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Flashcards in Psychosomatic Medicine - Hill Deck (14):
1

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

2

Patient w/ CV disease has an MI. What is the most likely psychological result?

Depression

3

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

4

Patients with asthma or COPD commonly have what psychological states? (3)

Panic disorder, agoraphobia, anxiety

5

Heat intolerant, sweating, diarrhea, weight loss, tachycardia, palpitations, vomiting, tremor, impaired recent memory

Psych symptoms?

Hyperthyroid

Nervousness, excitability, irritability, pressured speech, insomnia, PSYCHOSIS, visual hallucinations

6

Cold intolerant, dry skin, constipation, weight gain

Psych symptoms?

Hypothyroid

Lethargy, DEPRESSION, personality change, paranoia

7

Increased urination, thirst, elevated glucose level

Psych symptoms?

DM

Frustration, loneliness, dejection, DEPRESSION

8

Excessive thirst, polydipsia, stupor, coma, seizures

People at risk?

Psych symptoms?

Hyponatremia

Geriatrics, SSRI meds

Confusion, lethargy, personality changes

9

Neuropathy, cardiomyopathy, malaise, alcoholic

Psych symptoms?

Thiamine deficiency

Poor concentration, confusion, confabulation

10

Pallor, dizziness, peripheral neuropathy, ataxia, loss of proprioception

Psych symptoms?

B12 deficiency

Irritability, inattentiveness, psychosis, dementia

11

Skin problems -- psych issue?

Anxiety

12

Corticosteroids -- psych issues?

Mania, psychosis, hallucinations

13

Benzos - psych issues (specific patient)?

Sedation, delirium in elderly

14

Antidepressants - psych issue (specific patient)?

Mania in bipolar patient