Flashcards in Psychosomatic Medicine Deck (29)
What ar the 2 basic assumptions with psychosomatic medicine?
-Unity of mind and body
Can psychiatric factors affect the medical condition?
-that's kinda what this lecture is about
What is stress?
-a circumstance that disturbs, or is likely to disturb, the normal physiological or psychological functioning of a person
-stimulation of autonomic nervous system (sympathetic) to fight or flight
What happens with Serotonin in stress?
-increased serotonin turnover
SLE, what is it?
-Fever, photosensitivity, butterfly rash, joint pains, headache
-Depression, mood disturbances, psychosis, delusions, hallucinations
What is MS?
-transient motor/sensory disturbances, impaired vision, difuse neurological signs with remissions and exacerbations, slurred speech, incontinence
-Anxiety, euphoria, mania
What is Seizure disorder?
-Sensory distortions, violence, belligerence
-Sonfusion, psychosis, dissociative states, cataoniclike state, bizzarre behavior
What will asthmatics have?
-fear of dypnea can trigger asthma attacks and high levels of anxiety
Will hyperthyoridism/hypo have psych symtpoms?
-Hyper: pressured to keep talking ha ha, nervousness, excitability, irritability, psychosis, visual hallucinations
-Hypo: lethargy, depressed, personality change, paranoia
What psych sx will diabetes ppl have?
-frustration, loneliness, dejection, depression
What will hyponatremia ppl look like?
-excessive thirst, polydipsia, stupor
-confusion, lethargy, personality changes
-they cannnoooottttttt answer a question straightforward!
-wernicke korsakoff syndrome
Cobalamin (vit B12 deficiency)
-pallor dizziness, peripherral neuropathy, dorsal column signs, ataxia
-Irritability, inattentiveness, psychosis, dementia
What will ppl with UC have?
-increased prevalence of dependent personalities
Crohns disease psych things?
-high rates of preexisting panic disorder
Side effects of SSRI?
-GI disturbances due to serotonin in the GI tract
-Nausea and diarrhea
-usually early on and dose related
What psych disorder will pancreatic cancer pts have?
What side effects will TCA's have?
Acute intermittent porphyria
-ab pain, fever, nausea, comiting, constipation, peripheral neuropathy, paralysis
-acute dperession, agitation, paranoia, visual hallucination
-asterixis, hyperreflexia, spider angiomata, palmar erythema, ecchymoses, liver enlargement/atrophy
-euphoria, disnihibition, psychosis, depresssion
Frontal lobe tumor
-mood changes, irritability, facetiousness, impaired judgement, impaired memory, delirium, loss of speech, loss of smell
If someone has head trauma, what will we have trouble doing?
-keeping them in the bed
-confusion, personality changes, memory impairment
-self observation: daily diary to keep record of stressors and rxns to stressors
-Cognitive restructuring: includes cognitive behavior therapy to substitute negative assumptions with positive assumptions
-Relaxation exercises: muscle relaxation techniques to teach relaxation to stresed/tense muscles
What is the most common cause of confusion or disorientation among hospticalized pts in general hospitals?
-Delirium, has quick onset, super altered mental status
-dementia has longer onset, steady course
what do we not give elderly ppl?
-"AVOID BENZOS IN ELDERLY HOSPITALIZED PATIENTS"
-elevated BP, tachycardia, nystagmus, muscular rigidity, vomiting
-Agitation with blank stare, anxiety, stupor, aggression, panic, bizarre behavior
What can antidpressants turn bipolar people into?
What will corticosteroids do?