Mood Psychosis Anxiety Medical/Substance Stuff

Question 1

MEDICAL CAUSES OF PSYCHOSIS

Answer 1

1) CNS (cerebravascular disease, MS, neoplasm, huntington, parkinson, alzheimers, prion, tertiary syphilis, temporal lobe epilepsy, encephalitis, prion disease, neurosarcoidosis, AIDS) 2) endocrinopathies (addison/cushing, hypopituitarism, hypo/hyperthyroid, hypo/hypercalcemia) 3) NUTRITIONAL (b12, thiamine, folate) 4) connective tissue disease, temporal arteritis, porphyria, SLE)

Question 2

Substances that cause psychosis

Answer 2

Steroids, antiparkinson agents, anticonvulsants, antihistamines, anticholinergics, some antihypertensives (beta blockers, digitalis, methylphenidate and fluoroquinolones).

Question 3

Drugs illicit that cause psychosis

Answer 3

Alcohol, cocaine, benzos, hallucinogens,MJ, barbiturates, PCP

Question 4

Medication/substance induced mania

Answer 4

Sympathomimetics, antidepressants, corticosteroids, levodopa, dopamine, bronchodilators

Question 5

Medical causes of manic episode

Answer 5

hyperthyroidism, HIV, neoplasms, neurological disorders (temporal lobe seizures, multiple sclerosis)

Question 6

Medication/substance induced depression

Answer 6

antipsychotics, anticonvulsants, sedative-hypnotics, ethonol, antihypertensives, barbs, corticosteroids, levodopa, diuretics, sulfonamides, withdrawal from psychostimulants

Question 7

Medical causes of depressive episode

Answer 7

Endocrinopathies (Cushing syndrome, DM, Addison disease, hypolygcemia, hyper/hypothyroidism, hyper/hypocalcemia), cerebrovascular disease (stroke, MI), parkinsons, viral illness (mono), carcinoid syndrome, cancer (esp lyphoma and pancreatic cancer), collage vascular disease (systemic LE)

Question 8

Medical causes of anxiety

Answer 8

Cardiovascular disease, anemia, low B12, pheochromocytoma, hyperthyroidism, hypoxia, neurological abnormalities (epilepsy, brain tumor, MS, cerebrovascular, etc), hypoglycemia

Question 9

substance induced anxiety

Answer 9

Caffeine intake and withdrawal, theophylline toxicity, amphetamines, alcohol and sedative withdrawal, mercury or arsenic toxicity, penicillin, sulfonamides, sympathomimetics, antidepressants

Question 10

Panic attacks are a/w which conditions

Answer 10

MV prolapse, asthma, PE, angina, anaphylaxis

Question 11

differential dx of panic attack/disorder- medical

Answer 11

Medical: CHF, angina, MI, thyrotoxicosis, temporal lobe epilepsy, MS, pheochromocytoma, carcinoid syndrome, COPD

Question 12

differential dx of panic attack/disorder- medications

Answer 12

amhetamine, caffine, nicotine, cocaine, hallucinogen intoxication, alcohol or opiate withdrawal

Question 13

Psych disorders commonly a/w panic disorder

Answer 13

Depressive disorder, phobic disorder, OCD, PTSD

Question 14

What medical conditions is OCD a/w

Answer 14

head injury, epilepsy, basal banglia disorders and postpartum conditions