SIGNS / SYMPTOMS (What do you suspect?) Flashcards
WHAT DO YOU SUSPECT?
- History of traumatic event
- Possible history of TBI
- Affective dysregulation (usually anger)
- Cognitive Impairment
- Flashbacks
- Severe Anxiety Symptoms (Poor sleep, Fatigue, Worrying, etc.)
- Numb/Detatched
- Feelings of Guilt/Self-blame
- Symptoms have been ongoing for 4 weeks
Post Traumatic Stress Disorder
WHAT DO YOU SUSPECT?
- Restricting energy intake
- Fear of gaining weight
- Behavior that prevents weight gain
- Distorted perception of body weight
- BMI <17.5
- Emaciation
- Hypothermia
- Bradycardia
- Hypotension
- Hypoactive Bowel Sounds
- Xerosis
- Lanugo
- Abdominal Distention
Anorexia Nervosa
WHAT DO YOU SUSPECT?
- Recurrent episodes of binging
- Recurrent episodes of compensatory behavior to prevent weight gain
- Normal to Above average BMI
- Dehydrated
- Menstrual Irregularities
- ECG Changes
- Possible Mallory-Weiss Tear
- Impaired decision making
- Emotional dysregulation
- Possible self-harm
- Possible Anxiety, depression, PTSD, substance abuse, ADHD, conduct disorders, personality disorders
Bulimia Nervosa
WHAT DO YOU SUSPECT?
- Episodes of binge eating
- Eating is associated with: Being uncomfortably ill, eating while not hungry, Feelings of embarassment/disgust.
Binge Eating Disorder
WHAT DO YOU SUSPECT?
- Eating chalk/dirt/hair/metal
- Low HGB and HCT (Anemia)
Pica
WHAT DO YOU SUSPECT?
- Repeated regurgitation of food
- Not associated with GERD or Pyloric Stenosis
Rumination Disorder
WHAT DO YOU SUSPECT?
- Consumption of alcohol that puts patient at risk for health consequences
- Use is not so severe as to meet criteria for alcohol use disorder
“Risky” Alcohol Use
WHAT DO YOU SUSPECT?
- Tremors
- Agitation
- Reduced sensation
- DTRs 1+
- Peripheral Parasthesia
- At least 2-3 of the following:
- Recurrent drinking resulting in failure to fulfill role obligations
- Recurrent drinking in hazardous situations
- Continued drinking despite alcohol-related social or interpersonal problem
- Evidence of tolerance
- Evidence of alcohol withdrawal or use of alcohol for relief or avoidance of withdrawal
- Drinking in larger amounts for longer periods than intended
- Persistent desire or unsuccessful attempts to stop or reduce drinking
- Great deal of time spent obtaining, using, or recovering from alcohol
- Important activities given up or reduced because of drinking
- Continued drinking despite knowledge of problems
- Alcohol craving
Alcohol Use Disorder
WHAT DO YOU SUSPECT?
- Disorientation, Inattentiveness (Encephalopathy)
- Nystagmus (Ocularmotor Dysfunction)
- Wide gait with short spaced steps (Gait ataxia)
- History of Alcohol Use Disorder
Wernicke Encephalopathy
WHAT DO YOU SUSPECT?
- Disorientation, Inattentiveness (Encephalopathy)
- Nystagmus (Ocularmotor Dysfunction)
- Wide gait with short spaced steps (Gait ataxia)
- History of Alcohol Use Disorder
- Anterograde and Retrograde amnesia
Korsakoff syndrome
(This is a late manifestation of Wernickes so you may still have the signs and symptoms of wernickes, but youre looking for that AMNESIA to determine if it has escalated to Korsakoff)
WHAT DO YOU SUSPECT?
- Tachycardia
- Hypertension
- Tremors
- Anxiety
- Minor agitation
- Restlessness
- Insomnia
- Tremor
- Diaphoresis
- Palpitations
- Headache
- Alcohol craving
- Last alcoholic drink was 6-24 hours ago
Mild Alcohol Withdrawl
WHAT DO YOU SUSPECT?
- Normal Vital Signs
- 12-24 hours since last alcoholic beverage
- Sees things like insects or animals in his room (They arent actually there)
Alcohol Withdrawl Hallucinations
(Unlike Alcohol Withdrawl Dilerium, Alcohol Withdrawl Hallucinations have normal vitals and no altered cognition or disorientation)
WHAT DO YOU SUSPECT?
- 72-96 hours after last alcoholic drink
- Fever
- Tachycardia
- Hypertension
- Drenching Sweats
- Fluctuating disturbance in attention and cognition
- Hallucinations
Delirium Tremens / Delirium due to Alcohol Withdrawl
WHAT DO YOU SUSPECT?
- Bradycardia
- Bradypnea
- Hypotension
- Hypothermia
- Hypoactive bowel sounds
- Miosis
Opioid Intoxication
WHAT DO YOU SUSPECT?
- Sweating
- Tachycardia
- Hypertension
- Mydriasis
- Confusion
- Disorientation
Stimulant Intoxication