15 Patient Portfolio Flashcards
Types of thought disorders (8)
Derailment/loosening of associations Tangential Incoherent / word salad Circumstantial Neologisms Clang associations (Thought blocking, flight of ideas)
Types of delusions (8 themes)
Persecutory
Referential
Grandiose
Erotomanic (false belief that another individual is in love with them)
Nihilistic (convinced a major catastrophe will occur)
Somatic (regarding health/ organ function)
Religiose
Misidentification
Signs and symptoms of serotonin syndrome
Mydriasis (pupil dilatation)
Diaphoresis (sweating)
Agitation/excitement
Tachycardia
Autonomic instability - often hypertensive
Tremor, hyperreflexia and clonus (esp in lower extremities)
Side effects of SSRIs
Sleep disorder Nausea, vomiting Increased appetite Agitation Palpitations Headache Akathisia Serotonin syndrome
What to give in benzo overdose
Biperiden
Concerns regarding olanzapine
Weight gain
Dyslipidaemias
Diabetes risk
QT prolongation
Do not give with bentos
(10year life expectancy reduction)
Association between cannabis and schizophrenia (6)
Increased risk of SZ (by 2-3 times) if use cannabis especially if under 15 years
Dose response relationship
Comorbid cannabis use has poorer prognosis
Bad in genetic predisposition
More likely to relapse
Present earlier in life
Therapeutic ranges for lithium
Acute 0.8-1.2mmol/L
Maintainence 0.6-1.0mmol/L
When not to use lithium
Cardiac Renal Thyroid CNS disease ?thyroid
Side effects of lithium
GIT disturbance Ataxia Weakness Confusion, convulsions, coma Tremor
Indications for epilim
Epilepsy (tonic-clonic seizures)
Migraine prophylaxis
Manic phase of bipolar
Sodium valproate -> valproic acid
Tests used to diagnose syphilis
Nontreponemal Ab tests- RPR (rapid plasma reagin) screening, Ab titre is measured.
VDRL (venereal disease research laboratory) used on blood and CSF
Treponemal Ab tests - FTA-ABS (fluorescent treponemal Ab absorption)
Direct detection - dark field microscopy
PCR
How to diagnose diabetes
Random blood glucose above 11
Fasting blood glucose above 7
OGTT over 11
HBA1c over 6.5 on two occasions
Basic backbone to CBT
Identify automatic thoughts and emotions. Recognize the cognitive error. Adapt pattern of thinking to change behaviour towards the situation.
“Think about your thinking”
What is psychodynamic therapy
Insight orientated therapy focussing on unconscious processes. Examines unresolved conflicts.
