19. Clinical Approach to Psychosomatic Disorders Flashcards
Psychosomatic Medicine is 1 unit of mind and body 2 psychological factors must be considered in all disease states, influenced complementary and alternative medicine as well as behavioral medicine, what kind of approach to medicine?
Hollistic
A medical condition separate from the mental disorder is present, and psychological factors adversely affect the general medical condition via interefereing with treatment, adding additional health risks or stress related responses occur,,, this is seen in what?
Psychological Factors Affecting Medical Conditions
Example of Psychological Factors Affecting Medical Conditions includes depression which increases risk for coronary heart disease, stroke and diabetic symptoms, along with anxiety leading to CAD/asthma/phobias… etc
MEOW
What theory states a circumstance that disturbs or is likely to disturb the normal phys/psych of a functioning person such that there is stimulation of sympathetic nervous system increasing tachycardia, HTN and increased CO, resulting in stress?
Stress theory
What disease has symptoms of fever, photosensitivity, butterfly rash, joint pains, headache, psych sx of depression, mood disturbances, psychosis, delusions, and hallucinations, which may present as a psychiatric illness?
Systemic Lupus Erythematosus SLE
Depression***, anxiety type A behavior, hostility, anger, and acute mental stress have been evaluated as risk factors for the development and expression of coronary disease, 2fold increase risk of MI and CAD mortality, with strongest evidence shows increased incidence of?
Depression
Asthma and what lung disease meet criteria for panic disorder and fear of dyspnea can trigger asthma attacks and high levels of *anxiety?
Chornic Obstructive Pulmonary Disease
What disease which may present as a psychiatric illness has medical sxs of heat intolerance, sweating, diarrhea, weight loss, tachycardia, palpitations, bulging eyes and psych sxs of nervousness, excitability, irritability, pressured speech, insomnia, psychosis and visual hallucinations?
Hyperthyroidism
What disease which may present as a psychiatric illness has medical sxs of cold intolerance, dry skin, constipation and weight gain, and psych sxs of lethargy, depression, personality change and paranoia- looks like MDD?
Hypo*thyroidism
What disease which may present as a psychiatric illness has medical sxs of increased urination/thirst and high glucose and psych sxs of frustration, loneliness, dejection and *depression?
Diabetes Mellitus
What disease which may present as a psychiatric illness has medical sxs of excessive thirst, polydipsia, stupor, coma and seizures and psyc sxs of confusion, lethargy, and personality change?
Hyponatremia
What disease which may present as a psychiatric illness has medical sxs of neuropathy, cardiomyopathy, wernicke korsakoff, malaise, and psych sxs of poor concentration, confusion and confabulation?
Thiamine Deficiency B1
What disease which may present as a psychiatric illness has medical symtpoms of pallor, dizziness, peripheral neuropathy, dorsal column signs and ataxia and psych sxs of irritability, inattentiveness, psychosis and dementia***?
Cobalamin VITB12 Def
What carcinoma presents as weight loss, abdominal pain, depression, lethargy, anhedonia, apathy, and decreased energy?
Pancreatic Carcinoma
What disease which may present as a psychiatric illness has medical sxs of abdominal pain, fever, nausea, vomiting, constipation, peripheral neuropathy and paralysis and psych sxs of acute depression, agitation, paranoia, visual hallucinations? (abd pain + hallucinations =?)
Acute Intermittent Porphyria AIP
