Advanced health and physical health assessment Flashcards
reasons to be familiar with the PE in psych
to detect underlying medical problems
to familiarize with screening neuro exam and to r/o neuro problems
to differentiate normal from abnormal s/sx
to know when to refer
neuro exam parts broadly
reflexes
cranial nerves
coordination and fine motor skills
sensory functions
motor functions
neurological soft signs
are these and more PE on the test?
function of the thyroid gland
Take iodine from blood and combine with tyrosine, convert it to T3 and T4
Store T3 and t4 until release into blood with TSH release from pituitary
Only a small amount of T3 and T4 are bound to protein. The FREE portion is the true determinant of thyroid status.
diseases that have increased thyroid levels ft4
graves
thyrotoxicosis due to t4
hashimotos
acute thyroiditis
diseases that have deceased thyroid levels ft4
Primary hypothyroidism
Secondary hypothyroidism (pituitary insufficiency)
Tertiary hypothyroidism (hypothalamic failure)
Thyrotoxicosis due to T3
Renal failure
Cushing’s syndrome
Cirrhosis
interfering factors for thyroid lab results
increased due to heparin, aspirin, propranolol
decreased due to lasix, methadone
primary hypothyroid
TSH levels rise due to low levels of thyroid hormone
lithium and tsh
can increase during therapy
systemic effects of hypothyroid (dec t4, inc TSH)
mimics unipolar mood disorders
confusion, dec libido, impotence, dec appetite, memory loss, lethargy, constipation, HA, slow, syncope ,wt gain, fluid retain, muscle ache, slow reflexes
systemic effects of hyperthyroid (inc t4, dec TSH)
may mimic sx of bipolar
motor restlessness, emotional liability, short attn span, compulsive movement, fatigue, tremor, insomnia, impotence, wt loss, inc appetite, abd pain, sweating, flushing, tachy
Tanner staging girls breast development 1-5
Stage 1: Prepubertal
Stage 2: Breast bud stage, enlargement of areola
Stage 3: Further enlargement, no separation of contour
Stage 4: secondary mound above breast
Stage 5: Mature stage
tanner stage boys genitalia
1: prepubertal
2: enlarge scrotum/testes
3: enlarge penis
4: inc size both
5: adult
primary prevention
aimed to dec incidence of mental disorders
ex: stress mgmt class
secondary prevention
aimed to dec prevalence
ex: screening, prompt and effect tx
tertiary prevention
aimed to dec disability and severity
ex: avoidance or postponement of complications
