Organic Psychiatry Flashcards

1
Q

Hallucinations from where?

A

Retina
Optic system
Modulators pathways
Occipital regions

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2
Q

What kinds of complex visual hallucinations?

A

Distortions

Hallucinations

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3
Q

When do you get worse hallucinations?

A

Worse at dusk or early morning

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4
Q

Charles Bonnet Syndrome?

A

Elderly visually impaired, psychological intact

Under reported

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5
Q

What is peduncular hallucinogens

A

Vascular, neoplastic, demyelinating

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6
Q

What other conditions causes hallucinations?

A
Migraine
Temporal lobe epilepsy
Lewy body
Narcolepsy
Delirium tremens
Hallucinogens
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7
Q

3 common organic psychiatric conditions with elderly

A

Delirium
Dementia
Psychosis

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8
Q

What is acanthocyte?

A

Spiky RBC

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9
Q

What is a classic MRI finding for huntingtons

A

Bilateral caudate atrophy

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10
Q

What is secondary psychiatric syndrome?

A

Not related to primary psychiatric diseases like schizo

But brain or systemic disease in brain

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11
Q

Mania without hx bipolar

A

Late onset mania, can be unusual, could be FTD

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12
Q

If ppl telling you birds or children hallucinations but has insight and distressing

A

White matter disease

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13
Q

How to rule in organic disease?

A

Neurology/physical examination
Cognitive test
Changes in conscious state
get collateral history and good past medical

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