PP Clues Psychiatry Flashcards
(282 cards)
1
Q
How is major depression diagnosed? DICESGAPS
A
Depressed mood
Interest low
Concentration
Energy
Sleep issues
Guilt
Appetite
Psychomotor (retard/agitation)
Suicidal Ideations
2
Q
depression treatment
approaches
A
psychotherapy
eg:
1. Lifestyle modification
2.CBT, psychodynamic …
3..Pharm
3
Q
depresion pharm
A
SSRIs (often trialed first),
SNRIs,
atypical antidepressants bupropion and mirtazapine
4
Q
depression
SSRI
A
fluoxetine
Sertraline
Citalopram
Excitalopram
sexual advese effect
5
Q
depression pharm
SNRIs
A
Venlafaxine
Desvenlafaxine
Duloxetine
Duloxetine: better for neuropathic/chronic pain
6
Q
atypical antidepressants
A
Bupropion: smoking, low sex effect, lower seizure threshold
Mirtazapine: weight gain, sedation
7
Q
What is Autism?
A
Repetitive movements, lack of verbal skills and bonding, sx since birth
8
Q
What is Asperger’s?
A
Good communication, impaired relationships, no mental retardation
9
Q
What is Rett’s?
A
Only in girls, ↓head growth, loss motor skills, and hand-wringing, normal until 5 years
10
Q
What is Childhood Disintegrative Disorder?
A
Develop normally for first 2 years, then behave autistic
11
Q
What is Selective Mutism?
A
Kid talks sometimes
12
Q
What is Separation Anxiety Disorder?
A
Kid screams when Mom leaves
13
Q
What is Conduct Disorder?
A
Aggressive, disregard for rules, no sense of guilt, harm animals, illegal activity “bite”
14
Q
What is Oppositional Defiant Disorder?
A
Defiant, noncompliant, directed at authority
“bark”
15
Q
What is Attention Deficit Hyperactivity Disorder?
A
Overactivity, difficulty in school
Lack of dopamine
16
Q
What is Dysthymia?
A
Low level sadness >2yr
17
Q
What is Cyclothymia?
A
Dysthymia w/ hypomania
18
Q
Bipolar criterion :DIG FAST
A
Distractibility
Irresponsibility(shopping spree)
Grandiosity
Flight of ideas(pressure speach)
Activity increase
Sleep deficit ⭐️
Talkativeness
19
Q
What is Double Depression?
A
Depression followed by dysthymia
20
Q
What is Bipolar I?
A
Depression and Mania (psychosis)
21
Q
What is Bipolar II?
A
Depression and Hypomania (no psychosis)
22
Q
What are Loose associations?
A
Ideas switch subjects, incoherent
23
Q
What is Tangentiality?
A
Wanders off the point
24
Q
What is Circumstanciality?
A
Digresses, but finally gets back to the point
25
What is Clanging?
Words that sound alike
26
What is Word salad?
Unrelated combinations of words
27
What is Perseveration?
Keeps repeating the same words
28
What is Neologisms?
New words
29
What is Delusion?
False belief
30
What is Illusion?
Misinterprets stimulus
31
What is Hallucination?
False sensory perception, EtOH withdrawal/Cocaine intox => formication
32
What is Nihilism?
Thinks the world has stopped
33
What is Loss of ego boundaries?
Not knowing where I end and you begin
34
What are Ideas of reference?
Believes the media is monitoring you
35
What is Thought blocking?
Stops mid-sentence
36
What is Thought broadcasting?
Believes everyone can read his thoughts
37
What is Thought insertion?
Believes others are putting thoughts into his head
38
What is Thought withdrawal?
Believes others are taking thoughts out of his head
39
What is Concrete thinking?
Can't interpret abstract proverbs, just sees the facts
40
What is Synesthesia?
Smell colors
41
What is Cataplexy?
Loss of mm. tone due to strong emotions
42
What is a Paranoid personality disorder?
Suspicious about everything, use projection
43
What is Schizotypal personality disorder?
“Magical thinking”, bizarre behavior
44
What is Schizoid personality disorder?
"Recluse", don't want to fit in
45
What is Antisocial personality disorder?
Lie, steal, cheat, destroy property, impulsive w/o remorse, illegal activity
46
What is Conduct Disorder personality disorder?
<15 y/o antisocial disorder
47
What is Histrionic personality disorder?
