoms(tremor, sweating, tachycardia, anxiety): 6-12 hours
seizures: 36 hours
What is first line management for alcohol withdrawal?
1st line= benzodiazepines e.g. chlordiazepoxide. Lorazepam may be preferable in patients with hepatic failure. Typically given as part of a reducing dose protocol
carbamazepine(anticonvulsant) also effective in treatment of alcohol withdrawal.
What does eye movement desensitisation and reprocessing therapy (EMDR) treat?
PTSD
What does Dialectical behaviour therapy (DBT) treat?
Borderline Personality Disorder (BPD)
What does exposure and response prevention therapy (ERP)
Obsessive Compulsive Disorder (OCD)
failure of secondary sexual characteristics, bradycardia, cold-intolerance and yellow tinge on the skin (hypercarotenaemia), hypercholesterolaemia, low T3, raised cortisol and growth hormone, hypokalaemia and lanugo hair are symptoms of what?
Anorexia Nervosa
What do these things from ICD-10 diagnose?
A. The patient must have been exposed to a stressful event or situation of exceptionally threatening or catastrophic nature, which would be likely to cause pervasive distress in almost anyone.
B. There must be persistent remembering or ‘reliving’ of the stressor in intrusive ‘flashbacks’, vivid memories, or recurring dreams, or in experiencing distress when exposed to circumstances resembling or associated with the stressor.
C. The patient must exhibit an actual or preferred avoidance of circumstances resembling or associated with the stressor, which was not present before exposure to the stressor.
D. Either of the following must be present:
Inability to recall, either partially or completely, some important aspects of the period of exposure to the stressor OR.
Persistent symptoms of increased psychological sensitivity and arousal (not present before exposure to the stressor), shown by any two of the following:
(a) difficulty in falling or staying asleep.
(b) irritability or outbursts of anger.
(c) difficulty in concentrating.
(d) hypervigilance.
(e) exaggerated startle response.
E. Criteria B, C and D must all be met within 6 months of the stressful event or the end of a period of stress (for some purposes, onset delayed more than 6 months may be included, but this should be clearly specified.
PTSD
