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Flashcards in Psych Psychoses and stuff Deck (26):
1

Basilar artery stroke symptoms?

Pons ischemia. Think CN defects and altered mental status or coma

Can have contralateral full body weakness
Vertigo

2

Irrational belief that can't be changed by proof or rational arguments

Delusion

3

Hallucination is what? how different than illusion?

Hallucination is sense something not there.

Illusion is misinterpret a stimulus that is there

4

Circumstantiality

Tangentiality

Loose associations

Diverge from questions asked but returned. GET THERE EVENTUALLY

Tangentiality doesn't ever get there. CAN FOLLOW THOUGH

Loose associations can't follow the thoughts.

5

Neologism

Word salad

Making up new words

words that don't make sense who strung together

6

Schizophrenia is what?

lasting 6 months. Dysfunction in work and social

must have 2 of the following

Delusions, hallucination, disorganized speech, catatonic behavior
NEGATIVE symptoms

7

Schizo risk factor of birth time is what?

Uterine exposure to flu. So born in late winter/early spring

8

Neuroimagining of schizo?

Enlargement of lateral and third ventricle

Cortical thinning

9

Schizotypal personality?

Just do weird things. Weird behavior/appearance and discomfort with relationships

10

Schizoid personality disorder

voluntary isolation AVOID

11

Schizoaffective?

Psychosis with intermittent mood disorder

12

Schizophrenia is how long? what if shorter?

Psychosis of 6 months

Schizophreniform is less than 6 months

Brief is less than a month

13

What is delusional disorder?

Delusions for month (So can't be convinced otherwise)

Hallucinations can be present and if so, they are related to the delusions (like patient hearing voices of kids stealing electricity and living in the attack)

FUNCITONING is not impaired!!

14

Glucocorticoids and anabolic steroids can cause psychosis

DUH!

15

Crazy thoughts that are delusional but able to hold down a job or function in society?

Delusional disorder

16

Schizoaffective is what?

Psychosis with intermittent mood disorder

17

Side effects of low potency antipsychotics?

Anticholinergic

Chlorpromazine
Thioridazine

CHEATING THIEVES!

18

Side effect of high potency antipsychotics?

Less anticholinergic
Extrapyramidal
Tardive dyskinesia
NMS

19

What are high potency antipsychotics?

Haloperidol
Fluphenazine
Loxapine
Thiothixene
Trifluoperazine

20

Atypical side effects? They block D2 and 5HT2

Special monitoring

Ol Cl Quie Risper

Weight gain
Diabetes
CLO is agranulocytosis so check CBC ONCE PER WEEK

21

What causes extrapyramidal side effects? What are they?

High potency like fluphanazine, haloperidol loxapine, thiothixene, trifluoperazine

Acute dystonia
Parkinsonian
Akathisia (compulsion to move)

22

Treatment for acute dystonia from antipsychotic? (meaning patient can't relax muscle)

Benztropine or diphenhydramine

They are anticholinergics

23

Tardive dyskenesia tx?

try to switch to atypical, but may be permanent

24

Neuromalignant syndrome looks like what? How is it different than other disease that is similar?

Mental status change: agitated
Muscle rigidity
Rhabdo

25

NMS tx?

DANTROLENE is a big one.

IVF, cooling blankets
Clonidine or nitroprusside to vasodilate and treat HTN
DVT prevention
Benzos for agitation

26

Antipsychotic causing DM?

Olanzapine makes you super FAT like a big round O