Theatrical, sexually provocative, use repression
48
What is Borderline personality disorder?
"Perpetual teenager", splitting (love/hate), projection, acting out, self-mutilation
49
What is Narcissistic personality disorder?
Pompous, no empathy
50
What is Dependent personality disorder?
Clingy, submissive, low self-confidence,
regression
51
What is Obsessive- Compulsive personality disorder?
Perfectionist, doesn't show feelings, detail- oriented, uses isolation
52
What is Avoidant personality disorder?
Socially withdrawn, afraid of rejection but wants to fit in
53
What is Kleptomania?
Steals for the fun of it
54
What is Pyromania?
Starts fires
55
What is Intermittent
Explosive Disorder?
Loses self-control without adequate reason
56
What is Pathological Gambling?
Can't stop gambling, affects others
57
What is Trichotillomania?
Pull out their hair
58
What is Lewy body dementia?
Stiff, visual hallucinations
59
What is Normal Pressure Hydrocephalus?
TrIAD = Incontinence, Ataxia "magnetic gait", Dementia
“Wet, Wobbly, Wacky”
60
What is Korsakoff psychosis?
Alcoholic thiamine deficiency
61
What is Vascular "multi- infarct" dementia?
Sudden onset, uneven progression
of deficits, "stair-step" drastic changes in progression
62
What is Huntington's?
In caudate/putamen, triplet repeat disorder, choreiform movements,
63
What is Creutzfeldt-Jacob?
Prion induced, die within 1 year, post- cornea transplant
64
What is Pick's disease?
Frontal lobe atrophy, disinhibition
65
What is Alzheimer's?
↓ACh in nucleus basalis of Meynert, bad ApoE, amyloid plaques, tangles of tau
66
What is Parkinson's?
n substantia nigra, bradykinesia, pill- rolling tremor, shuffling gait, Lewy bodies
67
What is Somatization?
Somatic symptom disorder
Think they have a different illness all the time (at least 4 organ systems)
68
What is Hypochondriasis?
Illness anxiety
Think they have the same illness all the time
69
What is Body Dysmorphic Disorder?
Imagined physical defect
70
What is Pain disorder?
Prolonged pain not explained by physical causes
71
What is Conversion?
Neuro manifestation of internal conflict,
May be indifferent to disability
72
What is Malingering?
Fake illness for monetary gain, avoids medical treatment
73
What is Factitious?
Fake illness to get attention, seeks medical treatment
74
What is Munchausen?
Need to be perceived as acaregiver
Eg: Mom fakes child's illness to get attention
Child abuse
75
What is Munchausen by proxy?
Mom makes child ill for gain, move a lot
76
What is Amnesia?
Can't recall important facts
77
What is Dissociative Fugue?
No past, travel to new place, usually due to trauma
78
What is Multiple Personality Disorder?
Have 5-10 alters, usually associated w/ incest
79
What is Depersonalization Disorder?
"Out of body" experiences, Deja vu
80
What is Sublimation?
Substitute acceptable for
unacceptable (boxer vs. fighting)
81
What is Imitation?
Dress like someone else
82
What is Identification?
Act like someone else
83
What is Displacement?
Take anger out on someone else
84
What is Idealization?
Wait for "ideal spouse" while they are beating you up
85
What is Transference?
Patient views doctor as parent
86
What is Countertransference?
Doctor views patient as child
87
What is Acting out?
Expression of impulse, "tantrums"
88
What is Regression?
Immature behavior
89
What is Rationalization?
Make excuses for all situations
90
What is Intellectualization?
Act like a "know-it-all" to avoid feeling emotions
91
What is Isolation of Affect?
Isolate feelings to keep on functioning
92
What is Suppression?
Consciously block memory
93
What is Repression?
Subconsciously block memory
94
What is Reaction Formation?
Unconsciously act opposite to how you feel (tears of a clown)
95
What is Undoing?
Doing exact opposite of what you used to do to fix a wrong
96
What is Compensation?
Doing something different of what you used to do
97
What is Sadism?
Gives pain
98
What is Masochism?
Receives pain
99
What is Exhibitionism?
Exposure to others
100
What is Voyeurism?
Watching other people without their permission
101
What is Telephone Scatalogia?
Phone sex
102
What is Frotteurism?
Rub penis against fully clothed women
103
What is a Transvestite?
Dress up as opposite sex, no identity crisis
104
What is a Transsexual?
