Just the last bit Flashcards
5 principles of MHA
section 1
presume capacity
support decision
unwise decision
best interest
least restrictive option
Lithium adverse effects
fine tremor
metallic tatse
sedating
toxicity?
coarse tremor
marked GI upset
ataxia
dysarthria
epileptic seizure
nystagmus
Acute mania management?
antipsychotic and lithium NICE
S/E associated with lamotrigine?
Stevens johnson syndrome
Personality disorders
cluster C?
OCPD
avoidant
dependent
depressive episode of mania - hwo to treat
fluxetine and olanzapine
quietapine
or just add quetiapine
Depression vs Dementia?
in depression what memory loss?
what other differentiates?
Global memory loss
biological symptoms - sleep, appetite etc
worry about your own memory
In dementia how is it investigated?
History /assessment
> 10 point cognitive screen
6 item cognitive impairment
physical exam
bloods
imaging
what bloods in dementia?
fbc
u&e
LFT/s
calcium
ESR/CRP
glucose
TFT
vit b12
folate
Imaging in alzheimer’s
FDG-PET
perfusion spect
CSF fluid for total tau / phosphorylated tau 181
amyloid beta plaques
1-42
how do the acetylcholniesterase work?
- Binds to acetylcholinesterase
- Inhibits acetylcholine hydrolysis = increasing acetylcholine availability at synapses
- And enhancing cholinergic transmission
maybe you want to block glutamate
Intellectual disability
profound <20
severe - 20-35
Moderate - 35-50
Mild - 50-69%
heritability of autism?
80-90%
specialist psych or paed
autism diagnostic inventory
ados - gold standard
can diagnose as early as 2 - better outcome
Acute dystonia management?
procyclidine
delusional disorder
long standing belief with one thing
