Organic Disorders Flashcards

1
Q

Why am I learning this?

A

Because psychiatric symptoms can have organic causes, and that will affect how treatment is targeted.

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2
Q

What organic disorders cause acute psychological symptoms?

A

Delirium
Organic mood disorder
Organic psychotic disorder

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3
Q

What organic disorders cause chronic psychological symptoms?

A

Dementia
Amnesic syndrome
Organic personality change

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4
Q

What are the psychological disorders of alcoholic withdrawal?

A
Delirium tremens 
Wernicke's encephalopathy 
Korsakoff's psychosis 
Hepatic encephalopathy 
Alcohol related brain damage
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5
Q

Signs of delirium tremens?

A

Profound confusion
Autonomic overactivity
CV collapse

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6
Q

Acute management of delirium tremens?

A

BZDs

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7
Q

Signs of Wernicke’s encephalopathy?

A

Confusion
Ataxia
Opthalmoplegia/Nystagmus

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8
Q

Acute management of Wernicke’s encephalopathy?

A

Thiamine

Avoid carb load

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9
Q

Signs of Korsakoff’s psychosis?

A

Impairment of anterograde memory, but no other cognitive impairment
Personality changes

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10
Q

Management of Korsakoff’s psychosis?

A

Abstinence can have improvement over time

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11
Q

Signs of hepatic encephalopathy?

A

General motor retardation/drowsiness

Happens in advanced liver disease

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12
Q

Signs of Alcohol related brain damage?

A

Show cognitive impairment when sober

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13
Q

Can Alcohol related brain damage be reversed?

A

To an extent yes, with abstinence.

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14
Q

What is dementia?

A

Global cognitive impairment Chronic in nature, mostly progressive
Variable pathology

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15
Q

Types of dementia?

A
  • Alzheimer’s
  • Vascular
  • Mixed
  • Lewy body
  • Frontotemporal
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16
Q

Can dosage impact timing, duration or severity of steroid induced psychosis?

A

No. It only impacts incidence.

17
Q

Management of steroid induced psychosis?

A

Considering tapering steroids but might not be possible

Consider antipsychotic/mood stabiliser

18
Q

Can endocrine and metabolic disorders cause psychotic symptoms?

A

You bet it can! And you gotta figure it out because these can be reversible.

19
Q

What is anti-NMDA receptor encephalitis?

A

Autoimmune disease that targets NMDA receptors. Around half associated with malignancy

20
Q

Management of anti-NMDA receptor encephalitis?

A

Immunotherapy and tumour resection if indicated
BZDs for symptomatic
Prognosis with treatment is good

21
Q

Signs of delirium?

A
Impairment of consciousness and attention
Global disturbance of cognition
Psychomotor disturbances
Disturbance of sleep wake cycle
Emotional disturbance
22
Q

What can cause delirium?

A

You name it you got it babeh it’s almost anything.