7 Flashcards
pheochromocytoma
- tumour of adrenal gland
- causes excess epinephrine and norepinephrine release
define principles of capacity
abilities relevant to competence:
- understanding
- manipulating
- approaching a situation and its consequences
first and second line ADHD management
methylphenidate
atomoxetine
define bipolar disorder
repeated (2+) episodes of depression and mania/ hypomania
presentation mania
severe enough to disrupt ordinary work and social interaction increased mood, energy overactivity decreased sleep pressure of speech granidiosity alteration of senses extravagant spending irritable instead of elated
presentation hypomania
lesser degree of mania mild elevation of mood for several days increased energy and activity increased sociability and talkativeness overfamiliarity increased libido irritability new interests concentration reduced mild overspending
management mania
antipsychotics risperidone quetaiapine mood stabilisers sodium valproate lamotrigene carbamazepine
lithium
ECT
investigations mania
FBC TFTs blood glucose SCID SCAN youth mania rating scale alcohol test drug screen
useful screening questions for social anxiety disorder
do you find yourself avoiding social situations/ activities
are you fearful/ embarrassed in social situations
management social anxiety disorder PC
CBT
guided self help
antidepressants (SSRI first)
prominent problems with cluster A personality disorders
odd, eccentric
section 328 of mental health care and treatment Scotland act 2003 defines mental disorder as
any mental illness personality disorder or learning disability however caused or manifested
delirium/ acute organic brain syndrome
- consequences of brain or systemic disease
- prominent visual experience, hallucinations and illusions
- affect of terror
- delusions are persecutory and evanescent
- fluctuating
- worse @ night
schizoaffective disorder
mix of affective and schizophrenia like features
management of suicide attempt
safety is priority
take it seriously
admit to age appropriate medical ward after serious attempts for treatment and assessment
mental health risk assessment
confidentiality with exceptions
presentation psychosis
- hallucinations
- full force and clarity of true perceptions
- located in external space
- no external stimulus
- not willed or controlled
what kind of drug is propranolol
beta-blocker
drugs causing extrapyramid side effects
anticholinergics
dopamine facilitators
beta blockers
explain SSRI MAOI interactions
serotonin syndrome
need to wait 2 weeks after stopping SSRI before can start MAOI
stages of change cycle
- pre-contemplation
- contemplation
- planning/ determination
- action
- maintenance
examples of anticonvulsants
carbamazepine
valproic acid
lamotrigine
classes of mood stabilisers
lithium
anticonvulsants
antipsychotics
