[CLMD] Psychosomatic Disorders [Hill] Flashcards
If your patient is diagnosed with Depression what are the 3 main somatic risk factors they are at risk for?
Coronary Heart Dz
Stroke
Diabetic Symptoms
If you have a patient who is diagnosed with an Axniety disorder, what some things they are at risk for?
Coronary Artery Dz
Asthma
Specific Phobias
What are some maladaptive health behaviors?
Overeating
No Excersise
Unsafe sex
Stress, which is a SNS response, causes what major thing?
Inhibition of Immune Function
You have a patient come in that is Feverish, has photosensitivty, a butterfly rash, some joint pains, and a headache. They are also complaining of depression, and some mild mood distrubances. They have also been talking about strange voices theyve been hearing recently – most likely underlying etiology?
Systemic Lupus Erythematosus (SLE)
You have a patient that is having some transient motor/sensory disturbances, is having trouble with their vision, and slurred speech. They are also mildly anxious, have had an episode of mania, and euphoria – what is the underlying etiology?
Multiple Sclerosis (MS)
What is the general association you want to make with Mood Disorders and the system it most prominently effects?
Cardiovascular System
A person who is Depressed is at a higher risk for what?
CV Dz / CAD
MI
Arrhythmias
Sudden Cardiac Death
HTN
You have a patient who is a long time asthmatic come into your clinic – she states that she has been having trouble with her asthma again and that it is severely affecting her life. What other physicatric association should we ask about?
Panic Disorder
Agoraphobia
(Same associations for people with COPD –> Anxiety and Panic)
You have a female patient that comes in with Heat Intolerance, excessive sweating, diarrhea, weight loss, tachycardia, nervousness, irritability, insome, and some mild psychosis. She also has started developing some visual hallucinations – what is the underlying etiology?
Hyperthyroidism
You have a patient that comes in complaining of always being cold, and having dry/cracking skin. He also states that he has been gaining weight, and that he is always tired, and has felt depressed. His wife states that she has noticed a change in him, and that he has seemed to be more paranoid as of late – what is the underlying etiology?
Hypothyroidism
A 28 morbidly obese man comes into your clinic stating that he has been extremely thristy lately, and has been feeling lonely, dejected, and majorly depressed. He states he is just very frustrated with his situation and feels very hopeless. What might his underlying etiology be?
Diabetes Mellitus
If a person has a Pheochromocytoma what associated psychiatric symptoms would you expect?
Anxiety
Apprehension
Feeling of Doom/Panic
(Associated with the high levels of Epi)
You have a patient that has recently started taking a new medicine, that has been causing them to have excessive urination, and is making them very thirsty, they also have been in mild stupor, and fell into a coma. Before they were comatose though you noticed confusion, lethargy, and some personality changes. – What is the underlying Medical problem?
Hyponatremia
If you have an Alcoholic, who is at risk for Wernicke-Korsakoff syndrome, and has poor concentration, confusion and confabulation – what do you need to supplement?
Thiamine
You have a patient who comes in with pallor, dizziness, peripheral neuropathy, ataxia. You talk with the Neurologist who confirms some Dorsal Column Signs, and you notice they seem to be highly irritable, and inattentive. They are mildly psychotic and demented. What is the underlying Medical Condition?
Cobalamin (B12) Def
People with UC or Chrons are at a higher risk of what associated physciatric condition?
Depression
You have a 59 year old male patient that comes in worried about his significant weight loss. He has some abdominal pain associated with it, but is also complaining of being hugely depressed, and hasnt been eating as much lately. He has no ambition to do the things he normally loves, and has decreased energy and is overall apathetic. – What underlying medical association are you worried about, and need to rule out?
Pasncreatic Cancer
You have a patient that comes in with fever, N/V, constipation, abdominal pain, and peripheral neuropathy – and is recently complaining of hemi-paraylysis. They are acutely depressed, and have some agitation, and paranoia. Now they are developing some visual hallucinations as well. – What is the underlying medical association?
Acute Intermittent Porphyria
You have a known alcoholic in the ER, who has asterixis, hyperreflexia, spider-angiomas and palmer erythema. He is also euphoric, psychotic, and slightly disinhibited. What is the underlying Medical Association?
Hepatic Encephalopathy
People with Atopic Dermatitis, Psoriasis, or Urticaria are more likely to have what?
Anxiety
Depression
(Which can be triggered more of the problem)
A Frontal Lobe tumor is gonna cause what sort of problems?
Mood Changes
Irritability
Facetiousness
Impaired Judgement
Impaired Memory
Delirium
Loss of Speech/Smell
Someone who has an Occipital Lobe Tumor is more prone to what?
Aura, Visual Hallucinations
If someone comes in with a Head Trauma, what sort of physchiatric problems are they gonna show?
Confusion
Personality Changes
Memory problems
What are some treatments for Stress Management?
Self-Observation
CBT
Relaxation Excersises
Mindfulness
What should you always avoid in Elderly Patients?!
Benzos (No Lorazepam, Diazepam)
You have a patient who has ingested an unknown substance, and has elevated BP, tachycardia, horizontal nystagmus, muscle rigidity, and vomiting. They are also constantly looking at the wall in a blank stare, and are stuporess, and can be agressive and bizarre — what susbtance is the cause?
PCP
If the Stem of the question is referencing a COPD pt who is on meds in the hospital, and has MANIA, and Psychosis (Hallucinations) what is the likely source?
IV Corticosteroids
Antidepressants can cause what in Bipolar pts?
Mania
Anxiety, Insomnia
