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
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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