Organic disorders

Question 1

ICD-10 definition?

Answer 1

mental disorders due to common, demonstrable aetiology in cerebral disease or other insult leading to cerebral dysfunction

Question 2

1y OD?

Answer 2

direct effect on brain

Question 3

2y OD?

Answer 3

systemic disease which affects brain as well as other organs

Question 4

when is medication used?

Answer 4

acute situations

Question 5

give 3 examples of acute OD?

Answer 5

delirium, organic mood disorder, organic psychotic disorder

Question 6

give 3 examples of chronic OD?

Answer 6

dementia, amnesic syndrome, organic personality changes

Question 7

delirium tremens - presentation?

Answer 7

complication of alcohol withdrawal, fluctuating confusion, disorientation in time and place, memory impairment

Question 8

delirium tremens - treatment?

Answer 8

benzodiazepines

Question 9

describe presentation of Wernicke’s encephalopathy?

Answer 9

acute confusion, ataxia, ophthalmoplegia, nystagmus

Question 10

what is associated with Wernicke’s?

Answer 10

acute deficiency of thiamine (B1)

Question 11

what happens if wernicke’s is left untreated for about 2 weeks?

Answer 11

progresses into Korsakoff Psychosis

Question 12

treatment for Wernicke’s encephalopathy?

Answer 12

oral thiamine for 3-7 days

Question 13

Korsakoff’s psychosis - AKA?

Answer 13

alcohol amnesic syndrome

Question 14

Korsakoff’s psychosis - presentation?

Answer 14

impairment of anterograde memory - i.e. ability to learn new info

Question 15

Korsakoff’s psychosis - name 3 associated sx?

Answer 15

personality changes, apathy, loss of initiative

Question 16

Korsakoff’s psychosis - relationship with abstinence?

Answer 16

improves with prolonged abstinence