Flashcards in Psychiatry Deck (27):
Antidepressants a/w hypertensive crisis
Galactorrhea, impotence, menstrual dysfcn, and decreased libido
Pt on DA antagonist
17 yo F with L arm paralysis after her BF dies in a car crash. No medical cause is found.
Defense mech: mother who is angry at her husband yells at her child
Defense mech: pedophile enters a monastery
Defense mech: F calmly describes a grisly murder
Defense mech: hospitalized 10 yo begins to wet his bed
Life-threatening m. rigidity, fever, and rhabdo
Neuroleptic malignant syndrome (NMS)
Amenorrhea, bradycardia, and abnl body image in a young F
35 yo M with recurrent episodes of palpitations, diaphoresis, and fear of going crazy
Most serious SE of clozapine
21 yo M has 3 mo of social w/d, worsening grades, flattened affect, and concrete thinking
Schizophreniform d/o (dx of schizophrenia requires ≥6 mo of sxs)
Key SEs of atypical antipsychotics
Wt gain, T2DM, QT prolongation
Young wt lifter receives IV haloperidol and complains that his eyes are deviated sideways. Dx? Tx?
Acute dystonia (oculogyric crisis).
-Tx: benztropine or diphenhydramine
Medication to avoid if h/o EtOH w/d szs
13 yo M with h/o theft, vandalism, and violence toward family pets
5 mo F with decreased head growth, truncal dyscoordination, and decreased social interaction
Pt hasn't slept for days, lost $20,000 gambling, is agitated, and has pressured speech. Dx? Tx?
-Tx: start a mood stabilizer (ex: lithium)
After a minor fender bender, a man wears a neck brace and requests permanent disability
RN presents with severe hypoglycemia. Labs show no elevation in C-peptide.
Factitious d/o (Munchausen syndrome)
Pt continues to use cocaine after being in jail, losing his job, and not paying child support
Violent pt has vertical and horizontal nystagmus
Phencyclidine hydrochloride (PCP) intox
F who was abused as a child frequently feels outside of or detached from her body
M has repeated, intense urges to rub his body against unsuspecting passengers on a bus
Frotteurism (a paraphilia)
Schizophrenic pt takes haloperidol for 1 yr and develops uncontrollable tongue movements. Dx? Tx?
-Tx: Decrease or d/c haloperidol. Consider another antipsychotic (ex: risperidone, clozapine).
M unexpectedly flies across the country, takes a new name, and has no memory of his prior life.