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Flashcards in Psychosomatic Medicine Deck (29)
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1

What ar the 2 basic assumptions with psychosomatic medicine?

-Unity of mind and body
-Physiological factors

2

Can psychiatric factors affect the medical condition?

-hell yes!
-that's kinda what this lecture is about

3

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

4

What happens with Serotonin in stress?

-increased serotonin turnover

5

SLE, what is it?

-Fever, photosensitivity, butterfly rash, joint pains, headache
-Depression, mood disturbances, psychosis, delusions, hallucinations
-

6

What is MS?

-transient motor/sensory disturbances, impaired vision, difuse neurological signs with remissions and exacerbations, slurred speech, incontinence
-Anxiety, euphoria, mania

7

What is Seizure disorder?

-Sensory distortions, violence, belligerence
-Sonfusion, psychosis, dissociative states, cataoniclike state, bizzarre behavior

8

What will asthmatics have?

-panic disorder!
-fear of dypnea can trigger asthma attacks and high levels of anxiety

9

Will hyperthyoridism/hypo have psych symtpoms?

-yes!
-Hyper: pressured to keep talking ha ha, nervousness, excitability, irritability, psychosis, visual hallucinations
-Hypo: lethargy, depressed, personality change, paranoia

10

What psych sx will diabetes ppl have?

-frustration, loneliness, dejection, depression

11

What will hyponatremia ppl look like?

-excessive thirst, polydipsia, stupor
-confusion, lethargy, personality changes

12

Thiamine deficiency?

-they cannnoooottttttt answer a question straightforward!
-poor concentrations
-wernicke korsakoff syndrome

13

Cobalamin (vit B12 deficiency)

-pallor dizziness, peripherral neuropathy, dorsal column signs, ataxia
-Irritability, inattentiveness, psychosis, dementia

14

What will ppl with UC have?

-increased prevalence of dependent personalities

15

Crohns disease psych things?

-high rates of preexisting panic disorder

16

Side effects of SSRI?

-GI disturbances due to serotonin in the GI tract
-Nausea and diarrhea
-usually early on and dose related

17

What psych disorder will pancreatic cancer pts have?

-depression

18

What side effects will TCA's have?

-anticholinergic kind

19

Acute intermittent porphyria

-ab pain, fever, nausea, comiting, constipation, peripheral neuropathy, paralysis
-acute dperession, agitation, paranoia, visual hallucination

20

Hepatic Encephalopathy

-asterixis, hyperreflexia, spider angiomata, palmar erythema, ecchymoses, liver enlargement/atrophy
-euphoria, disnihibition, psychosis, depresssion

21

Frontal lobe tumor

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

22

If someone has head trauma, what will we have trouble doing?

-keeping them in the bed
-confusion, personality changes, memory impairment

23

Stress management

-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
-Hypnosis

24

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

25

what do we not give elderly ppl?

-benzodiazepines!
-"AVOID BENZOS IN ELDERLY HOSPITALIZED PATIENTS"

26

PCP

-elevated BP, tachycardia, nystagmus, muscular rigidity, vomiting
-Agitation with blank stare, anxiety, stupor, aggression, panic, bizarre behavior

27

What can antidpressants turn bipolar people into?

-mania!!!

28

What will corticosteroids do?

-mania, psychosis

29

Who do we not give benzos to?

-elderly ppl with delirium