Gender identity crisis "man trapped in a woman's body"
105
What is a Fetish?
Objects (vibrators, dildos, shoes)
106
What is a Necrophile?
Corpses
107
Can you die during EtOH withdrawal?
Yes
108
first line for severe MDD with psychotic feature
Electroconvulsive therapy and
antidepressant plus antipsychotic
109
antipsychotic that stimulate appetite—-obesity
olanzapine
110
antidepressant that stimulates appetite
mirtazapine
111
early side effects of SSRIs
(SAD early)
insomnia/sedation
anxiety
dizziness
112
SSRI with dose-dependent QT prolongation
citalopram
113
long-term side effects of SSRIs
weight gain and sexual dysfunction
114
SSRI discontinuation syndrome
anxiety
dysphoria
flu-line symptoms
115
anticonvulsant used to treat bipolar disorder, Stevens-johnson syndrome(rash)
lemotragine
116
NBS in lemotragine rash
DC lemotragine
117
all SSRI risk mania/hypomanic. T/F
T
118
SIG- E- CAPS
sleep
interest(anhedonia )
Guit
Energy
concentration
Appetite
psychomotor agitation
Suicidal
119
SNRI does dependent HTN
Venlafaxine at >300mg
120
antipsychotic least likely to cause weight gain
aripiprazole and ziprasidone
121
MOA of mirtazapine
presynaptic alpha-2 andrenergic receptor antagonists
122
bipolar firstline treatment : fatigue, constipation, myalgias and bradycardia
Lithium
123
Lithium side effects
thyroid, renal
124
antipsychotic: causes metabolic syndrome
Atypical (olanzapine)
125
Winter depression first Line treatment
antidepressant and/or bright light therapy
126
2nd gen anti-psychotic with depressive feature
risperidone
127
What is an adequate antidepressant trail period
Therapeutic dose for 4-6 weeks
128
Why should Antidepressant monotherapy generally be avoided with bipolar disorder
due to the risk of inducing mania
129
First-line medications for treatment of acute bipolar depression include
second-generation antipsychotics
quetiapine
lurasidone
130
first-line antidepressants that would be appropriate in unipolar major depressive disorder
Bupropion,
fluoxetine,
mirtazapine
131
lack of emotional responsiveness and the absence of comfort-seeking from caregivers.
Reactive attachment disorder
132
Low levels of 5-hydroxyindoleacetic acid (5-HIAA) in the cerebrospinal fluid (CSF) are associated with
Suicidal behavior
133
diffuse 3-Hz spike and wave pattern on electroencephalogram (EEG) is characteristic of
childhood absence seizures
134
Generalized slowing with periodic sharp wave complexes on EEG and increased CSF 14-3-3 protein are seen in
Creutzfeldt-Jakob disease
135
Creutzfeldt-Jakob disease (prions) presents with
progressive dementia,
myoclonus,
pyramidal/extrapyramidal dysfunction,
mutism
136
general cerebral cortical atrophy on CT
Hydrocephalus ex vacuo
137
Low concentration of hypocretin (orexin) in the CSF is found in
narcolepsy
138
the first-line treatment approach for patients with adjustment disorders
Psychotherapy
139
Indication for long-term maintenance antidepressant therapy
Number of depress episodes
>2
140
The SSRI citalopram is generally avoided in patients with a recent MI due to its potential for
dose-dependent QT prolongation
141
The key feature of mania is
decreased need for sleep
142
core feature of obsessive-compulsive disorder
intrusive, unwanted thoughts
143
Depression and associated anxiety may be prodromal features in more than one-third of patients with
pancreatic cancer
144
new-onset atypical diabetes mellitus (eg, in a thin, older individual) may also precede diagnosis
pancreatic cancer
in up to 25% of cases of
145
New-onset behavioral changes in an older patient with no psychiatric history should prompt consideration of
medical and substance-/medication-related causes.
