Organic Psychiatry Flashcards
Hallucinations from where?
Retina
Optic system
Modulators pathways
Occipital regions
What kinds of complex visual hallucinations?
Distortions
Hallucinations
When do you get worse hallucinations?
Worse at dusk or early morning
Charles Bonnet Syndrome?
Elderly visually impaired, psychological intact
Under reported
What is peduncular hallucinogens
Vascular, neoplastic, demyelinating
What other conditions causes hallucinations?
Migraine Temporal lobe epilepsy Lewy body Narcolepsy Delirium tremens Hallucinogens
3 common organic psychiatric conditions with elderly
Delirium
Dementia
Psychosis
What is acanthocyte?
Spiky RBC
What is a classic MRI finding for huntingtons
Bilateral caudate atrophy
What is secondary psychiatric syndrome?
Not related to primary psychiatric diseases like schizo
But brain or systemic disease in brain
Mania without hx bipolar
Late onset mania, can be unusual, could be FTD
If ppl telling you birds or children hallucinations but has insight and distressing
White matter disease
How to rule in organic disease?
Neurology/physical examination
Cognitive test
Changes in conscious state
get collateral history and good past medical