Flashcards in Psychosomatic Medicine - Hill Deck (14):
Neurotransmitters released in response to stress?
Endocrine responses to stress?
Effect of stress on immunity?
Catecholamines, Serotonin, Glucocorticoids, Dopamine
CRH release --> ACTH
Inhibition by glucocorticoids or activation by IL-1, IL-6
Patient w/ CV disease has an MI. What is the most likely psychological result?
A patient develops CV disease over time. What recurrent psychological states can put him at risk for this? (6)
DEPRESSION, anxiety, type A behavior, hostility, anger, stress
Patients with asthma or COPD commonly have what psychological states? (3)
Panic disorder, agoraphobia, anxiety
Heat intolerant, sweating, diarrhea, weight loss, tachycardia, palpitations, vomiting, tremor, impaired recent memory
Nervousness, excitability, irritability, pressured speech, insomnia, PSYCHOSIS, visual hallucinations
Cold intolerant, dry skin, constipation, weight gain
Lethargy, DEPRESSION, personality change, paranoia
Increased urination, thirst, elevated glucose level
Frustration, loneliness, dejection, DEPRESSION
Excessive thirst, polydipsia, stupor, coma, seizures
People at risk?
Geriatrics, SSRI meds
Confusion, lethargy, personality changes
Neuropathy, cardiomyopathy, malaise, alcoholic
Poor concentration, confusion, confabulation
Pallor, dizziness, peripheral neuropathy, ataxia, loss of proprioception
Irritability, inattentiveness, psychosis, dementia
Skin problems -- psych issue?
Corticosteroids -- psych issues?
Mania, psychosis, hallucinations
Benzos - psych issues (specific patient)?
Sedation, delirium in elderly