Clinical Approach to Psychosomatic Disorders (Hill) Flashcards
Psychosomatic Medicine can be characterized by?
A medical condition separate from the mental disorder is present
In regards with psychosomatic medicine, what mood disorder is a risk factor for coronary heart disease, stroke, and is related to the number of diabetic symptoms?
Depression
In regards with psychosomatic medicine, what mood disorder is a risk factor for coronary artery disease, asthma, and specific phobias?
Anxiety
A circumstance that disturbs, or is likely to disturb, the normal physiological or psychological functioning of a person describes what term?
Stress
When you are stressed what system is triggered?
What occurs?
1) Sympathetic nervous system
2) Tachycardia, Hypertension, Increased CO
What neurotransmitter responses are seen with stress?
1) Release in Catecholamines
2) Increased Serotonin Turnover
3) Increased Dopaminergic Neurotransmission
What endocrine responses are seen with stress?
Corticotropin-releasing factor (CRF) triggers the release of ACTH
What immune responses are seen with stress?
Inhibition of immune functioning
What connective tissue disorder presents with medical symptoms such as fever, butterfly rash, and joint pain along with psychiatric symptoms such as depression, psychosis, and delusions?
Systemic Lupus Erythematosus (SLE)
What disorder presents with medical symptoms such as transient motor/sensory disturbances, impaired vision, and diffuse neuro signs with remissions and exacerbations along with psychiatric symptoms such as anxiety, euphoria, and mania?
Multiple Sclerosis (MS)
What disorder presents with medical symptoms such as sensory distortions, violence, and belligerence along with psychiatric symptoms such as confusion, psychosis, and catatonic-like state?
Seizure Disorder
Depression, anxiety, type A behavior, hostility, anger, and acute mental stress have been evaluated as risk factors for the development and expression of?
Coronary disease
Cardiac Arrhythmias and Sudden Cardiac Death are profoundly sensitive to?
Acute emotional stress
30% of asthmatics meet criteria for what mental disorders?
Panic disorder or agoraphobia
Anxiety disorder and panic disorder have high prevalence in what respiratory system disease?
COPD
What endocrine disorder presents with medical symptoms such as heat intolerance, excessive seating, and bulging eyes along with psychiatric symptoms such as nervousness, psychosis, and visual hallucinations?
Hyperthyroidism
What endocrine disorder presents with medical symptoms such as cold intolerance, dry skin, weight gain along with psychiatric symptoms such as lethargy, depression, and paranoia?
Hypothyroidism
What endocrine disorder presents with medical symptoms such as increased urination/thirst and high glucose levels along with psychiatric symptoms such as depression?
Diabetes Mellitus
What metabolic disorder presents with medical symptoms such as excessive thirst, polydipsia, stupor, and coma along with psychiatric symptoms such as delirium, lethargy, and personality changes?
Hyponatremia
What metabolic disorder presents with medical symptoms such as neuropathy, cardiomyopathy, and Wernicke-Korsakoff syndrome along with psychiatric symptoms such as poor concentration, confusion, and confabulation?
Thiamine Deficiency
What metabolic disorder presents with medical symptoms such as pallor, dizziness, and peripheral neuropathy along with psychiatric symptoms such as irritability, inattentiveness, and dementia?
Cobalamin (Vitamin B12) Deficiency
What GI disorder is characterized by increased gastric acid excretion associated with psychological stress?
Peptic Ulcer Disease
What GI disorder has shown increased prevalence with dependent personalities?
Ulcerative Colitis
What GI disorder is associated with preexisting panic disorder?
Crohn’s Disease
Which antidepressants have the highest rate of GI disturbances?
SSRIs
What hepatic/pancreatic disorder is characterized by weight loss, abdominal pain, depression, lethargy, anhedonia, apathy, and decreased energy?
Pancreatic Carcinoma
What hepatic/pancreatic disorder presents with medical symptoms such as abdominal pain, fever, n/v, and peripheral neuropathy along with psychiatric symptoms such as acute depression, agitation, paranoia, and visual hallucinations?
Acute Intermittent Porphyria
What hepatic/pancreatic disorder presents with medical symptoms such as asterixis, hyperreflexia, spider angioma, and palmar erythema along with psychiatric symptoms such as euphoria, disinhibition, and depression?
Hepatic Encephalopathy
Mood changes, irritability, facetiousness, impaired judgment, impaired memory, delirium, loss of speech, and loss of smell are symptoms of a brain tumor in what location?
Frontal lobe
Consultation-Liason Psychiatry is the study, practice, and teaching of the relation between?
Medical and psychiatric disorders
What are common Consultation-Liason problems?
1) Suicide attempt
2) Depression
3) Hallucinations
4) Sleep disorders
Delirium is common in what populations?
Elderly, surgical, and ICU patients
What medications should be avoided in elderly hospitalized patients to prevent delirium?
Benzodiazepines
What substance-induced organic mental disorder presents with medical symptoms such as elevated BP, tachycardia, nystagmus along with psychiatric symptoms such as agitation with blank stare, anxiety, and aggression?
Phencyclidine (PCP)
What Substance-Induced Organic Mental Disorder presents with mania and psychosis (hallucinations)?
Corticosteroids
What Substance-Induced Organic Mental Disorder presents with mania (bipolar patient), anxiety, and insomnia?
Antidepressants
