SIGNS / SYMPTOMS (What do you suspect?) Flashcards

1
Q

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
A

Post Traumatic Stress Disorder

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2
Q

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
A

Anorexia Nervosa

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3
Q

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
A

Bulimia Nervosa

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4
Q

WHAT DO YOU SUSPECT?

  • Episodes of binge eating
  • Eating is associated with: Being uncomfortably ill, eating while not hungry, Feelings of embarassment/disgust.
A

Binge Eating Disorder

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5
Q

WHAT DO YOU SUSPECT?

  • Eating chalk/dirt/hair/metal
  • Low HGB and HCT (Anemia)
A

Pica

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6
Q

WHAT DO YOU SUSPECT?

  • Repeated regurgitation of food
  • Not associated with GERD or Pyloric Stenosis
A

Rumination Disorder

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7
Q

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
A

“Risky” Alcohol Use

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8
Q

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
A

Alcohol Use Disorder

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9
Q

WHAT DO YOU SUSPECT?

  • Disorientation, Inattentiveness (Encephalopathy)
  • Nystagmus (Ocularmotor Dysfunction)
  • Wide gait with short spaced steps (Gait ataxia)
  • History of Alcohol Use Disorder
A

Wernicke Encephalopathy

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10
Q

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
A

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)

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11
Q

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
A

Mild Alcohol Withdrawl

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12
Q

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)
A

Alcohol Withdrawl Hallucinations

(Unlike Alcohol Withdrawl Dilerium, Alcohol Withdrawl Hallucinations have normal vitals and no altered cognition or disorientation)

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13
Q

WHAT DO YOU SUSPECT?

  • 72-96 hours after last alcoholic drink
  • Fever
  • Tachycardia
  • Hypertension
  • Drenching Sweats
  • Fluctuating disturbance in attention and cognition
  • Hallucinations
A

Delirium Tremens / Delirium due to Alcohol Withdrawl

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14
Q

WHAT DO YOU SUSPECT?

  • Bradycardia
  • Bradypnea
  • Hypotension
  • Hypothermia
  • Hypoactive bowel sounds
  • Miosis
A

Opioid Intoxication

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15
Q

WHAT DO YOU SUSPECT?

  • Sweating
  • Tachycardia
  • Hypertension
  • Mydriasis
  • Confusion
  • Disorientation
A

Stimulant Intoxication

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16
Q

WHAT DO YOU SUSPECT?

  • Insomnia
  • Pressured speech
  • Racing thoughts / ideas
  • Easily distracted
  • Recent spending spree
  • Recent unprotected sex with multiple partners
  • Inflated Grandiosity
  • Delusions/Hallucinations
A

Mania

17
Q

WHAT DO YOU SUSPECT?

  • For the last two weeks:
    • Falling asleep at work
    • Unable to fall/stay asleep at night
    • Fatigue
    • Recently stopped reading even though they used to read every day
    • Fidgeting with their hands
    • unable to concentrate
    • Feels like the world would be better without them
    • Wondering if they should just die
A

Depression

18
Q

WHAT DO YOU SUSPECT?

  • Episodes of:
    • Mania
    • Hypomania
    • Major Depression
A

Bipolar Disorder

19
Q

WHAT DO YOU SUSPECT?

  • Their wife died 3 weeks ago
  • Falling asleep at work
  • Unable to fall/stay asleep at night
  • Fatigue
  • Recently stopped reading even though they used to read every day
  • Fidgeting with their hands
  • Unable to concentrate
  • Feels like the world would be better without them
  • Wondering if they should just die
A

Just know that it isnt Adjustment Disorder. Adjustment disorder is not diagnosed in instances of Bereavement (State of mourning after the loss of a loved one)

20
Q

WHAT DO YOU SUSPECT?

  • Delivered baby 2 weeks ago
  • Feeling sad
  • 2 write ups at work for falling asleep at work
  • Insomnia
  • Lack of energy
  • Loss of appetite
  • Headaches
  • Back Pain
  • Reduced concentration
A

Post-Partum Depression

21
Q

WHAT DO YOU SUSPECT?

