First Aid-Psychiatry
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Created by:
subrahmboard on January 20, 2010
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57 terms
Terms | Definitions |
|---|---|
 5 of the following for 2 weeks means -_________ | Sleep disturbance, loss of interest, increased guilt, loss of energy, confusion/concentration, appetite weight changes, psychomotor retardation, siuicidal ideation-----major depressive disorder |
| major depressive disorder recurrent | 2 or more major depressive episodes with a symptom-free interval for 2 months |
| Dysthymia | milder form of depression lasting atleast two years |
| seasonal affective disorder | associated with witner season, improves in reponse to light exposure |
| Electroconvulsive therapy | Treatment option for depressive disorder refractory to other treatment. Produces a painless seizure. |
| Side effect electrconvulsive therapy | retrograde amnesia |
| Sleep pattern in depressed patients | longer lag time to sleep, down slow wave sleep, decreased rem latency, increased rem early in sleep cycle |
| atypical depression | cyclic depression you can have periods of joy with subseqney depression, SNRIs and MAO-I nad SSRI...weight gain |
| Risk facctors for suicide | SexAgeDepression PreviousEthanolRational SicknessOrganized planNospuseSocial support lacking |
| Panic Disorders | Defined by the presence of recurrent periods of intense fear and discomfort peaking in 10 minuts with 4 symptoms |
| Panic Disorder pneumonic | Palpatations, Paresthesias Abdominal distress Nausea Intense fear of dying or losing control Chest pain, chills, choking, disconnectedness Sweating, shaking , sob (PPANICCCSSS) |
| Specific Phobia | fear that is excessive or unreasonab;e and interferes with normal fuuntin. cued by the prsence ofr anticipation of specific object or sitation Person recognizes fear is excessive |
| Obsession | recurriving intrusive thoughts feelings or senations |
| Compulsion | repetitive action that alleviates distress of an obsession |
| OCD is ego____ | dystonic..behavior is inconsistent with ones beleuifes and attitides. |
| OCD association | tourettes |
| treatment for OCD | high dose SSRIs, clompiramine (tca) |
| Post traumatic stress disorder | Perssistent rexperienceing of a previous traumatic event. May involv,e nightmares or flashbacks, intense fear, helplessness or horror. Leads to avoadance of stimuli associated with the trauma an dpersistent arousal. Disturbance lasts greater than a month and causes significatn ddistress |
| treatment ptsd | psychotherapy and ssris |
| Generalziued anxiety disorder | Pattern of unctonrollable anxiety for atleast 6 months that is unrelated to s a specific person or event. Associated with sleep disturbance fatigue and difficulty concentrationg |
| treatment for GAD | ssris and buspirone |
| Malingering | patient consciously fakes or claims to have a disoerder in order to attian a specific gain...avoiding work..obtaining drug |
| Malingers____ medical personnel | avoid |
| When do malinger complaints stop | when secondary gain has been attianed |
| Factitious disorder | Patient consciously creates physical or psych symptoms oin order to assume sick role--Munchausens and Muchasens by proxy,,form of child abuse |
| Somatoform diseases | category of disorders characterized by phsycial symproms with no identificable physical cause..symptoms not intentionnaly prduced |
| Somatization disorder | variety of complaints in muiltiple organ systems...4 pain, 2 gi, 1 sexual 1 pseudo neuologic |
| Conversion | motor or sensory symprom...paralysis, blindness or mytism..following an acute stressor |
| hypochondriasis | preoccupation with and frear of having a serious illness |
| Body dysmorphic disorder | preoccupation with minor or imagined defect in appareance leading to significant emptional distress or impaired functioning..repeatedly seek cosmetic surgery |
| Pain disorder | prolonged pain with no physical findings |
| Progression of schizo | schizoid<schizotypal<schizophrenic |
| <1 month | brief psychotic disorder |
| 1-6 months | schizophreniform |
| >6 months | schizophrenia |
| Anorexia nervosa | abnormal eating habits..excessive dieting, intense fera of gaining weight body image distorting and excess exercise ...<85 percent below ideal body wigith. assicated with low bone density. restiricting and binge perging types..can coexist with depression |
| Bulimia nervosa | binge eating followed by self induced purging or use of laxatives diuretis ore emtics |
| associations bulima | parotitis, enamel eriosion, alkalosis, dorsalhand calluses russel sign |
| Typical Antipsychots | haloperidol and the azines |
| Mechanism of typical antipsychotics | block the d2 receptor |
| Clinical use of typical antipsychotics | Schizophrenia (positive symptoms) |
| Toxicity of typical antipsychotics | 4h acute dystonia 4d akinesia 4 wk akathesia 4 mo tardive dyskinisea |
| Autonomic toxicit y of typical antipsychotics | mad as ahatter, dry as abone, red as abet...hypotension and sedation |
| NMS | neruolepti cmalignant syndrom side effect of typical antipsychotics |
| NMS symptoms | Fever, encephalopathy, vitals untable, elevated enzyme and rigid muscles |
| atypical antipsychotcs | it is not atypical for old closets to risper olanzapine, clozapine and resperidone |
| Mechanism of atypical | blocks serotonin, dopamine and histamine |
| Clinical use of atypicals | schizophrenia ...olanzipine can be used ofr OCD, anxiety disprder |
| Toxicity | fewre EPS and anicholinergic..same weight gain |
| Lithium | mooid stabilizer used in bipolar..unknown mechanism (maybe IP)..toxicity tremor |
| LMNOP | lithium side effects, movement disorder, nephrogenic diabetes insipidus,hypothyroidism, pregnancy problems |
| Buspirone | stimualtes serotoning receptors, GAD |
| Mirtazapine | alpha two antagonist (stops negative feedback) release of serotining nad ne |
| MAO-inhibnitors | non selective MAO-inhinhibtion increase levels of amine neurotrasnmiiters |
| Use MAO inhib | atypical depression, anxiety |
| Toxicity of MAO inhib | hypertensive crisis with typramine food and beta agnoists, cns stimulation...contrainciate with SSRIs to prevent serotonin syndrome |
| TCA side effects | TriCs convulsion, cardiotoxity and coma |
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