Psychiatry Review and Patient Presentation Flashcards Preview

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Flashcards in Psychiatry Review and Patient Presentation Deck (42)
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1

If someone comes in and it looks like they have dementia, what do we do for workup?

-CBC
-Comprehensive metabolic profile
-Imaging: CT/MRI
-B12, Folate
-MMSE (mini mental status exam)

2

Do we treat the lab values or the patient?

-the patient

3

does dementia have a long onset?

-yes
-delerium doesn't

4

tx for this dementia pt

-treat any underlying lab abnormalities
-medications
-behavioral modifications
-family support

5

When is a good time for someone to take their SSRI?

-right before they take their pill because those things will cause sexual dysfunction

6

What is connected with CV disease?

-depression
-and vice versa

7

Which system is stimulated according to the stress theory?

-the autonomic nervous system
-the sympathetics mostly

8

What happens when we activate Noradrenergic systems?

-catecholamine release

9

Activate serotonergic systems

-increased serotonin turnover

10

What do glucocorticoids do in stress?

-enhance serotonin function

11

What happens to dopaminergic neurotransmission as a response to stress?

-Increased

12

What are some endocrine responses to stress?

-CRF (hypothalamus) triggers release of ACTH
-promotes energy use, increasing cardiovascular activity, and inhibiting functions such as growth, reproduction, and immunity

13

What happens to the immune system during stress?

-Inhibition of immune functioning

14

How does SLE present medically?

-fever, photosensitivity, butterfly rash, joint pains, headache

15

How does SLE present psychiatrically?

-depression, mood disturbances, psychosis, delusions, hallucinations

16

How does MS present medically?

-transient motor/sensory disturbances, impaired vision, diffuse neurological signs with remissions and exacerbations, slurred speech, incontinence

17

How does MS present psychiatrically?

-anxiety, euphoria, mania

18

what came first, cardiovascular disease, or depression?

-who knows?
-they just really go together

19

Psych sx of hyperthyroidism?

-nervousness, excitability, irritability, pressured speech, insomnia, psychosis, visual hallucinations

20

psych sx of hypothyroidism?

-lethargy, depressed, personality change, paranoia

21

Psych sx of diabetes mellitus

-frustration, loneliness, dejection, depression

22

Thiamine deficiency

-Medical: neuropathy, cardiomyopathy, wernicke-korsakoff, malaise, alcoholics
-Psych: poor concentration, confusion, confabulation

23

Cobalamin (vit B12) deficiency?

-Medical: pallor dizziness, peripheral neuropathy, dorsal column signs, ataxia
-Psych: irritability, inattentiveness, psychosis, dementia

24

If there is a frontal lobe problem, what will that look like?

-mood changes, irritability, facetiousness, impaired judgement, impaired memory, delirium, loss of speech, loss of smell

25

main difference between delerium and dementia?

-time of onset

26

difference between dementia and depression in old ppl?

-those that have dementia will not have insight

27

what drug do we avoid in old ppl?

-Benzodiazepines

28

if we give someone with COPD corticosteroids, what could happen?

-mania, psychosis

29

what do we avoid using in elderly with delirium?

-benzos

30

What can antidepressants give us?

-mania (bipolar pt)