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
what is meant by poverty of speech?
speech lacks usual, unprompted characteristics and convo is minimal and brief
what is meant by poverty of thought?
global reduction in quantity of thought
what is thought echo ?
auditory hallucination where by peiple can ear their own thoughts as if spoken aloud
what is thought blocking?
inability to finish a sentence or thought
sudden pause in speech
what is thought withdrawal?
delusoin that thoughts are being removed from ones mind by an outsider
what is thought broadcast?
delusion that others are aware of your thoughts
what is the Charles Bonnet syndrome triad?
intact cognition, ocular pathology and visual hallucinaitons
what is neuroleptic malignant syndrome?
occurs shortly after starting a new anti psychotic medication
