Class 7

Question 1

alexethimia

Answer 1

can’t name emotions

Question 2

Prevalence ROH use disorder

Answer 2

24%

Question 3

DSM-5 Diagnostic Criteria for Opioid Withdrawal

Answer 3

A. Presence of either of the following:
1. Cessation of (or reduction in) opioid use that has been heavy and prolonged (i.e., several weeks or longer).
2. Administration of an opioid antagonist after a period of opioid use.
B. Three (or more) of the following developing within minutes to several days after Criterion A:
1. Dysphoric mood.
2. Nausea or vomiting.
3. Muscle aches.
4. Lacrimation or rhinorrhea.
5. Pupillary dilation, piloerection, or sweating.
6. Diarrhea.
7. Yawning.
8. Fever.
9. Insomnia.
C. The signs or symptoms in Criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The signs or symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication or
withdrawal from another substance.

Question 4

Substances that can cause psychosis:

Answer 4

ROH, cocaine, ecstasy, marijuana, benzos, opioids

Question 5

How is cocaine withdrawal treated?

Answer 5

Trx: supportive measures. No pharmacological agents reliably reduce the intensity of withdrawal, but recovery over a week or two is generally uneventful. It may take longer, however, for sleep, mood, and cognitive function to recover fully.

Question 6

What medical co-morbidities might Mr. Valdez be at risk for in his lifetime, if he developed Alcohol Use Disorder?

Answer 6

Cancer, cirrhosis of the liver, hypertensive heart disease, peripheral neuropathy, alcoholic myopathy, wernicke korsakoffs, alcoholic cardiomyopathy, esophagitis, gastritis (dyspepsia, no, bloating), pancreatitis, alcoholic hepatitis, leukopenia, thrombocytopenia, sexual dysfunction, hypoglycemia
Mood disorder, anxiety disorder

Question 7

What evidence based tools can be used to monitor his progress during treatment and follow-up

Answer 7

WHO ASSIST,CIWA (ROH),

Question 8

Wernike encephalopathy

Answer 8

most serious form of thiamine deficiency. paralysis of ocular muscles, diplopia, ataxia, somnolence, stupor, death

Question 9

korsakoff’s psychosis

Answer 9

confusion, loss of recent memory, confabulation