Lecture 8: Psychosomatic Medicine Flashcards
Pt’s with depression, anxiety, type A behavior, hostility, anger, and acute mental stress are at an increased risk for what?
- 2-fold ↑ risk of incident MI and CAD-related mortality
- Strongest evidence shows ↑ incidence of depression
Asthmatics are at an increased risk for which psych disorders?
- Panic disorder or agoraphobia
- Fear of dyspnea can trigger asthma attacks and high levels of anxiety
Diabetes is associated with an increased risk for what psych conditions?
Frustration, loneliness, dejection, and depression
What are some of the psych sx’s associated with hyponatremia?
Confusion, lethargy, personality changes (Delirium)
Which medications have the highst rate of GI disturbances as AE’s; why?
SSRIs due to serotonin in the GI tract
Which psych sx’s are very common with pancreatic carcinoma?
Depression, lethargy, anhedonia, apathy, and ↓ energy
Abdominal pain + psychosis should make you think of what underlying disease?
Acute Intermittent Porphyria
What are some of the psych sx’s associated with hepatic encephalopathy?
Euphoria, disinhibition, psychosis, anddepression
What are some of the psych sx’s associated with frontal lobe tumors?
- Mood changes + irritability + facetiousness
- Impaired judgement + Impaired memory
- Delirium
- Loss of speech
- Loss of smell
What medication should be avoided in elderly hospitalized pt’s especially those with delirium?
AVOID benzodiazepines
Which commonly used drug is associated with mania + psychosis (hallucinations)?
Corticosteroids
Which drugs can cause mania in a bipolar patient?
Antidepressants
Psych symptoms associated with lupus (photosensitivity, butteryfly rash, joint pain)
- depression
- mood disturbances
- psychosis
- delusions
- hallucinations
Cold intolerance, weight gain, personality change, lethargy, paranoia. Dx?
hypothyroidism
Psychiatric Sx thiamine deficiency (3)
- poor concentration
- confusion
- confabulation
