MH Dx 2 Flashcards
dementia s/sx
- memory difficulty
- difficulty in retaining new info
- handling complex tasks
- reasoning
- spatial ability and orienting (getting lost)
- lanuage
- behavior
dementia dd
3
UTI
MDD
personality disorder
dementia education
3
- try to keep a routine
- keep healthy habits - food, drinking plenty of water, structured bedtime routine
- exercise
dementia meds
cholinesterase inhibitors (can temporarily improve symptoms)
dementia tests
5
dsm 5
MSE
CT or MRI
CBC
urinalysis
dementia red flags
3
- worsening of s/sx
- activities that increase risk of safety - drinking, smoking, promiscuity
- wandering off
dementia f/u
4 weeks, refer to neurology, therapist, find support groups for loved ones
Pica
eating nonnutritive, nonfood substances over at least 1 month
eating nonnutritive, nonfood substances over at least 1 month
pica
rumination disorder
repeated regurgitation of food over a period of at least 1 month; food may be re chewed, re swallowed, or spit out
repeated regurgitation of food over a period of at least 1 month; food may be re chewed, re swallowed, or spit out
rumination disorder
partially digested food is brought into mouth without apparent nausea, involuntary retching, or disgust
rumination disorder
avoidant/restrictive food intake
lack of interest in food, avoidance, or concern about aversive consequences of eating
lack of interest in food, avoidance, or concern about aversive consequences of eating
avoidant/restrictive food intake
avoidant/restrictive food intake s/sx
4
- lack of interest or avoid food
- weight loss
- nutritional deficiency
- dependence on enteral feeding or oral nutritional supplements
lack of interest in food, avoidance, concerned about eating; weight loss
avoidant/restrictive food intake
anorexia nervosa
restricted intake of food leading to low body weight, intense fear of gaining weight
restricted intake of food leading to low body weight, intense fear of gaining weight
anorexia nervosa
bulimia nervosa
- recurrent binge eating
- eating in a discrete period of time a larger amount than what most would eat
- sense of lack of control
- self-induced vomiting, misuse of laxatives/diuretics, fasting or excessive exercise
recurrent binge eating; lack of control; self induced vomiting or excessive exercise
bulimia
lack of self control; eating fast; eating large amount
binge eating disorder
binge eating disorder
6
- eating in a discrete period of time, an amount of food that is larger than what most would eat
- lack of self control
- eating more rapidly than normal
- eating until feeling uncomfortably full
- eating large amounts
- eating alone because of feeling embarrassed
eating disorder DD
5
- anorexia
- bulimia
- pica
- binge eating
- PTSD
eating disorder education
4
- choose healthy lifestyle choices such as drinking plenty of fluid, healthy diet, sleep
- avoid harmful activities
- find support around you
- minimize stressors in your life
eating disorder meds
6
- pica - none
- rumination disorder - PPI
- avoidant/restrictive - none, nutritional rehab
- anorexia - none, nutritional rehab and psychotherapy
- bulimia - none, nutritional rehab and psychotherapy
- binge eating - none, none, nutritional rehab and psychotherapy
eating disorder test PICA
pica - CBC, electrolytes, BUN, creatinine, glucose, calcium, phos, mag, albumin, prealbumin, LFP, INR, TSH, vitamin D, pregnancy test
eating disorder test - rumination disorder, avoidant/restrictive, anorexia, bulimia, binge 12
EGD
CBC
electrolytes
BUN
creatinine
Glucose
albumin
pre-albumin
LFT
INR
TSH
pregnancy test
eating disorder f/u
2 weeks, send to therapy and nutritionist
eating disorder red flags
4
- worsening of s/sx
- condition does not improve
- SI HI
- participating in harmful activities
GAD is classified as
excessive anxiety and worry for at least six months
excessive anxiety and worry for at least six months
GAD
GAD s/sx
8
- excessive worry/anxiety
- difficult to control worry
- restlessness or feeling keyed up or on edge
- easily fatigued
- difficulty concentrating
- irritable
- muscle tension
- sleep disturbances
GAD DD
6
social anxiety disorder
OCD
PTSD
adjustment disorder
depression
bipolar
GAD education
4
- help yourself by moving your body
- limit or avoid caffeine
- find healthy ways to manage stress
- eating a healthy diet
GAD meds
none - first try CBT
GAD test
dsm 5
GAD f/u
4 weeks, refer to therapist
GAD AG
1
depression screening
GAD red flags
3
- symptoms worsening
- no improvement with treatment
- SI HI
MDD s/sx
8
- depressed mood or loss of interest/pleasure
- depressed most of the day, almost daily
- diminished interest
- weight loss or weight gain
- insomnia or hypersomnia
- fatigue or loss of energy
- diminished concentration
- recurrent thoughts of death
depressed mood or loss of interest
MDD
MDD DD
4
ADHD
bipolar
adjustment disorder
sadness
MDD education
5
- try some relaxation techniques such as progressive muscle relaxation, relaxation imagery
- exercise
- eat a healthy diet
- get sleep
- avoid harmful activities
MDD meds
antidepressants
MDD test
dsm 5
MDD f/u
2 weeks, refer to psychotherapy
MDD red flags
3
worsening s/sx
no improvement
SI HI