146
Older pt with MDD taking antitussive dextromethorphan: concerned for
Serotonin syndrome
147
3 CNS Stimulants
Methylphenidate
Dextroamphetamine
Methamphetamine
148
Stimulant indication
ADHD
Narcolepsy
Appetite Control
149
MOA of Stimulant
Increase catecholamines
+Dopamine
150
MOA of Antipsychotic
All atypical antipsychotics block D2
increasing cAMP
151
Thioridazine effect
Iris pigmentation
152
Chlorpromazine moa
decrease BP by blocking a1
Corneal deposits
153
Haloperidol effect
NMS, Tardive dyskinesia
154
EPS. onset hrs---days
acute dystonia
muscle spasms
stiffness
oculogyric crisis
155
EPS: Akathesia &
Parkinsonism
Restlessness
Bradykinesia
days---months
156
months to years EPS
Tardive dyskinesia
157
FEVER of neuromalignant syndrome
fever
Encephalopathy
Vitals unstable
Enzymes increase
Rigidity of muscle
158
characteristic of antipsychotic
highly lipid soluble
stored in body fat
very slow to be removed from body
159
Rx of EPS
Benztropine
Diphehydramine
Benzodiazepines
Beta blocker
Bromacriptine
Tetrabenazine
160
Antipsychotic Endocrine effects
hyperprolactinemia
>galactorrhea
>oligomenorrhea
>gynecomastia
161
Antipsychotic muscarinic blocking effect
dry mouth
constipation
a1-->orthostatic hypotension
histamine receptor---> sedation
162
NMS presents with
rigidity
myoglobinuria
autonomic instability
hyperpyrexia(high fever)
163
RX for NMS
Dantrolene
D2 agonist (bromocriptine)
164
antipsychotic for adult antiemetic
perchlorperazine
165
antipsychotic for children antiemetic
promethazine
166
Atypical antidepressant S/E
all cause prolonged QT,
less EPS +anticholinergic
metabolic syndrome
weight gain
diabetes
hyperlipidemia
167
clozapine S/E
agranulocytosis
neutropenia
seizures
168
Olanzapine S/e
obesity
169
Risperidone s/e
hyperprolactinemia
amenorrhea
galactorrhea
gynecomastia
EPS
170
Quitiapine (Seroquel) s/e
Acute manic
cataracts
171
Schizoaffective key point
Moodiness w/2 wks with only psychosis
172
New onset of anxiety, r/o
Drug use
Medical (thyroid )
173
First-line/maintenance for panic disorder :
SSRI/SNRI
cognitive-behavioral therapy
174
Acute Rx for panic disorder
Acute distress: benzodiazepines
175
Schizophrenic patients neuroimagine (CT) will show
Enlarged lateral and third ventricle
As a result of excessive synaptic
pruning during development,
176
neuroleptic malignant syndrome management
DC drug
Dantrolene
177
difference between neuroleptic malignant syndrome and serotonin syndrome
serotonin syndrome has myoclonus
178
neuroleptic malignant syndrome occurs in what type of patient
psychotic pt
179
serotonin syndrome occurs in what type of pt
depressive
180
serotonin syndrome management
Benzo
ciproheptadine
Octreatide(peripheral symptom)
181
What type of antidepressant + aged food cause tyramine crisis
MOAi(Phenelzine,
182
management of tyramine crisis
hypertensive emergency drug
(hydrolazine, Na-nitroproside, labetalol...
183
what are the EPS
1. dystonia (DC, diphenhydramine, Benadryl, benzodiazepines, BetaBker
2. dyskinesia
3. parkinsoniasim(benztropine
4. Tardive dyskanisia(DC, switch to clozapine
184
why is patient on clozapine having fever
agranulocytosis (DC)
185
two drugs that decrease Suicide ideation
Lithium
clozapine
186
management of Lithium tox
hydration
hemodialysis
187
toxicity that can be dialyze(MALE)
1. methanol
2. Aspirin
3. Lithium
4. Ethylene glycol
187
TCA tox management
NaHCO3 (moa: block Na channel)
188
Cocaine Tox management
Benzo (IV lorazepam)
189
alcohol withdrawal Rx
Benzo
190
when does DT occur in alcohol w/drawal
2-4 days
191
DT vitals are (Stable/unstable)
unstable
192
Alcohol hallucinations vitals are (Stable/unstable)
stable
193
PCP OD management / Lab
benzo
PCP causes hi CPK
194
2 things in psych that causes hi CPK
PCP
NMS
195
benzo OD Rx
flumazenil(in pt who are not on benzo treatment)
Pt taking benzo +flumazenil may cause life-threatening event
196
NBS in Benzo withdrawal
Benzo and slowly get them off
196
naloxone treats
Opieod OD
197
4 pathway for antipsychotic
Dopamine pathway
1. Mesolimbic ( Positive sym)
2. mesocortical (neg sym)
3. Tuberoinfandibular (Prolactin)
4. substantia nigra (movement)
198
Psychosis Prognosis :Male early on, slow development
bad
199
Low potency antipsychotic symptom
Chlorpromazine & thioridazine affect?
