Physical examinations Flashcards Preview

MRCPsych - CASC > Physical examinations > Flashcards

Flashcards in Physical examinations Deck (4)
Loading flashcards...
1

Pseudo-parkinsonism

- Incidence: 20%
- RFs: more common in older women
- Onset: gradual onset after a few weeks
- Symptoms: akinesia, rigidity and tremor
- Management: reduce dose, change to 2nd gen

2

Acute dystonia

- Incidence: 10%
- RFs: young men, antipsychotic naive
- Onset: few hours
- Symptoms: oculogyric crisis, torticollis, grimacing, trismus, exaggerated posturing
- Management: IM procyclidine 5-10mg

3

Akithisia

- Incidence: 25-50%
- RFs: rapid increase in antipsychotic dose
- Onset: most commonly after day 5
- Symptoms: irritability and restlessness
- Management: procyclidine or propranolol

4

Tardive dyskinesia

- Incidence: 5% at 1 year, 20% of chronic Rx
- Risk factors: elderly women, organic brain disease, long exposure to antipsychotics, affective disorder, Hx of EPSEs
- Symptoms: lip smacking, chewing, tongue protrusion, pelvic thrusting
- Management: change to 2nd gen, vitamin E