GP intro Flashcards
Anadonia
Loss of things used to enjoy
Management of conditions to present back in OSCE
Conservative
Medical
Surgical
What is it important to ask in a psych history?
Risk to themselves, others, from others
First line medications for depression
SSRIs, SNRIs
Anxiety symptoms
Worrying
Nausea
Palpitations
Shaking
Sweating
Chest pain
Conservative management depression/anxiety
CBT, exercise etc
Why get gynsecomastia with antipsychotics?
Dopamine blockers compete with prolactin - increase prolactin levels in body
EDMT for PTSD
Eye movement desensitisation therapy
Reprogramme brain
Bipolar types
type 1 or type 2
Bipolar first line
Mood stabilisers - lithium
Sodium valproate if lithium not tolerated
Why don’t offer sodium valproate to women of child bearing age
V teratogenic
Why is lithium so closely monitored
Narrow therapeutic index - v easily becomes nephrotoxic
What is rivastigmine?
Antipsychotic
Symptoms of schizophrenia
Paranoia
Hearing voices/hallucinations
Thought broadcasting
Often self isolate
Symptoms of anorexia
BMI <18.5
Restricitng
Bulimia
Salivary gland swelling
Restricitng, bingeing, purging
‘normal weight’
What is the MMSE? how many qs, what screens for and what score is normal
30 qs
Screen for cognitive impairment, short term memory, language functioning
25-30 = normal
MMSE who is disadvantaged before talking it so may not be accurate
Visua, prblems - Visually impaired, Limited visuospatial qs
Difficult understanding qs - language, poor education
Poor sensitivity early dementia
Takes 30 mins
What cognitive test is normally used in primary care for dementia?
6CIT
Dementia screening test
6CIT + and -
High sensiticity even in mild
Transferrable language and culture
- -
One wrong score can massively change result
What need to check the cause isnt when doing a psych history?
Organic cause = eg brain tumour, thyroid problems
What need to check when doing a psych history?
Organic cause = eg brain tumour, thyroid problems
