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Psychiatry > History taking > Flashcards

History taking Flashcards

1
Q

4 aspects of taking a psychiatry history?

A

History
Mental state assessment
Physical assessment
Collateral info

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2
Q

What is it important to clarify with the patient before taking a history?

A

Confidentiality will have to be breached in cases when patient is a risk to themselves or others, or a serious crime has been committed

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3
Q

What is it important to bring to a physical exam of a patient?

A

Chaperone

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4
Q

7 personal details required in psychiatric history?

A 
Name
DOB
Marital status
Occupation
GP
next of kin
Mode of presentation
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5
Q

After asking about the personal history what is it important to ask about?

A

Presenting complaint and history of presenting complaint
How much does it bother patient
Precipitants

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6
Q

What do you ask about in psychiatric history?

A

Psychiatric issues?
Medications? ECT? psychological interventions?
Previous contact with GP?
Previous contact with psychiatry OP/community team
Previous admission - detained? voluntary? PICU?

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7
Q

What do you ask about in FH psychiatry history taking?

A

Family - psychiatric illness, suicide, substance misuse
Occupations
Quality of relationship with family

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8
Q

Questions to ask about birth and development? including neurotic behaviours of childhood?

A

Delivery - any obstetric complications? birth place? developmental milestones
Childhood relationships
Neurotic traits - nocturnal enuresis, nail biting, OCD, phobias, separation difficulties, nightmares

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9
Q

What do you need to know about education history?

A

Schools
When did they leave
What qualifications did they get
Enjoyed or not

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10
Q

What do you need to know about occupation history?

A

Jobs
Length of employment
Reason for leaving

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11
Q

What do you need to know about psychosexual history?

A

Number of partners
Number of children
Married before?

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12
Q

What do you need to know in SH of psychiatric history taking?

A 
Smoking 
Alcohol
Drugs
Current occupation
Finances - any debt
Housing - live with? type of accomodation?
Forensic history - any crimes?
Hobbies and interests 
What is a normal day like?
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13
Q

How do you understand someones premorbid personality?

A 
Their relationships with others
Hobbies and interests
Religion
Impulsivity 
Neurotic traits
Baseline personality
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14
Q

Mental state examination has what components?

A 
Appearance
Behaviour
Thought form
Affect
Thought content
Perception
Cognition
Insight
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15
Q

What are the 5 elements of diagnostic hierarchy ?

A 
Organic cause
Psychiatric cause
Mood 
Anxiety
Personality
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16
Q

4 things you need to specify in a risk assessment?

A

Nature of risk - sexual, physical, emotional, violence, self harm, neglect
Who is at risk - themselves, others
Quantify level of risk
Recommendations

17
Q

How do organic disorders tend to present?

A

Changes in cognition

Psychiatry (17 decks)

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