Liaison Flashcards

1
Q

Conversion disorder (history)

A
  • HPC (onset, duration, ass Sx, previous events)
  • Stressors
  • La Belle Indifference (concern about Sx, relieved by Ix findings, family response)
  • Comorbidity (moos, sleep, appetite, enjoyment, energy, psychosis, risk)
  • Personal Hx (PPHx, FHx, PMHx, substance use)
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2
Q

Conversion disorder (explanation)

A
  • Summarise findings
  • Explain diagnosis and cause
  • Explain medication (antidepressant if indicated)
  • Explain psychological Rx (CBT)
  • Concerns and leaflets
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3
Q

Health anxiety (history)

A
  • HPC (onset, duration, exac/relieving factors, ass Sx, Ix, ICEs)
  • Impact on functioning (research, family response, relationships, work)
  • Personal history (PMHx, medications, recurrent childhood illness, family response, FHx)
  • Comorbidities (mood, sleep, appetite, enjoyment, concentration, psychosis, risk)
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4
Q

Health anxiety (management)

A
  • Clarify diagnosis and understanding
  • Explain cause (family culture, stress, genetic risk)
  • Explain medication (antidepressant)
  • Explain psych Rx (CBT)
  • Questions and concerns
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5
Q

Somatoform pain disorder (history)

A
  • HPC (onset, duration, previous Rx, ICEs)
  • Stressors (relationships, work, finances, medical)
  • Impact on functioning
  • Comorbidity (mood, sleep, appetite, concentration, enjoyment, psychosis, substances, risk)
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6
Q

Traumatic brain injury (history)

A
  • HPC (onset, duration, progression, injury)
  • Personality change (premorbid, disinhibition, impulsive)
  • Behavioural change (irritable, verbal/physical aggression)
  • Judgement (attention, concentration, decision making, risk)
  • Memory (short-term, long-term, planning, orientation TPP, word-finding)
  • Functioning (washing, dressing, finances)
  • Comorbidity (mood, sleep, appetite, enjoyment, abnormal behaviour, substances, risk)
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7
Q

Traumatic brain injury (examination)

A
  • Day/date/month/year
  • Animals in 1 min
  • Objects x3
  • Clock drawing
  • Objects recall
  • Similarities (banana/orange, table/chair, tulip/rose/daisy)
  • Programming (fist-edge-palm, x3 together then alone, 6 reps for 3 points)
  • Cognitive estimates (elephants in London)
  • Letter on the floor
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8
Q

Post MI depression (history)

A
  • HPC (admission, progress, treatment, medications, follow-up)
  • Depressive Sx
  • Current stressors (relationships, work, financial)
  • Understanding (cardiac rehab, lifestyle changes)
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9
Q

Post MI depression (d/w cons)

A
  • Summary of case
  • Prevalence (20%, 2-6x higher mortality)
  • Medical Rx (sertraline - SADHART trial, avoid venlafaxine & tricyclics)
  • Psychological Rx (CBT and lifestyle support)
  • Liaise with cardiology
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10
Q

Antidepressant induced sexual dysfunction (history)

A
  • Clarify diagnosis, medication and onset S/Es
  • Current depressive Sx & risk
  • Explore sexual difficulties (interest, erection, orgasm, priapism, relationship in general)
  • Other causes (PMHx, medication)
  • Options (continue - timing of meds, sildenafil, drug holiday; switch meds; stop - relapse)
  • Other Treatment (CBT, couples therapy)
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11
Q

Antidepressant induced sexual dysfunction (d/w wife)

A
  • Clarify diagnosis
  • Wife’s perception of Sx (mood, sleep, appetite, risk)
  • Explain depression vs side-effects
  • Management plan (continue - timing of meds, sildenafil, drug holiday; switch meds; stop - relapse)
  • Questions and concerns
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12
Q

Post-concussion syndrome (history)

A
  • HPC (injury, LOC, amnesia, admission, Ix)
  • Ongoing neurology (weakness, headache, dizziness, tinnitus)
  • Psych Sx (mood, anxiety, irritability, sensitivity to noise)
  • Risk (falls, memory, self)
  • Brief memory Ax (3 items, WORLD, recall, fluency)
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