HAM block
anti Histamine
anti alpha (hypotension)
anti muscarinic (Memory problem)
200
Patients with chronic and severe RLS symptoms requires….?
1. Gabapentin(alpha 2-delta ligands)
2. Ropirinole, pramipexol (dopamine agonist)
Supplement
Lab iron
201
Pt on Hydroxyzine might experience
Restless leg syndrome
202
2nd gen antipsychotic
clozapine
quitiapine
risperidone
olanzapine
Aripirizole
ziprazidone
203
2nd gen antipsychotic S/e
check BMI, glucose
metabolism syndrome
hyperlipidemia
hyperglycemia
obesity (olanzapine)
204
Thioridazine S/e. (Low potency:agitation & acute delirium)
retinal pigmentation
205
chlorpromazine s/e ((Low potency:agitation & acute delirium)
corneal deposits
206
key points in schizophrenia
Hallucination
delusion
disorganized thought/speech
206
public speaking phobia treatment
propranolol
lorazepam (Asthma pt)
206
distintion: peripatern depression and post paternity blues
Depression: inability to enjoy the child. lost interest
Blues: mild
206
1st line for premenstrual dysphoric disorder(PMDD)
SSRI
206
TCA s/e
HAM block
3C
1. convulsions
2. coma
3. cardiac (long QT)
206
1 month of fear of getting another attack
panic attack
206
exposure response control is treatment for
OCD
206
catatonia Rx
lorazepam
206
Dialectical behavioral therapy
Borderline
207
is OCD egodystonic/egosyntonic
egodystonic
208
nortraxon and acamprosate use for treatment of
Alcohol use disorder
209
3 medication that causes delirium
Benzo
TCA
Anticholinergic(Benadryl)
210
diagnosis of ADHD requires ...?
parents and teachers to complete behavior rating scale
confirming ADHD in 2 locations
211
Mute and rigidity (catatonic) is associated with
schizophrenic exacerbation
212
happens within 3 months, disproportionate stressor, less than depression
adjustment disorder
213
happens within 1 month of stressor (violence related), avoidance of stressor
acute stress disorder
214
psychotic symptoms lasting less than 1 month
Brief psychotic disorder
215
psychosis > 1month < 6months
schizophreniform
216
cananbis is associated with errectile dysfunction T/F
T (according to exam)
217
Tourette's syndrome presents with
Vocal and motor tic for 1 year
218
habit reversal therapy (CBIT)is fist-line for
tourettes syndrome
(Comprehensive behavioral intervention for Tic)
219
2nd line for tourette's syndrome
atypical antipsychotic
Alpha 2 agonist(Guaifenazine, clonidine)
220
at what age do you dx encopresis (poop)
4yo
221
At what age do you dx Enuresis
at 5yo
222
Pain in multiple organ system with no clinical findings
somatic disorder
223
all lab abnormal in anorexia except for
thyroid function
224
altinating constipation and diarrhea relieved by deification (IBS) ---comorbid psychosis/mood disorders : treatment
supportive care
SSRI
Anti-psychotic
224
electrolite & hormone involved with refeeding syndrome
phosphorus (drops)
Insulin
Malnutrition(anorexic, alcoholic, prolonged hunger...)
