Fundamentals Pysch Flashcards
components of Dxing mental illness
clinical observation
syndrome based
response to Tx
transference
set of expectations, beliefs and emotional responses that a patient brings into doctor patient relationship
countertrasnference
physicians unconscious or unspoken expectations and feelings about a patient
what are the axis in psychiatry
I- major syndrome presenting
II- arise in early life and persist (personality disorders)
III- medical conditions
IV- psychosocial, environmental stressors
V- global assessment of functioning
interview techniques for psychiatry
establish rapport
open ended question
closed ended question
obstables in psychiatric interview
voluntary vs involuntary Tx confidentiality embarassment potential ramification on career, family, finances altered mental status aggression stigma
components of psych exam
history and PE mental status exam neuro exam lab imaging
important Hx in psych exam
medical substance developmental: birth, prenatal, motor and verbal milestones, relationships, abuse sexual Hx social Hx
metal status exam includes
appearance, attitude, motor, thought content, thought process, speech, orientation, perceptions, calculations, attention, abstraction, judgement, insight
delusion
fixed false belief
hallucination
perceptual belief
tangential
instead of answering questions go off in giant tangents
manic patients!
what can cause false CBC white count elevation
lithium Tx
what labs ordered in pysch eval
plasma drug levels CBC electrolytes Cr liver funcion tests thyroid UA pregnancy toxicology screen neuroimaging EEG
what medical conditions likely lead to depression
hypothyroidism DM cushings SLE pancreatic carcinoma PD MS dementia
