DSM 5 Rule Out Medical Conditions (38) Flashcards
What medical issues need to be ruled out before you make a diagnosis of Acute Stress Disorder?
Sleep Disorder (i.e. obstructive sleep apnea, insomnia)
Stroke
Epilepsy
Migraine
What medical issues need to be ruled out before you make a diagnosis of Alcohol Use Disorder?
Diabetes
A seizure disorder
Hypoclycemic attack
Diabetic ketoacidosis
Cerebellar ataxia
Multiple Sclerosis
What medical issues need to be ruled out before you make a diagnosis of Anorexia Nervosa?
Lupus
Crohn’s Disease
Lyme Disease
Addison’s Disease
Emetophobia
Phagophobia
Body Dysmorphic Disorder
Cholelithiasis
Hepatitis
Intestinal Obstruction
Irritable Bowel Syndrome
Celiac Disease
What medical issues need to be ruled out before you make a diagnosis of Attention-Deficit/Hyperactivity Disorder?
Undiagnosed lead poisoning (relevant symptoms: irritability loss of appetite weight loss fatigue, learning difficulties)
Hearing or vision impairment (relevant symptoms: depressed mood, avoiding social interaction, difficulty understanding directions)
Hypothyroidism (relevant symptoms: poor mental development, poor growth, impaired memory)
Child abuse (relevant symptoms: aggression, anger, hyperactivity, changes in school performance, anxiety, loss in self-confidence, defiance, difficulty sitting, inappropriate emotional development/expression)
Medication side-effects
Sleep disturbance (relevant symptoms: difficulty concentrating, forgetfulness)
What medical issues need to be ruled out before you make a diagnosis of Avoidant/Restrictive Food Intake Disorder?
Poverty
Neglect
What medical issues need to be ruled out before you make a diagnosis of Bulimia Nervosa?
Diabetic gastroparesis
Gastroparesis
Gastroesophogeal Reflux Disease (GERD)
Peptic Ulcer Disease
Post nasal drip
Parasitic infections
Cancer
Intestinal obstruction
What medical issues need to be ruled out before you make a diagnosis of Conduct Disorder?
Traumatic Brain Injury (TBI) or Mild TBI (MTBI) (relevant symptoms: violent outbursts, lack of empathy)
Substance use
Intoxication
Epilepsy
Endocrinopathies (i.e. high testosterone levels leading to anger outbursts, non-compliance)
What medical issues need to be ruled out before you make a diagnosis of Conversion Disorder?
Epilepsy
Multiple Sclerosis
Lupus
Drug interaction
Undiagnosed stroke
What medical issues need to be ruled out before you make a diagnosis of Cyclothymic Disorder?
Multiple Sclerosis
Thyroid gland abnormalities
What medical issues need to be ruled out before you make a diagnosis of Depersonalization/Derealization Disorder?
Epilepsy
Migraine
Drug side-effect or interaction
What medical issues need to be ruled out before you make a diagnosis of Dissociative Amnesia?
Normal Aging
A seizure disorder
Head trauma
What medical issues need to be ruled out before you make a diagnosis of Encopresis?
Child abuse
Crohn’s Disease
Celiac Disease
Inflammatory Bowel Disease
Pancreatitis
Ulcerative colitis
Food allergies
What medical issues need to be ruled out before you make a diagnosis of Enuresis?
Obstructive sleep apnea
Child abuse
Urinary tract infections
Overactive bladder syndrome
Interstitial cystitis
What medical issues need to be ruled out before you make a diagnosis of Erectile Disorder?
Vascular disease
Arteriosclerosis
Atherosclerosis
Heart disease
High cholesterol
High blood pressure
Hyperlipidemia
Diabetes Mellitus
Obesity
Metabolic Syndrome
Parkinson’s Disease
Multiple Sclerosis
Low testosterone
Peyronie’s Disease
Alcoholism
Medication interactions/side-effects
Spinal issues
Stress
What medical issues need to be ruled out before you make a diagnosis of Exhibitionistic Disorder?
Pick’s Disease
What medical issues need to be ruled out before you make a diagnosis of Factitious Disorder?
Pernicious Anemia
Multiple Sclerosis
Alzheimer’s Disease
Epilepsy
Lupus
Drug interaction
Undiagnosed stroke
What medical issues need to be ruled out before you make a diagnosis of Female Orgasmic Disorder?
Substance use issues
Medication side-effects (i.e. certain anti-depressants and antipsychotics)
Spinal cord damage
Damage to pelvic blood vessels
What medical issues need to be ruled out before you make a diagnosis of Frotteuristic Disorder?
Pick’s Disease
Dementia
Temporal lobe epilepsy
Kleine-Levin Syndrome
What medical issues need to be ruled out before you make a diagnosis of Gambling Disorder?
Side-effect of dopamine agonist (used in treating Parkinson’s Disease)
What medical issues need to be ruled out before you make a diagnosis of Generalized Anxiety Disorder?
Lyme Disease
Hyperthyroidism
Chronic Fatigue Syndrome
PTSD
Wilson’s Disease (type of copper overload)
Drug addiction
Heart attack
Angina
Hypertension
Hypoxia
Pheochromocytoma
What medical issues need to be ruled out before you make a diagnosis of Illness Anxiety Disorder?
