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