history and examinations Flashcards
anxiety physical symptoms?
restlessness
tremor
dry mouth
butterflies
nausea
SOB
palpitations
anxiety disorder?
physical
gad
phobia
social phobia
panic disorder : panic attack wo trigger
OCD
obsession thoughts
unpleasant
unwanted
intrusive
despite attempts to resist them
themes of OCD thoughts?
sexual, sacriigous
doubts
impulse to do something dangerous
psychosis defn?
it is the experience of losing touch with reality through delusions, hallucinations, formal thought disorder
delusions
fixed
false
despite rational argument
what is a primary delusion?
occur out the blue
secondary delusion?
develops after another symptom olafactory / visual
> hearing a voice / smelling gas
types of delusion?
persecutory
grandiose
nihilistic
hypochondriacal
perceptions
awareness of a stimulus through your senses
visual/ olafactory, tactile, gustatory
hallucination?
is a perception in the absence of a stimulus
illusion defn?
misperception of a stimulus
thought interference
insertion?
an alien thought is placed in your mind
thought feels odd
prsenting a psych pt
age,
gender,
single/married
occupation
a/e
admitted formally or informally
past psychiatric history
medical
thyroid disease - hypothyroid > low mood
MS: manic
post MI
steroids can make you anxious/ manic
mental state examination
how is the patient presenting right now ?
appearance and behaviour
scars
piercing
tattoos
facial expression
posture
eye contact
compulsions : questions
do you have any rituals to manage your anxiety?
how long do you have to spend?
how many times do you have to?
how do you feel if you can’t do the ritual?
MSE
aseptic
appearance
speech
emotions
perception
thoughts
insight
cognition