Chronic Fatigue Syndrome
Chronic Pain
Fibromyalgia
Hypothyroidism
What medical issues need to be ruled out before you make a diagnosis of Insomnia Disorder?
Chemotherapy
Medication side-effects or interactions
Chronic pain
Neuropathic pain
Sleep apnea
Dyspnea
Restless Leg Syndrome
Stress
Caffeine
Nicotine
Alcohol
Illicit drug use
Gastroesophageal Reflux Disease (GERD)
Overactive thyroid
Changes in the body’s own circadian rhythms
Poor sleep hygiene
Aging
What medical issues need to be ruled out before you make a diagnosis of Intermittent Explosive Disorder?
Temporal lobe epilepsy
Substance intoxication
Alzheimer’s Disease
Brain tumor(s)
Parkinson’s Disease
Traumatic Brain Injury
What medical issues need to be ruled out before you make a diagnosis of Kleptomania?
Head trauma
Brain injury
What medical issues need to be ruled out before you make a diagnosis of Major Depressive Disorder?
Parkinson’s Disease
Hyperthyroidism
Hypothyroidism
Anemia
Lyme Disease
Medication interaction
Lupus
Chronic Fatigue Syndrome
Multiple Sclerosis
Drug side-effect (i.e. steroids, interferon, anti-hypertensives)
Fibromyalgia
Grief
Burnout
Aging
What medical issues need to be ruled out before you make a diagnosis of Narcolepsy?
Epilepsy
Hypersomnia
Obstructive Sleep Apnea
Chronic Fatigue Syndrome
Sleep paralysis
Hypnagogic and/or hypnopompic hallucinations
What medical issues need to be ruled out before you make a diagnosis of Obsessive-Compulsive Disorder?
Temporal lobe epilepsy
Addiction (gambling, substance)
What medical issues need to be ruled out before you make a diagnosis of Oppositional Defiant Disorder?
Epilepsy
Endocrinopathies (i.e. high testosterone levels leading to anger outbursts, non-compliance, tantrums)
Lyme Disease
Traumatic Brain Injury (TBI) or Mild TBI (MTBI)
What medical issues need to be ruled out before you make a diagnosis of Panic Disorder?
Hypertension
Cardiac arrest
Endocrine dysfunction (thyroid adrenal)
Substance use disorders
Neurological problems
Mitral valve prolapse
Pheochromocytoma
Digestive issues
What medical issues need to be ruled out before you make a diagnosis of Paranoid Personality Disorder?
Epilepsy (primarily temporal lobe)
Frontal lobe tumors
Herpes encephalitis
Neurosyphilis
AIDS
B-12 deficiency
Endocrinopathies (especially thyroid and adrenal)
Heavy metal poisoning (i.e. mercury, arsenic, manganese, thallium, nickel)
Huntington’s Disease
What medical issues need to be ruled out before you make a diagnosis of Persistent Depressive Disorder?
Chronic Fatigue Syndrome
Lupus
Multiple Sclerosis
Drug side-effect (i.e. steroids, interferon)
Lyme Disease
Anemia
What medical issues need to be ruled out before you make a diagnosis of Pica?
Malnutrition
Parental neglect/lack of supervision
Pregnancy
Nutritional deficiency (such as iron) which triggers a specific craving though the craving does not typically provide the needed mineral or other deficient substance
What medical issues need to be ruled out before you make a diagnosis of Posttraumatic Stress Disorder (PTSD)?
Stroke
Epilepsy
Pseudotumor cerebri (idiopathic intracranial hypertension)
Addiction
Traumatic Brain Injury (TBI)
Post-Concussive Syndrome
What medical issues need to be ruled out before you make a diagnosis of Premature (Early) Ejaculation?
Prostatitis
Abdominal or Pelvic Trauma
Erectile dysfunction <
Abnormal hormone levels
Thyroid problems
Urethra or prostate infection or inflammation
Limits in control of the urethral sphincter (insufficient amounts of neurotransmitter serotonin)
What medical issues need to be ruled out before you make a diagnosis of Rumination Disorder?
Pneumonia (from aspirated food resulting from vomit)
Ulcers
Dehydration
Weight loss
Malnutrition
Failure to thrive
What medical issues need to be ruled out before you make a diagnosis of Schizophrenia?
Anemia
Amphetamine overdose/psychosis
Systemic Lupus
Epilepsy
Tumors (especiall frontal lobe)
CNS infections (i.e. herpes encephalitis)
Neurosyphilis
AIDS
Acute Intermittent Porphyia
Endocrinopathies (adrenal and thyroid)
Metal poisoning (arsenic manganese mercury thallium)
Pick’s Disease
Wernicke-Korsakoff Syndrome
Wilson’s Disease
Syphilis
What medical issues need to be ruled out before you make a diagnosis of Separation Anxiety Disorder?
Hyperthyroidism (restlessness anxiety disruptive behavior increased pulse)
Pruritus
What medical issues need to be ruled out before you make a diagnosis of Somatic Symptom Disorder?
Hyperparathyroidism
Stroke
Epilepsy
A sleep disorder
Chronic Fatigue Syndrome
Fibromyalgia
Multiple chemical sensitivity
