Chapter 7: Differential Diagnosis in Medical Psychology Flashcards

1
Q

What is differential diagnosis?

A

The process of distinguishing between two or more conditions that share similar symptoms.

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2
Q

Why is differential diagnosis important in medical psychology?

A

To ensure accurate identification and treatment of underlying conditions, whether psychological or medical.

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3
Q

What is the biopsychosocial approach to differential diagnosis?

A

It considers biological, psychological, and social factors contributing to a patient’s symptoms.

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4
Q

What medical conditions can mimic depression?

A

Hypothyroidism, anemia, and vitamin D deficiency.

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5
Q

What is a key presenting feature of anxiety caused by a medical condition?

A

Sudden onset of symptoms without a clear psychological trigger, such as in hyperthyroidism.

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6
Q

How can medication side effects contribute to mental health symptoms?

A

Some medications, like corticosteroids, can cause mood swings, agitation, or depression.

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7
Q

What are the common psychological symptoms of a brain tumor?

A

Personality changes, memory loss, and mood disturbances.

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8
Q

What physical symptoms might indicate a neurological cause for mental health issues?

A

Seizures, headaches, or focal neurological deficits like muscle weakness.

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9
Q

How does substance use complicate differential diagnosis?

A

Symptoms like anxiety or psychosis may result from intoxication or withdrawal rather than a primary mental disorder.

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10
Q

What is malingering, and how is it assessed in differential diagnosis?

A

Malingering is the intentional production of false symptoms for external gain, assessed through inconsistent reports or test results.

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11
Q

What role does a thorough patient history play in differential diagnosis?

A

It helps identify patterns, triggers, and risk factors that can clarify the root cause of symptoms.

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12
Q

How can sleep disorders contribute to psychological symptoms?

A

Conditions like sleep apnea can lead to fatigue, irritability, and difficulty concentrating, resembling depression.

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13
Q

What are ‘red flags’ that may indicate a physical rather than psychological cause of symptoms?

A

Symptoms like unexplained weight loss, fever, or night sweats could suggest a medical condition.

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14
Q

What is somatic symptom disorder?

A

A psychological condition where a person experiences physical symptoms with no identifiable medical cause.

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15
Q

How is psychosis differentiated between schizophrenia and a medical cause?

A

By ruling out conditions like delirium, brain injury, or drug intoxication through medical tests and history.

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16
Q

What is the role of laboratory tests in differential diagnosis?

A

To identify or rule out medical conditions that could explain psychological symptoms, such as thyroid dysfunction.

17
Q

Why is collaboration with other healthcare providers important in differential diagnosis?

A

To ensure a comprehensive assessment and address overlapping medical and psychological issues.

18
Q

What is a functional neurological symptom disorder?

A

A condition where neurological symptoms, such as paralysis or seizures, have no identifiable medical cause.

19
Q

How can trauma history affect differential diagnosis?

A

Trauma can manifest as physical symptoms, such as chronic pain, complicating the identification of psychological or medical issues.

20
Q

What medical conditions are commonly misdiagnosed as anxiety disorders?

A

Hyperthyroidism, pheochromocytoma, and cardiac arrhythmias.

21
Q

How is bipolar disorder differentiated from unipolar depression?

A

By assessing for a history of manic or hypomanic episodes.

22
Q

What are the psychological symptoms of lupus?

A

Fatigue, mood swings, and cognitive difficulties, often mistaken for depression or anxiety.

23
Q

What is the role of imaging studies in differential diagnosis?

A

To identify structural or functional abnormalities in the brain, such as tumors or strokes, that could explain symptoms.

24
Q

How can cultural factors influence the differential diagnosis process?

A

Cultural norms and beliefs may shape symptom expression and interpretation, leading to diagnostic bias if not considered.