medical illnesses w/ psych sx (329 E3)

Question 1

patients being treated for medical or surgical problems may display behaviors of

Answer 1

aggression, depression, anxiety, anger, suspicion or psychosis

Question 2

medical mimics

Answer 2

disorders that present with psychiatric symptoms directly resulting from an underlying medical condition

The cause of psychiatric symptoms is medical illness

Question 3

diagnostic overshadowing

Answer 3

attributing symptoms of a physical illness to a mental illness

Question 4

what are common diseases that lead to medical mimics with mood disorders

Answer 4

Cushing’s disease
Fibromyalgia/chronic fatigue syndrome
Hyper/hypothyroidism
Sleep apnea
Mononucleosis

Question 5

medical mimic: hypothyroidism

Answer 5

depressive disorder -> tiredness, insomnia, wt gain, brain fog, lethargy, and anxiety

Question 6

medical mimic: fibromyalgia/chronic fatigue

Answer 6

depressive disorder

Question 7

medical mimic: sleep apnea

Answer 7

depressive order

Question 8

medical mimic: monoucleosis

Answer 8

depressive order

Question 9

medical mimic: hyperthyroidism

Answer 9

can present as cognitive slowing, reductions in psychomotor speed, memory impairment & depression

Question 10

medical mimic: Cushing’s disease

Answer 10

affects concentration, memory, energy (severely tired)

Question 11

medical mimic: dementia

Answer 11

link between dementia & mood disorder’s

Question 12

medical illnesses w/ psychotic symptoms

Answer 12

Cushing’s disease
Estrogen Withdrawal
Hyper or Hypothyroidism

Question 13

estrogen withdrawal has shown episodes of

Answer 13

reversible psychosis -> can be caused by the d/c of contraceptives and hormonal therapy for menopause or if early menopause occurs

Question 14

thyroid dysfunction can result in

Answer 14

having presenting symptoms like mood disorders, cognitive impairment and exacerbate an existing psych disorder

hypo can present as mania, psychosis, & auditory and visual hallucinations

hyper can present as psychosis, catatonia, delusions, new onset sleepwalking, dissociative events and suicide attempts

Question 15

medical illnesses associated with anxiety disorders

Answer 15

Cushing’s disease (anxiety, irritability, inc stress hormone, dec memory & concentration)
Hyper/Hypothyroidism
Hyperventilation or Hypoxia

Question 16

Psychiatric side effects (PSEs) from pharmacological treatment

Answer 16

PSEs often resemble spontaneous psychiatric syndromes

Occurs with usual doses, intoxication, or withdrawal of treatment

Range from short-lasting anxiety to severe confusion

Suicide

Question 17

psychiatric side effect from a medication

Answer 17

is not a normal side effect

Question 18

PSEs risk factors

Answer 18

-Polypharmacy
-High doses
-Route of administration
-Faster administration (by any route)
-Narrow therapeutic index
-Metabolic conditions (Hepatic insufficiency, slow metabolizer)
-Augmented permeability of blood-brain barrier
-Very young or elderly patients
-Postpartum or other situations of stress (in ICU)

Question 19

medications that can induce a psychoactive state

Answer 19

Antihypertensives
Oral Contraceptives
Steroids
Cancer chemotherapy agents
Benzodiazepines
Barbiturates
Histamine 2 blockers

Question 20

hallmark risk factors of a medical mimic

Answer 20

One or more features that are atypical:
-Normal functioning prior to sudden onset of mental symptoms
-Late onset of initial presentation
-Known underlying medical condition
-Atypical presentation of a specific psychiatric diagnosis
-Disturbance of gait, balance, or both
-Visual, olfactory, or tactile hallucinations
-Illicit or recent substance use

Question 21

just rewatch all the lectures

Answer 21

idk what is happening