Schizophrenia Flashcards Preview

Jason's MD3 Psychiatry Rot > Schizophrenia > Flashcards

Flashcards in Schizophrenia Deck (19):
1

Why organic psych important?

implications for Treatments: Sx. Or drugs

2

What is a delusion?

Fixed false belief

3

3 kinds of auditory hallucination?

3rd person derogatory
Commentary
Command

4

What is hallucination?

Seeing, hearing, smelling feeling something that isn't there

5

3 things important for treatment of schizo?

1. Treatment - meds
2. No illicit drugs
3. Family

6

Don't forget about negative symptoms

Avolition
Social withdrawal
decreased affect

7

What is a bizarre delusion?

No plausibility to it.

8

Why ask about psychotic symptoms at all?

Dx
Safety
Treatment options

9

What are 2 types of positive symptoms

1. Disorganization

2.positive symptoms: delusion/hallucination

10

Cognitive symptoms of schizophrenia?

Frontal: judgement/planning
Working memory
Planning, organization, motivation

11

Schizophrenia person with symptoms, need to make sure what?

Co-morbidities, they can still have other issues

12

Clusters to think of in Schizophrenia?

Positive
Negative
Cognitive
Function
Comorbidities
Drugs/alcohol
Insight

13

4 different differentials for 'negative symptoms'

Negative syndrome
MEds-over sedation
depression
Drugs/alcohol

14

How to treat negative symptoms in schizo?

Hard to treat.

Clozapine trial maybe. (Sometimes augmented with aripiprizole)

Multidisciplinary team.

15

Acute presentation of psychosis DDx?

Organic: Age? Late onset?
Brain? Dementia? Delirium? Comorbidities?

Nonorganic: Relapse of schizo


Substance abuse? Meth/ICE

16

Delirium cardinal features?

-Inattention
-Confusion
-Altered level of consciousness

17

25yo PhD student with acute psychosis, no previous psychiatric Hx. No drugs. What's the DDX?

Organic: infections, bleeds, lesion, seizures, encephalitis

Affective vs. non-affective
Depression/Mania
Mood congruence.

Which one is first? Schizo or mania then psychosis? Or Depression for a month, then psychosis?


18

How to determine personality disorder?

Take a developmental Hx. It's enduring.

19

Delusional disorder is what?

Tends to come on later in life. 40s/50s

Preoccupation with a single reason eg. Morbid jealously (Infidelity)


Non-bizarre
No hallucinations
Not disorganized