PAST EOR Flashcards
Start + DDx
MSE
»The voices r telling me ur helping my neighbor to kill me
My parents need medications not me bc they want me to take medications
In MSE I HAVE TO COMMENT ON PT BEHAVIOR!
HAS TREMORS
ANXIOUS
CHILDISH BEHAVIOR$ ID
HALLUCINATORY BEHAVIOR قاعد يلف ويكلمونه او يشوف اشياء وهو يكلمني❤️❤️❤️🚨
Poverty of speech
Flat affect
Formal thought disorder; circumstantial
Delusions of….
CURRENTLY Perceptual disturbance in form of auditory / visual hallucinations
Memory and concentration bad and also judgement, usually insight less
All in schizo
> > i assure u I’m here to help u
Im sorry u feel this way
Why do u think this way? Did he actually attempt or try to do that?
%%%Are u 100% sure of these thoughts = fixed
MSE
Do you think you have an illness?
If yes» do you think it’s psychiatric in nature?
If we were to give you medication, Would you take them?
No I don’t have an illness
If we were to give you medication what would you take them?
No, I don’t have an illness why would I take medication ? Just assume /// suppose that you have a psychiatric illness… if we were to give you medications would do you take them?
DDX
MSE
QUESTIONS
Dr I don’t wanna be here I want to get out
She came w suicide
Possibilities; real attempt, planed = MDE.. IN MDD OR BIPOLAR SO FIRST THING I HAVE TO ASK IS QS FOR SUICIDE THEN DEPRESSION, THEN OTHER MOOD! WHICH IS MANIA/ hypomania
Impulsive - borderline/ manic/ substance induced
I understand this must be overwhelming for you I’m sorry ur feeling this way but I assure u I’m here to help u!
I’ll discuss it with my team and get back to u,
But I want to assure u that we’re here to help u
I understand
I’m sorry for your loss
I’m sorry ur feeling this way
3 DDx
3 DDx
3 DDX
MSE
MSE
DDX
Why did u mention ad
How to differentiate
Which one has higher risk: planned or impulsive suicide?
Would you tell me the risk assessment for this patient?
Mention some substances that cause depression
Antipsychotics anticonvulsants
Cosrticosteroids
Withdrawal from stimulant cocain amphetetamines
Alcohol?
DDX
MSE
DDX
MSE