Organic Disorders Flashcards
Why am I learning this?
Because psychiatric symptoms can have organic causes, and that will affect how treatment is targeted.
What organic disorders cause acute psychological symptoms?
Delirium
Organic mood disorder
Organic psychotic disorder
What organic disorders cause chronic psychological symptoms?
Dementia
Amnesic syndrome
Organic personality change
What are the psychological disorders of alcoholic withdrawal?
Delirium tremens Wernicke's encephalopathy Korsakoff's psychosis Hepatic encephalopathy Alcohol related brain damage
Signs of delirium tremens?
Profound confusion
Autonomic overactivity
CV collapse
Acute management of delirium tremens?
BZDs
Signs of Wernicke’s encephalopathy?
Confusion
Ataxia
Opthalmoplegia/Nystagmus
Acute management of Wernicke’s encephalopathy?
Thiamine
Avoid carb load
Signs of Korsakoff’s psychosis?
Impairment of anterograde memory, but no other cognitive impairment
Personality changes
Management of Korsakoff’s psychosis?
Abstinence can have improvement over time
Signs of hepatic encephalopathy?
General motor retardation/drowsiness
Happens in advanced liver disease
Signs of Alcohol related brain damage?
Show cognitive impairment when sober
Can Alcohol related brain damage be reversed?
To an extent yes, with abstinence.
What is dementia?
Global cognitive impairment Chronic in nature, mostly progressive
Variable pathology
Types of dementia?
- Alzheimer’s
- Vascular
- Mixed
- Lewy body
- Frontotemporal
Can dosage impact timing, duration or severity of steroid induced psychosis?
No. It only impacts incidence.
Management of steroid induced psychosis?
Considering tapering steroids but might not be possible
Consider antipsychotic/mood stabiliser
Can endocrine and metabolic disorders cause psychotic symptoms?
You bet it can! And you gotta figure it out because these can be reversible.
What is anti-NMDA receptor encephalitis?
Autoimmune disease that targets NMDA receptors. Around half associated with malignancy
Management of anti-NMDA receptor encephalitis?
Immunotherapy and tumour resection if indicated
BZDs for symptomatic
Prognosis with treatment is good
Signs of delirium?
Impairment of consciousness and attention Global disturbance of cognition Psychomotor disturbances Disturbance of sleep wake cycle Emotional disturbance
What can cause delirium?
You name it you got it babeh it’s almost anything.
