Miscellaneous Flashcards
(RoshReview)
neurologic symptoms occur that are not consistent with known neurologic or general medical conditions
conversion disorder
(RoshReview)
Tx of conversion disorder
educate pt about the dx, including that the symptoms are real and can improve
maybe add PT
pt might benefit from CBT
(RoshReview)
“What are the known triggers of conversion disorder?”
Traumatic injury, neurologic illness, interpersonal conflict, and life stressors.
(RoshReview)
DSM V three diagnostic criteria for somatic symptom disorder
must include the following:
1) one or more somatic symptoms that cause the patient distress or psychosocial impairment;
2) excessive thoughts, feelings, or behaviors associated with the somatic symptoms; and
3) although the symptom may change, the disorder must be present for 6 or more months
Tx = regularly scheduled visits with a health care clinician
(RoshReview)
tx for somatic symptom disorder
REGULARLY SCHEDULED VISITS WITH A HEALTH CARE CLINICIAN
(RoshReview)
What is the appropriate treatment for illness anxiety disorder?
Regularly scheduled appointments with a medical clinician.
(RoshReview) BUZZWORDS: anxiety and agitation, photosensitivity, hyperacusis, paresthesias, muscle cramps, myoclonic jerks, sleep disturbance, dizziness
benzo withdrawal
(RoshReview)
how do you treat benzo withdrawal?
diazepam or lorazepam
(RoshReview)
“What medication is used to treat benzodiazepine overdose?”
flumazenil
(RoshReview)
MC s/s of anorexia nervosa:
restrictive eating patterns low BMI feeling cold dry skin lanugo amenorrhea BRADYCARDIA hypotension emaciation
(RoshReview)
Tx for anorexia nervosa
CBT
family therapy
normal body wt w/ supervised wt gain
nutrition & behavior changes
(RoshReview)
“What rare but potentially fatal syndrome may occur during treatment for anorexia nervosa?”
refeeding syndrome
(RoshReview)
difference b/w bulimia and anorexia
THE BMI!!!
“Bulimia nervosa is an eating disorder marked by episodes of binge eating with compensatory behaviors, such as self-induced vomiting, prolonged fasting, intense exercise, and misuse of laxatives or diuretics. It can be distinguished from anorexia nervosa by the individual’s body mass index. Individuals with bulimia nervosa typically have a normal or high body mass index.”
(RoshReview)
“What is the classic electrolyte abnormality associated with refeeding syndrome?”
Hypophosphatemia
(RoshReview)
what is HYPERCAROTENMIA
yellow skin on palms
associated with anorexia nervosa
(RoshReview)
what is the initial treatment of somatic symptom disorder?
regularly scheduled visits with a health care clinician
Conversion disorder is now called:
functional neurological symptom disorder
(RoshReview)
what is somatic symptom disorder?
at least one somatic symptoms which
causes significant distress or disruption of daily life
typically associated w/ excessive time, energy, behavior changes related to somatic symptom
(RoshReview)
describe characteristics of functional neurological symptom disorder:
characterized by abnormalities or deficits of motor/sensory fxn that are sz, paresis, paralysis, tremors, aphonia, anesthesia…s/s are usually sudden following a psychosocial stressor and non-painful
doesn’t usually have the distress regarding the symptom that somatic symptom disorder does
(RoshReview)
in what population is functional neurological symptom disorder most common?
young women w/
low SES and a
low level education
(RoshReview)
what is the distinguishing finding for somatic syndrome disorder?
excessive anxiety, thoughts, time devotion WITH THE PRESENCE OF SOMATIC SYMPTOMS such as pain, fatigue, nausea
more severe somatic symptoms than illness anxiety disorder, “the somatic symptoms are the core finding”
“for example, if a pt w/ HAs meets the diagnostic criteria for both somatic symptoms disorder and migraine HAs, then both conditions would be diagnosed. It is the excessive cognitive, emotional and behavioral response to a general medical condition that leads to individuals with general medical conditions also being diagnosed with somatic symptoms disorder.”