  • Delivered baby 7 days ago
  • Feeling sad
  • 2 write ups at work for falling asleep at work
  • Insomnia
  • Lack of energy
  • Loss of appetite
  • Headaches
  • Back Pain
  • Reduced concentration
A

Post-Partum Blues

22
Q

WHAT DO YOU SUSPECT?

For the last 6 months:

  • Neck pain
  • Shoulder Pain
  • Fatigue
  • Muscle tension
  • Difficulty relaxing
  • Worring about minor things
A

Generalized Anxiety Disorder

23
Q

WHAT DO YOU SUSPECT?

  • Chest Pain
  • Palpitations
  • Nausea
  • Loss of balance (dizzy)
  • Feels like they have something in their throat (Choking)
  • Feels like they cant catch their breath
  • Similar signs and symptoms in the past
  • “Feels like im going to die”
  • Wife gave him divorce papers this morning
  • EKG: Sinus Tachycardia
A

Panic Disorder

24
Q

WHAT DO YOU SUSPECT?

  • Patient escorted by chief because she thought the patient was drunk
  • When patient asked what he was brought to medical he responded “I shouldnt be here, fear, tear”
  • Said “The president talked to me through the TV and told me i was on an important mission”
  • Hearing voices
  • Normal vitals
  • PERRLA
  • EOMI
A

Psychosis / Psychotic Disorder

25
Q

WHAT DO YOU SUSPECT?

  • Has been eating even when they arent hungry
  • Delayed responces to questions
  • Thinks their bestfriend is out to get them because of a minor argument
  • Mother has a history of depression, Unknown history with father because they left when they were a baby
  • Recently started gambling online
  • “Splitting”
  • Said they would kill themself if we told their chief anything you guys talked about today
A

Borderline Personality Disorder

26
Q

WHAT DO YOU SUSPECT?

  • Was sent to medical after he played a prank on his co-workers that nearly hurt them
  • Financial dependency on others
  • Impulsive behaviors
  • States he “Barely passed highschool”
  • Multiple sexual partners
  • Mariage problems
  • Said he would drink everyday before deployment
  • Pathological Liar
  • Constantly getting written up for endangering others
A

Antisocial Personality Disorder

27
Q

WHAT DO YOU SUSPECT?

  • Pattern of:
    • Negativistic Behavior
    • Hostile Behavior
    • Defiant Behavior
A

Oppositional Defiant Disorder

28
Q

WHAT DO YOU SUSPECT?

  • Habitual rule breaking
  • Aggression
  • Destructive
  • Lying
  • Stealing
  • Truancy
  • Diagnosed with ADHD
A

Conduct Disorder

29
Q

WHAT DO YOU SUSPECT?

Delayed or absent ejaculation/orgasm occurring on almost all
occasions of partnered sexual activity and persists for a minimum of 6 months.

A

Delayed Ejaculation

30
Q

WHAT DO YOU SUSPECT?

Failure to obtain erections in a situation in which they were anticipated, causing embarrassment, self-doubt, and loss of self-confidence.

A

Erectile Dysfunction

31
Q

WHAT DO YOU SUSPECT?

Female: Complaint of normal libido and sexual excitement without the capacity to reach orgasm.

A

Female Orgasmic Disorder

32
Q

WHAT DO YOU SUSPECT?

Female: Lack of or significantly reduced sexual interest/arousal for at least 6 months

A

Female sexual interest / arousal disorder

33
Q

WHAT DO YOU SUSPECT?

1) Difficulty having intercourse,
2) Genito-pelvic pain,
3) Fear of pain on vaginal penetration,
4) Tension of the pelvic floor muscles.

A

Genito-Pelvic Pain / Penetration Disorder

34
Q

WHAT DO YOU SUSPECT?

Male: Absence of desire for sexual activity and persistently or recurrently deficient (or absent) sexual/erotic thoughts or fantasies for at least 6 months.

A

Male Hypoactive Sexual Desire Disorder

35
Q

WHAT DO YOU SUSPECT?

Persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it, present for at least 6 months

A

Premature Ejaculation

36
Q

WHAT DO YOU SUSPECT?

Deliberate self-inflicted bodily damage with the expectation that the injury will not be lethal

A

Non-suicidal Self-Injury