225
akatesia tx 1st line
beta blocker
226
Risk of suicide in the first 90days of MD Rx: T/F
T
227
Resp depression, hypotension , difficulty arousing/stupor, lossing consciousness
Heroin toxicity
228
Amphetamine vs anticholinergic poisoning
Anticholinergic: dry skin and mucous membranes, motor symptoms, urine retention, ilius
229
Sign of amphetamine
episodic agitation, insomnia,
psychosis (eg, delusions about the CIA),
change in behavior (eg, stealing money), and
signs of sympathetic hyperactivity
230
Avoid benzo in older pt: confusion, fall risk T/F
T
231
thin body habitus, erythema of the nasal mucosa, and mild facial acne, hi energy
Cocaine use disorder
232
High dose Glucocorticoid mental S/E
Psychosis: Acute delusions and hallucinations
233
Primary moa of 2nd gen antipsychotics
serotonin 2A and dopamine D2 receptors
234
most helpful in the early detection of prescription opioid misuse in this patient
Querying the prescription drug monitoring database at each visit
235
second-generation antipsychotics w/ low metabolic risk profile
ziprasidone
236
picks at his skin and has multiple sores on his face and body, delusional, hallucinations, aggression
Methamphetamine use disorder
237
Chronic methamphetamine
paranoid delusions and auditory, visual, and tactile hallucinations
238
arthralgia and psychosis, thrombocytopenia, hematuria, and proteinuria, is concerning for
systemic lupus erythematosus (SLE)
Lab antinuclear antibody
239
Treat cocaine intoxication with beta blockers: T/F
F
B/c only alpha will remain stimulated
240
NBS OF PT W/ mental illness, danger to self or others, and/or grave disability
Involuntary hospitalization
241
anticonvulsant mood stabilizer that causes fatal hepatotoxicity
valproate
242
Pt with Hyperthermia, Serotonin syndrome,Hyponatremia, Seizures:OD
MDMA (ecstasy, Molly)
243
Ecstasy( 3,4-methylenedioxymethamphetamine) MOA
synthetic amphetamine: increasing norepinephrine, dopamine, and serotonin
Causes SIADH( hypoNa-increase water intake)
244
Dysthymia is related to
Long term depression
RX:Psychotherapy and SSRI
245
Cyclothemia is related to
Long term bipolar
Use mood stabilizers
246
Akathisia 2nd line treatment
Second-line: benzodiazepines
Consider benztropine
247
first line for ADHD before 6yo
Behavioral interventions
248
first line for ADHD >6yo (preschool)
methylphenidate
249
Tourettes comorbidity
ADHD
OCD
antipsychotic rx: respiridon, aripripizole
250
outbursts of anger in ≥ 2 settings, ≥ 3 times per week and chronic irritability ≥ 12 months are consistent with
disruptive mood dysregulation disorder
251
____________________ is a nonstimulant drug for treating ADHD
Atomoxetine
252
first-line pharmacologic treatment for bulimia nervosa
Selective serotonin reuptake inhibitors
253
In dementia, 1st condition to R/O
Hypothyroidism
Depression
254
MDD w/ mild improvement on SSRI, NBS?
Add Bupropion or Aripripizole
255
Pt present w/ bipolar depressive state:Rx
Aripripizole
256
Bipolar phase w/ acute manic phase:Rx
Valproate (na & ca blocker)
Carbamazepine (na & ccb
257
Neg symptoms of schizophrenia 5A’s
Anhedonia
Affect(flat)
Apathy
A socialite
Avolition (motivation)
258
fluphenazine effect on the hypothalamus causes
impaired thermoregulation (hypo or hyperthermia )
hyporeflexia, dilated pupils
259
_________________ is the preferred drug for severe cataplexy in narcolepsy.
Sodium oxybate
259
Tetrabenazine. MOA
depletion of catecholamines
259
Nonbenzodiazepines, such as zaleplon, zolpidem, and eszopiclone makes u drowsy..T/F
F
260
treat tardive dyskinesia, Tourette syndrome, and chorea RX
Tetrabenazine
Valbenazine
261
anterograde and retrograde amnesia in alcoholic suggest
wehnicke-korsakoff
irreversible
262
obstructive sleep apnea (OSA) frequently presents with, which subtype of depression
MDD with medical condition
263
________________are ideally used in patients with neuropathic pain and comorbid depression
SNRIs and TCAs
264
↓ACh in nucleus basalis of Meynert =______________
Alzheimer’s
265
obesity, hypertension, hypokalemia, and hyperglycemia, depress mood & sleep issues are suggestive of
Cushing syndrome
266
Cushing syndrome comorbidity include
depressed or labile mood,
anxiety or panic attacks,
irritability,
insomnia,
memory deficits
267
Initial diagnostic tests for Cushing syndrome include
24-hour urinary cortisol excretion,
late-night salivary cortisol assay, and
overnight low-dose dexamethasone suppression test
268
Serotonin discontinuation syndrome (serotonin is FINISH)
F Flu-like: fatigue, muscle aches, chills
I Insomnia
N Nausea
I Imbalance, Irritability, anxiety, or mood swings
S Sensory disturbances (e.g., tingling, burning sensations)
H. Dizziness or light-headedness
269
Drugs affecting electrolytes (htn or causing renal problems ) can cause altered mental status:T/F
T
