MTB 3 Flashcards
TX for Somatization disorder
Individual Psychotherapy
What is factitious disorder?
AKA?
Individual fakes illness to get attention and emotional support in patient role
- May inflict life-threatening injuries to get attn
- Formerly Munchausen syndrome
Management for Factitious by proxy?
Contact child protective services
What is malingering
conscious production of signs and symptoms for obvious gain
- Avoiding work, financial gain
Not a mental illness
Who do we see malingering in
Prisoners
Military Personnel
Timeline for Adjustment Disorder
Sx’s within 3 months of stressor and remit w/in 6 months or removal of stressor
TX for Adjustment Disorder
Psychotherapy
What is the TX for personality disorders
Psychotherapy
Which personality disorders may have psychotic sx’s
Borderline
Schizotypal
Pts with current or PMH of anorexia are at increased risk at giving birth to infants that are?
Premature
SGA secondary to IUGR
Complications seen with anorexic mothers
Miscarriage
Hyperemesis gravidum
C section
Postpartum Depression
MCC of death in anorexics
Arrhythmia
Prolonged QT
Anorexic pts increased risk for
Osteoporosis Increased cholesterol Increased B-carotene Euthyroid Sick syndrome HPA dysfunction Hyponatremia (excess water consumption)
Manifestations of HPA dysfunction in anorexia
Ammenorrhea
Anovulation
Estrogen Deficiency
Management of Anorexia
Hospitalization to prevent
- dehydration
- starvation
- electrolyte imbalances - hypokalemia, hypophosphatemia
