Hill: Psychosomatic Medicine Flashcards

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1
Q

Pt’s with anxiety, type A behavior, hostility, anger, and acute mental stress are at an increased risk for what?

A
  • 2-fold ↑ risk of incident MI and CAD-related mortality
  • Strongest evidence shows ↑ incidence of depression
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2
Q

Asthmatics are at an increased risk for which psych disorders?

A
  • Panic disorder or agoraphobia
  • Fear of dyspnea can trigger asthma attacks and high levels of anxiety
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3
Q

Diabetes is associated with an increased risk for what psych conditions?

A

Frustration, loneliness, dejection, and depression

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4
Q

What are some of the psych sx’s associated with hyponatremia?

A

Confusion, lethargy, personality changes (Delirium)

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5
Q

Which medications have the highst rate of GI disturbances as AE’s; why?

A

SSRIs due to serotonin in the GI tract

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6
Q

Which psych sx’s are very common with pancreatic carcinoma?

A

Depression, lethargy, anhedonia, apathy, and ↓ energy

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7
Q

Abdominal pain + psychosis should make you think of what underlying disease?

A

Acute Intermittent Porphyria

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8
Q

What are some of the psych sx’s associated with hepatic encephalopathy?

A

Euphoria, disinhibition, psychosis, anddepression

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9
Q

What are some of the psych sx’s associated with frontal lobe tumors?

A
  • Mood changes + irritability + facetiousness
  • Impaired judgement + Impaired memory
  • Delirium
  • Loss of speech
  • Loss of smell
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10
Q

What medication should be avoided in elderly hospitalized pt’s especially those with delirium?

A

AVOID benzodiazepines

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11
Q

Which commonly used drug is associated with mania + psychosis (hallucinations)?

A

Corticosteroids

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12
Q

Which drugs can cause mania in a bipolar patient?

A

Antidepressants

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13
Q

What are the s/s of Thiamine def?

A

Medical: neuropathy, cardiomyopathy, WK syndrome, malaise

Psych: poor conc, confusion, confabulation

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14
Q

What are the s/s of cobalamin def?

A

Medical: pallor, dizzy, peripheral neuropathy, ataxia

Psych: irritable, inattentive, dementia, psychosis

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