PAST EOR Flashcards

1
Q

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

A

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?

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2
Q

DDX
MSE
QUESTIONS
Dr I don’t wanna be here I want to get out

A

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

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3
Q

3 DDx

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4
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3 DDx

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5
Q

3 DDX
MSE

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6
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7
Q

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

A

Antipsychotics anticonvulsants
Cosrticosteroids
Withdrawal from stimulant cocain amphetetamines
Alcohol?

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8
Q

DDX
MSE

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9
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DDX
MSE

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10
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