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Psychiatry > Functional/somatoform disorders > Flashcards

Functional/somatoform disorders Flashcards

1
Q

What is a functional/somatoform disorder?

A

One with no real pathology or anatomical changes

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2
Q

Give some examples of functional disorders

A 
Chronic fatigue syndrome
Fibromyalgia
Chronic pain disorders
Irritable bowel syndrome
Premenstral syndrome
Hypochondriasis
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3
Q

What are some symptoms of chronic fatigue syndrome?

A 
Chronic fatigue made worse by minimal exertion 
Physical and mental fatigue
Poor conc
Impaired memory
Insomnia or hypersomnia
Muscle pain
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4
Q

Who tends to get chronic fatigue syndrome?

A

20-40 YO women

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5
Q

What is chronic fatigue syndrome often associated with?

A

Mood disorders

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6
Q

What are some potential causes of chronic fatigue syndrome?

A 
Infections 
Traumatic 
Physical injuries 
Life events 
Drugs
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7
Q

What infection is commonly linked to chronic fatigue syndrome?

A

EBV/glandular fever/infectious mononucleosis

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8
Q

What is fibromyalgia?

A

Diffuse joint and muscle pain

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9
Q

Who tends to get fibromyalgia?

A

40-65YO women

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10
Q

How do you treat fibromyalgia?

A

Symptomatic analgesia

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11
Q

What are the main sights for chronic pain syndromes?

A 
Head/face
Neck
Lower back
Abdo
Genitals
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12
Q

How do you differentiate between fibromyalgia and chronic pain syndromes?

A

Fibromyalgia- diffuse

Chronic pain- localised

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13
Q

What is premenstrual syndrome?

A

Physical and psychological symptoms that regularly occur during the premenstrual phase and substantially diminish or disappear soon after the period starts

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14
Q

What are some physical symptoms of premenstrual syndrome?

A 
Headache
Tiredness
Breast tenderness
Abdominal distension
Fluid retention
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15
Q

What are some psychological symptoms of premenstrual syndrome?

A

Irritability
Emotional lability
Low mood
Tension

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16
Q

How do you treat premenstrual syndrome?

A

Psychotherapy

17
Q

What is Hypochondriasis?

A

Over reactions

18
Q

What are the symptoms of Hypochondriasis?

A

Believe that they suffer from cancer or other serious condition
Repeatedly ask for laboratory or other investigations to prove they are ill or reassure themselves they are well

19
Q

What is primary Hypochondriasis?

A

Hypochondriasis alone

20
Q

What is secondary Hypochondriasis?

A

Hypochondriasis associated with another disorder

21
Q

What disorders can Hypochondriasis be associated with?

A

Anxiety
Depression
Psychotic depression
Schizophrenia

22
Q

Generally how do you treat functional disorders?

A

Stop drugs- caffeine etc
CBT
Antidepressants
Symptomatic treatment

23
Q

What’s a good thing to say to people with a functional syndrome?

A

‘Symptoms are real but no biological cause so going to look differently.’

Psychiatry (22 decks)

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