Liason Psych

Question 1

Sun-downing occurs in which patients?

Answer 1

Delirium

Question 2

If someone has fearful affect, which cause should you think about?

Answer 2

Alcohol

Question 3

Hierarchy for delirium

Answer 3

Medical 
Intoxication and withdrawal
Psychosis and affective 
Anxiety 
...

Question 4

Which types of delirium do you need to treat?

Answer 4

Hypoactive - treat

Hyperactive - treat, orientate, improve sleep,

Question 5

What’s the short term treatment of delerium tremors?

Answer 5

Thiamine to stop the progression to kosikoff

Withdrawal symptoms - benzo

Question 6

What is neuroleptic malignant syndrome?

Answer 6

Temperature
Muscle ridgitiy
Clouding of consciousness

(High cpk)
Can be a problem after haloperidol or other antipsychotics

Question 7

What is serotonin syndrome?

Answer 7

Restless, hypertonia, myoclonic, hyperreflexia

Check urine
Get to ITU

Question 8

How to manage medical unexplained symptoms?

Answer 8

These are functional symptoms without an organic cause.
Can be distressing
Might be due to/or lead to psych. That’s why CBT and antidepressants work.

Question 9

Which part of the history must you ask about in non-epileptic attacks?

Answer 9

History of sexual abuse (20%)