Organic Psychiatry Flashcards
DIfference between Brocas and Wernickes in speech development and how patient may present?
Brocas - Dysarthric, non-fluent, effortful
effects the muscles of speech
Wernickes - fluent, nonsense, effortless, jargon
effects the understanding of speech
How will chronic traumatic encephalopathy present?
traumatic injury followed by progressive CNS deterioration Headache Depression Mood swings Substance abuse Dementia and parkinsonism
Symptoms and signs of Parkinsons?
Cognitive impairment - dementia
Addictions and gambling
Sexual and bladder dysfunction
Depression, mania, anxiety, fatigue, alterations to sleeping pattern
Symptoms of Huntingtons?
Anxiety Apathy Psychosis BPD Decreased cognition Personality changes Subcortical dementia
What is interictal dysphoric disorder and how does it develop?
Develops due to epilepsy depressed Pain Irritable decreased energy, sleepiness Anxiety, fear euphoria
What hormone is usually raise 15-20 minutes after a seizure?
Prolactin
How do you investigate Non-epileptic attack disorder?
EEG with video telemetry
Examples of functional disorders?
IBS, fibromyalgia, functional neurological disorder
What 2 things can be given to treat delirium? (although prefer to treat cause directly)
Low dose haloperidol
Lorazepam
Investigations performed into Delirium?
FBC Blood culture HbA1c and glucose U&E and calcium LFTs Troponin ESR and CRP MSSU - UTI CXR ECG
Signs of herpes simplex encephalitis
Pyrexia Meningitis Coma Seizures Delirium Psychiatric disturbances
3 investigations for Herpes Simplex encephalitis?
EEG
LP
CT
5 types of autoimmune limbic encephalitis
Anti NMDA - delusions, hallucinations, agitation Anti neuronal antibodies Voltage gated potassium channels GABA Anti-Hu
