geeky medics Flashcards
symptoms of lewy body dementia
hallucinations, shuffling gait, deteriorating cognition
what is a hypnogogic hallucination?
when an individual is falling asleep, occurs in auditory modality, occurs in 30% of adults
what are some symptoms of a TCA overdose?
tachycardia drowsiness, dry mouth, nausea, vomiting, urinary retention, confusion, agitation, headahce, hypotension, dilated pupils, hyperthermia
how to treat a TCA overdose?
sodium bicarbonate
which drug other than lithium is associated with toxcitiy?
thiazide diuretics eg bendroflumatihazide
which habit is important when prescribing clozapine and why?
smoking
tobacco smoke is an inducer of cytochrome P450 which is a liver isoenzyme that metabolises clozapine leading to increased breakdown of clozapine and therefore lower levels of it in the bloodstream
smokers will be prescribed a higher dose of clozapine to balance this out
what is torticollis?
acute dystonia reaction, caused by antipsychotic medications
histrionic personality disorder
self-dramatisation, easily led, attention seeking, flirtiness,
describe emotionally unstable personality disorder?
disturbances in self image, short term relationships
what is anakastic PD?
OCD
what are the features of schizoid PD?
emotionally detached, asocial
what are the features of paranoid PD?
high suspicion of people incuding family and friends
what is delusion perception?
association of everyday experiences with an unfound belief for themselves (part of the first rank sympptoms )
what are the features of a gradmal seizure?
cry then stiffness for 15-20 seconds
what are the 4 first rank symtpoms?
delusion perception
auditory hallucinations
thought disorders
passivity experience
