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Flashcards in psychosomatic Deck (22):
1

Medical Symptoms: Asterixis, hyperreflexia, spider angioma, palmar erythema, ecchymosis, liver enlargement/atrophy.

Hepatic Encephalopathy

Psychiatric Symptoms: Euphoria, disinhibition, psychosis, depression.

2

Medical Symptoms: Excessive thirst, polydipsia, stupor, coma, seizures

Hyponatremia/ SSRIs

Psychiatric Symptoms: Confusion, lethargy, personality changes

3

Depression, anxiety, type A behavior, hostility, anger, and acute mental stress have been evaluated as risk factors for the deve and expression of ...

coronary disease
• Two-fold increased risk of incident MI and CAD-related mortality.

4

Corticosteroids

Mania, psychosis (hallucinations)

5

asthma

panic disorder and anxiety

6

Medical Symptoms: Abdominal pain*, fever, nausea, vomiting, constipation, peripheral neuropathy, paralysis.

Acute Intermittent Porphyria

Psychiatric Symptoms: Acute depression, agitation, paranoia*, visual hallucinations*

7

Benzodiazepines

Sedation, paradoxical agitation
o Avoid use in elderly with delirium

8

TCA somatic effects

TCA side effects due to anticholinergic effects
o Constipation, dry mouth

9

Medical Symptoms: Cold intolerance, dry skin, constipation, weight gain.

hypothyroidism

Psychiatric Symptoms: Lethargy, depressed**, personality change, paranoia

10

Frontal Lobe Tumors

Mood changes, irritability, facetiousness, impaired judgment, impaired memory, delirium, loss of speech, loss of smell.

11

SSRI somatic effects

SSRI medications have highest rate of GI disturbances due to serotonin in the GI tract
o Nausea and diarrhea
o Usually early on and dose related

12

Medical Symptoms: Increased urination/thirst, high glucose levels.

Diabetes Mellitus

Psychiatric Symptoms: Frustration, loneliness, dejection, depression

13

Antidepressants

Mania (bipolar patient), anxiety, insomnia

14

Medical Symptoms: Pallor, dizziness, peripheral neuropathy, dorsal column signs, ataxia

Cobalamin (Vitamin B12) Deficiency

Psychiatric Symptoms: Irritability, inattentiveness, psychosis dementia*

15

Medical Symptoms: Heat intolerance, excessive sweating, diarrhea, weight loss, tachycardia, palpitations, vomiting, fine tremor, hyperactivity, short attention span, impaired recent memory, exaggerated startle response, bulging eyes.

hyperthyroidism

Psychiatric Symptoms: Nervousness, excitability, irritability, pressured speech, insomnia, psychosis, visual hallucinations.

16

Medical Symptoms: Fever, photosensitivity, butterfly rash, joint pains, headache.

Systemic Lupus Erythematosus (SLE)

Psychiatric Symptoms: Depression, mood disturbances, psychosis, delusions, hallucinations.
o Supportive psychotherapy can help patients acquire knowledge and maturity to cope and promote positive interactions

17

Crohn’s Disease pts have highest prevalence in

pts w preexisting panic disorder.

18

Medical Symptoms: Neuropathy, cardiomyopathy, Wernicke-Korsakoff syndrome, malaise, common in alcoholics.

Thiamine Deficiency

Psychiatric Symptoms: Poor concentration, confusion, confabulation.
--Cannot form new mems and not rly upset aout it

19

Medical Symptoms: Elevated BP, tachycardia, nystagmus, muscular rigidity, vomiting.

Phencyclidine (PCP)

Psychiatric Symptoms: Agitation with blank stare, anxiety, stupor, aggression, panic, bizarre behavior.

20

Ulcerative Colitis increased prevalence in

dependent personalities

21

Peptic Ulcer Disease d/t

Increased gastric acid excretion associated with psychological stress.

22

Pancreatic Carcinoma --> med and psych symp

Weight loss, abdominal pain, depression, lethargy, anhedonia, apathy, decreased energy