Diagnosis Flashcards
- depressed mood
- loss of interest
- decreased activity
These ICD - 10 A symptoms are classic of which affective state
Depression
- reduced concentration
- reduced self-esteem
- reduced confidence
- guilt
- self-harm thoughts
- disturbed sleep
- reduced appetite
- pessimistic thoughts
These ICD - 10 B symptoms are classic of which affective state
Depression
NICE guidelines recommend
Low-intensity psycho social interventions
– individual guided self-help based on the principles
of cognitive behavioural therapy (CBT)
– computerised CBT (CCBT)1
– a structured group physical activity programme
Which condition am I? (give the severity as well)
mild depression
NICE guidelines recommend
Combination of antidepressant medication and high intensity psychological intervention (CBT / interpersonal therapy [IPT])
Which condition are these guidelines recommended for? give severity
moderate or severe depression
Which psychiatric affective disorder am I most likely to be based on these symptoms?
Pervasive elated /
expansive / irritable mood
Mania
Which psychiatric affective disorder am I most likely to be based on these symptoms?
inflated self-esteem / grandiosity - racing thoughts - more talkative - decreased need for sleep - distractibility - psychomotor agitation - excessive involvement in pleasurable activities
Mania
How is hypomania different from mania?
no psychotic symptoms
NICE guidelines recommend
I can be treated with antipsychotic (olanzapine)
BDZ (lorazepam)
mood stabilisers (lithium and carbamazepine)
Which condition am I?
Mania
Mel is in her third trimester of pregnancy and has recently suffered from an episode of mania
Which mood stabilising drug is contraindicated in pregnancy?
sodium valproate
impairment of memory, especially episodic in early stages,
language dysfunction
dyspraxia
agnosia
spatial disorientation
impaired judgement
These cognitive symptoms are classic of?
Dementia
The SCOFF screen is a quick way of identifying this condition
S - SICK
Do you ever make yourself Sick because you feel uncomfortably full?
C - CONTROL
Do you worry you’ve lost Control over how much you eat?
O - ONE STONE
Have you recently lost more than One stone in a three month period?
F - FAT
Do you believe yourself to be Fat when others say you are too thin?
F - FOOD
Would you say that Food dominates your life?
Which condition am I
Anorexia or Bulimia Nervosa
Russel's sign Swollen Salivary glands Erosion of enamel Proximal myopathy Osteoporosis
Combining all these symptoms in a young female with a BMI below 20
What is the most likely diagnosis?
Anorexia or Bulimia Nervosa
DSM - V Criteria
A - Refusal to maintain ≥85% (minimally normal) body weight
B - Fear of weight gain, even though underweight
C - ODD self-perception, ≥1 of:
Overall self-worth heavily influenced by body weight/shape
Distorted perception of shape/weight
Denies the seriousness of low body weight
Which condition am I?
Anorexia Nervosa
Which condition am I?
DSM - V Criteria
A - Recurrent binging
Vastly > others, in a similar time period and situation
lack of control ‘can’t stop once I start’
B - Recurrent purging
Fasting, over-exercise, vomiting, laxatives, diuretics, drugs
C - Binging and purging ≥1/week for 3 consecutive months
D - Overall self-worth heavily influenced by body weight/shape
E - Symptoms not exclusively of anorexic episodes
Bulimia Nervosa
Which syndrome am I?
Desire, Controlling, Withdrawal, Tolerance, Neglect, Persisting
a) a strong desire or sense of compulsion to take the substance;
b) difficulty in controlling substance taking behaviour in term of its onset, termination, or levels of use;
c) a physiological withdrawal state (see F1x.3 and F1x.4) when substance use has ceased or been reduced, as evidenced by: the characteristic withdrawal syndrome for the substance; or use of the same (or a closely related) substance with the intention of relieving or avoiding withdrawal symptoms;
d) evidence of tolerance, such that increased doses of the psychoactive substance are required in order to achieve effects originally produced by lower doses;
e) progressive neglect or alternative pleasures or interests because of psychoactive substance use, increased amount of time necessary to obtain or taken the substance or to recover from its effects;
f) persisting with substance use despite clear evidence of overtly harmful consequences, such as harm to the liver through excessive drinking, depressive mood states consequent to periods of heavy substance use, or drug related impairment of cognitive functioning; efforts should be made to determine that the user was actually, or could be expected to be, aware of the nature and extent of the harm.
Dependence Syndrome
