Psychotic and Eating Disorders Flashcards

(35 cards)

1
Q

List 3 (+) symptoms of Schizophrenia

A

Delusions of persecution/grandiosity
Auditory Hallucinations
Disorganization of speech/behavior

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2
Q

List 3 (+) symptoms of Schizophrenia

A

Delusions of persecution/grandiosity
Auditory Hallucinations
Disorganization of speech/behavior

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3
Q

List 3 (-) symptoms of Schizophrenia

A

Flat affect
Anhedonia/Apathy
Cognitive Delay

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4
Q

List 3 (-) symptoms of Schizophrenia

A

Flat affect
Anhedonia/Apathy
Cognitive Delay

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5
Q

How long must symptoms be present in order to diagnose Schizophrenia?

A

> 6 months

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6
Q

If a patient has symptoms that look like Schizophrenia, how long must they have been present in order to diagnose?

A

Greater than 6 months

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7
Q

What is Brief Psychotic Disorder?

A

Symptoms of Schizophrenia that have only been present for < 1 month

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8
Q

If a patient has symptoms that look like Schizophrenia, how long must they have been present in order to diagnose Brief Psychotic Disorder?

A

Less than 1 month

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9
Q

What is Schizophreniform?

A

Symptoms of Schizophrenia that have only been present for > 1 month but < 6 months

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10
Q

If a patient has symptoms that look like Schizophrenia, how long must they have been present in order to diagnose Schizophreniform?

A

> 1 month but < 6 months

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11
Q

What is Schizoaffective Disorder?

A

Symptoms of Schizophrenia + mood symptoms

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12
Q

How long must symptoms be present in order to diagnose Schizoaffective Disorder?

A

> 6 months

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13
Q

What is Delusional Disorder?

A

Patient has 1 non-bizarre delusion and NO functional impairment

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14
Q

What is the treatment for Delusional Disorder?

A

Gentle confrontation

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15
Q

What is the treatment for diseases that present like Schizophrenia?

A

Atypical Antipsychotics

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16
Q

If all other treatments fail for Schizophrenia, what drug should be used?

17
Q

How do you treat Catatonia?

A

Benzodiazepine challenge + ECT

18
Q

With Anorexia Nervosa, what is the patient’s body weight?

A

UNDERWEIGHT
= BMI < 18.5

19
Q

What must a patient’s BMI be under in order to diagnose Anorexia Nervosa?

20
Q

What must a patient’s BMI be under in order to hospitalize a patient?

21
Q

Anorexia Nervosa is most often associated with what type of behaviors?

A

Restriction of food intake or excessive exercise

22
Q

Why are Anorexic patients harder to treat?

A

They see an unrealistic version of themselves (fat) no matter what you show them so they do not think anything is wrong

23
Q

Besides being severely malnourished, what other signs point towards Anorexia Nervosa?

A

Hypothyroid-ish
= Dry skin, thinning hair, cold intolerance, bradycardia, hypotension

24
Q

What is the first line drug class to treat Anorexia Nervosa?

A

Antipsychotics

25
What is the first line drug class to treat Anorexia Nervosa?
Antipsychotics
26
With Bulimia Nervosa, what is the patient's body weight?
Normal or overweight = BMI > 18.5
27
What must the patient's BMI be in order to diagnose Bulimia Nervosa?
> 18.5
28
What type of behaviors are the most common with Bulimia Nervosa?
Binge - Purge
29
What are physical signs of purging?
Dental erosions Parotid gland enlargement Dorsal hand scars
30
What are physical signs of purging?
Dental erosions Parotid gland enlargement Dorsal hand scars
31
What metabolic derangements will be present with purging via emesis?
Metabolic Alkalosis Low K+ and Mg++
32
What metabolic derangement will be present with purging via laxatives?
Metabolic Acidosis
33
What is the treatment for Bulimia Nervosa?
SSRIs and psychotherapy
34
What drug should you NEVER use with eating disorders?
Bupropion
35
What drug should you never use with eating disorders and why?
Bupropion --> lowers SEIZURE threshold