KW1 Flashcards by Savannah Amos

PTSD: Dx

Symptoms >1 months post traumatic event

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GAD: DS

Anxiety/Worry almost everyday for 6 months

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GAD –> Can present similar to ?

Hyperthyroidism

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GAD: HP (symptoms)

Excessive worry >6 months, difficultly concentrating, restless, fatigue, irritability, tension, insomnia

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Acute Stress: SC

3 days-1 month post traumatic event (<1 months)

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GAD: SC

hippocampus, amygdala, prefrontal cortex –> NE??

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TCA OD: DS

Inhibits reuptake of NE and Serotonin –> Cardiac (EKG), Coma, Convulsions + anti-cholinergic s/e
-montitor wt, bmi, plasma
Tx: Sodium Bicarb

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MDD: SC

Decrease in Serotonin/5HT, NE, and DA

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ADHD: Dx

> 12 years old
6 months
2 settings

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CD: Dx

6 mths
harming others or pets
>18 = antisocial
tx: parental therapy

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ADHD: HM/Tx if no stimulants

stimulants 1st
no stimulants = Atomoxetine
OR
alpha2agonists = Clonidine or Guaficine

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Anorexia: HM

WEIGHT UP FIRST –> Then treat
Fluoxetine if needed

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1st line Tx for Bulimia:

CBT
Fluoxetine

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Eating DO HM:

Multidisciplinary –> CBT, Family Tx

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Psychotic DO: CT (Schizophrenia??)

Auditory Hallucinations
Visual Acuity 20/200?

Risperidone
Abilify
Haldol

IM Ativan for Non-Malignant Catatonia

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Brief Psychotic DO: DX

<1month of psychosis

Acute: Risperidone, Ability
Catatonia: tx with Benzos (just stares off into space)
Agitation: Olanzapine, etc.

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Schizophrenia: HM

Atypical AP first line

Clozapine = last line

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Factitious DO: CI

Confrontation
Child = DSS

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Substance Use DO: CI withdrawal

Benzos help with withdrawal

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Alcohol Use DO: HP
-Wernickes:
-Korsakoff:
-Acute:
-Chronic:

Withdrawal:
6hrs:
12-24:
48:
48-96:

W: ataxia, encephalopathy, opthalmoplegia
K: amnesia, confabulation, innappropriate behavior, mood liability
A: slurred speech, incoordation, ataxia, nystagmus
C: hepatomegaly, palmar redness, cirrhosis

6: trembling, irritable
12-24: hallucinations
48: seizures
48-96: DT –> autonomic instability, disorientation, hallucinations, agitiation

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Cannabis use DO: HP

conjunctival injections, increased appetite, dry mouth, tachy

Withdrawl:
insomnia, irritable, anxious,
restless

+ ab. pain, shaky, sweaty, fever, ha, chills

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Tobacco Use DO: SC

Nicotinic
-Get CT if havent gotten in last 2 yrs

Monitor dopamine

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Social Anxiety DO: HM

1st Line: CBT
Propranolol (performance)
SSRIs
Benzos

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BP1: CTx

Lithium, Valproate Acid, Lamotrigine, Carbomazepine

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BP1 Dx:

1 manic = >1 week of elevated mood and elevated energy level

ADHD: SC

1st degree relative ODD, CD

Pedophilic DO: CTx

SSRIs/Fluoxetine for urges Antiandrogen for Pedophilic

Antisocial TX

DBT (stimulant to control ADHD???)

Illness Anxiety DO: CT

Regular visits with PCP CBT

Somatic Symptom: DxS

Will seek tx from many doctors, extensive lab work, >6mths

Alcohol WD: CTx

Chlorodiazephine

ALC WD Seizures: CT

Thiamine-Glucose-Benzos

Anticholinergic Intoxication: Dx

Dry mouth, dry eyes, urinary retentions, dilated pupils

Stimulant Intoxication: Dx

Mydrasis, diaphoresis, seizures, tachy/brady

Cocaine Withdrawal: HP

Myosis, drowsy, unpleasant dreams, increased appetite, agitation, fatigue, insomnia

When do you test for autism

18-24 months

ADHD Neurotransmitter

dopamine and norepinephrine

Positive symptoms SC

Increased Dopamine

Stimulants Neurotransmitter:

Block DA and NE reuptake

GAD neurotransmitter

Serotonin

Nightmares Tx

Prazosin

Pain inflicted on sex Dx

Sexual Masochism

TSH is checked with

Lithium MDD, GAD

BMI <15

Admit

Bulimia can lead to

seizures

Borderline Personality brain scan

dysregulation of frontal lobe

PTSD Tx

SSRI + CBT

SSRI C/I in pregnancy

Paroxetine

Tx Schizotypal

Risperidone

Negative Symptom of Schizophrenia

Anhedonia

SE for clozapine

agranulocytosis, check ANC

Tx for Dystonia

Benztropine or Benedryl

bad neuro effects in kids often come from

alcohol

Questionnaires for GAD, MDD, and BP

GAD7 PHQ9 Mood Questionnaire

With TCA OD order

EKG

MDD can present similar to

Pernicious Anemia

Check with lithium

Kidneys, TSH

GAD is similar symptoms to ? MDD is similar to ?

GAD = HYPERthyroid MDD = HYPOthyroid

MDD Neurotransmitter that is increased

Cortisol (others are decreased)

Lab for anorexia

serum prealbumin

Body Dysmorphia DO: CI

Therapy + SSRI

BPD: CI

DBT

Conversion DO

Neurological symptom after a stressor

Panic DO: RF/HM

Females, young onset

PTSD: HM

SSRI Prazosin for nightmares CBT

PTSD: HP

>1 month

Acute Stress: SC

<1month

MDD SC:

increased cortisol, decreased 5HT, DA, NE

Anorexia: DxS

Prealbumin EKG

Antisocial DxS

>18 years old?

Conversion DO: CI

patient education about illness + CBT

Factitous DO: CI

collaborative care confrentation