Clin - Psychosomatic Disorders Flashcards
patients with depression are at at risk for what somatic disorders
- coronary heart disease
- stroke
- diabetic symptoms
patients with anxiety are at at risk for what somatic disorders
- coronary artery disease
- asthma
- specific phobias
how does stress affect the immune system
inhibition of immune functioning
what psychiatric symptoms are associated with lupus
depression, mood disturbances, psychosis, delusions, hallucinations
what psychiatric symptoms are associated with MS
anxiety, euphoria, mania
what psychiatric symptoms are associated with seizure disorder
confusion, psychosis, dissociative states, catatonic-like state, bizarre behavior
what psychiatric symptoms are associated with heart transplant patients
elicit anxiety, depression, elation, and coping with grief
what psychiatric symptoms are associated with COPD patients
anxiety disorder and panic disorder
what psychiatric symptoms are associated with hyperthyroidism
nervousness, excitability, irritability, pressured speech, insomnia, psychosis, and visual hallucinations
what psychiatric symptoms are associated with hypothyroidism
lethargy, depression, personality change, paranoia
what psychiatric symptoms are associated with diabetes
frustration, loneliness, dejecting, depression
what psychiatric symptoms are associated with pheochromocytoma
anxiety, apprehension, feeling of impending doom, panic
what psychiatric symptoms are associated with hyponatremia
confusion, lethargy, personality changes
what psychiatric symptoms are associated with thiamine deficiency
poor concentration, confusion, confabulation
what psychiatric symptoms are associated with cobalamin (B12) deficiency
irritability, inattentiveness, psychosis, dementia
how do vitamin toxicities cause psychiatric symptoms
- vitamin A & D, iron
- copper
- B6 and B12
- lead
- vitamin A & D, iron: confusion
- copper: psychosis
- B6 and B12: peripheral nerve function
- lead: cognitive dysfunction
what psychiatric symptoms are associated with PUD
increased gastric acid excretion associated w/ psychological stress
what psychiatric symptoms are associated with UC
some evidence to show increased prevalence of dependent personalities
what psychiatric symptoms are associated with Crohn’s dz
high rates of preexisting panic disorders
most common psychiatric drug side effects affecting somatic system
- SSRI: highest rate of GI disturbances (nausea, diarrhea)
- anticholinergic effects (constipation, dry mouth)
what psychiatric symptoms are associated with pancreatic CA
weight loss, depression, lethargy, anhedonia, apathy, decreased energy
what psychiatric symptoms are associated with acute intermittent porphyria
acute depression, agitation, paranoia, visual hallucinations
what psychiatric symptoms are associated with hepatic encephalopathy
euphoria, disinhibition, psychosis, depression
what psychiatric symptoms are associated with atopic dermatitis
increased prevalence of anxiety and depression
what psychiatric symptoms are associated with psoriasis
anxiety, depression, personality disorders
what psychiatric symptoms are associated with urticaria
anxiety, depression, stress
what psychiatric symptoms are associated with frontal lobe tumors
mood changes, irritability, facetiousness, impaired judgement, impaired memory, delirium, loss of speech, loss of smell
what psychiatric symptoms are associated with occipital lobe tumor
aura, visual hallucinations
what psychiatric symptoms are associated with head trauma
confusion, personality changes, memory impairment
define consultation-liaison psychiatry
the study, practice, and teaching of the relation b/w medical and psych disorders
what are some common consultation-liaison problems
1) suicide attempt/threat
2) depression
3) agitation/dementia
4) hallucinations (delirium tremens)
5) sleep disorder
6) confusion
what psychiatric symptoms are associated with PCP use
agitation w/ blank stare, anxiety, stupor, aggression, panic, bizarre behavior
what psychiatric symptoms are associated with corticosteroid use
mania, psychosis (hallucinations)
what psychiatric symptoms are associated with antidepressants
mania (bipolar patient), anxiety, insomnia
