1 Flashcards
profound learning disability IQ
<20
define conduct disorder
characterised by repetitive and persistent patterns of antisocial, aggressive or define behaviours which violate age appropriate societal norms
factors increasing risk of suicide
- poor social support
- lower level education
- chronic conditions
- impulsivity
- hopelessness
- low self esteem
- high lethality of methods used
- high suicidal intent and motivation
- ongoing precipatory stress
- physical and sexual abuse
depression in PC management step 1
recognition, assessment and initial management
- assessment
- support
- psycho-education
- lifestyle advice
- active monitoring
- referral for further assessment
- interventions
Gynae FNS
- loin pain haematuria syndrome
- chronic pelvic pain
GI FNDs
- IBS
- cyclical vomitting
- functional dysplasia
when are sleep drugs licenced in insomnia
melatonin >55 for use <13 weeks
hypnotics e.g. benzodiazepines in severely disabling insomnia causing marked stress
management prolonged grief disorder
- counselling
- antidepressants
- behavioural/ cognitive/ exposure therapy
presentation prolonged grief disorder
- can still feel happy
- symptoms associated with thinking about deceasesed
- want to be with others where depressed people want to be alone
- longing/ yearning for loved ones
what should you do if patient on lamotrigine develops a rash
discontinue immediately
motivational factors affecting school attendance
- learning difficulties
- lack of friends/ relationships
- bullying
- lack of paternal attention/ concern
- maternal depression
first and second line management ADHD
- methylphenidate
- atomoxetine
ADHD management
- psychoeducation
- behavioural interventions
- parent training
- school interventions
- treat comorbidity
- voluntary organisations
- benefits
medication: - methylphenidate
- atomoxetine
how is ADHD characterised
core features of developmentally abnormal: - inattention - hyperactivity - impulsivity presence across time and situations
describe foetal alcohol syndrome
- growth retardation
- body->head-> brain
- sensorimotor
- cognitive development
- executive function
- language
management FND
- explanation
- CBT
- psychodynamic therapies
criteria mild depression
2/3 of: - depressed mood >2 weeks - loss of interest/ pleasure - increased fatigue additional 4 from: - reduced appetite - increased guilt - suicidal thoughts - loss of confidence/ self esteem - decreased concentration - agitation/ retardation - sleep disturbance
neuroleptic malignant syndrome
life-threatening reaction that can occur in response to neuroleptic or antipsychotic medication- severe muscle rigidity
- fever
- altered mental status
- autonomic instability
- elevated WBC, CPK, LFT
side effects quetiapine
- abnormal LFTs
- weight gain
- orthostatic hypotension
tardive dyskinesia
- involuntary muscle movements that may not resolve with drug discontinuation
step 3 management anxiety in PC
for those with marked functional impairment/ have not improved with step 1/2
- CBT
- SSRI (continue for atlas 12months after initiation)
- applied relaxation
carbamazepine side effects
- rash
- sedation
- N+V
- diarrhoea
- confusion
- AV conduction delays
- hyponatraemia
