PEER TEACHING Flashcards
What are two causes of blood in stool?
Instusseption
Gastroenteritis
Is pyloric stenosis metabolic alkalosis or acidosis?
Metabolic alkalosis
You will also get excessive bicarbonate
What is the appropriate next step for pyloric stenosis?
Test Feed: and feel for an olive shaped mass
What is the treatment of pseudomonas
Tobrimycin
What are 3 viruses that cause gastroenteritis
Rotavirus
Adenovirus
Enterovirus
What test do you do for haemolysis
COOMBES test
What medication can carbamazepine interfere with?
COCP
What form of cervical cancer is more common?
Adenocarcinoma or squamous cell
Squamous Cell
When is the peak time to get alcohol withdrawal symptoms, seizures and DTs
Symptoms: 6-12 hours
Seizures: 36 hours
DT: 72 hours
What are 3 SE of atypical anti-psychotics
Agranulocytosis
Hyperprolactinaemia
Obesity
What are 3 SE of TCAs?
Dry Mouth
Dry Eyes
Urinary Retention
Phenomenology: What is an illusion?
An illusion is a misperception of a real stimuli
What is a hallucination?
Perception in the absence of an external stimuli
When are 2nd person hallucinations common in?
Personality Disorder
Depression
What is an over valued idea?
This is belief sustained beyond logical reason. But not held rigidity
Phenomenology: What is a delusion?
Falsely held belief and not broken
Phenomenology: What is a delusional perception?
When you have a delusional belief towards a real perception. The red light turns on. It must mean the FBI are coming for me
Phenomenology: What is Thought Insertion?
The belief that an external agency has inserted a thought into your brain
Phenomenology: What is Thought Withdrawal?
This is the idea that an external agency has taken thoughts from your head
What is Thought Broadcast
The idea that everyone around you can hear your thoughts
What is Thought ECHO?
This is when you can hear your thoughts spoken aloud
What is a thought block?
This is when someone has a sudden loss in their train of thought and then starts again
What is concrete thinking?
Lack of abstract thinking (common in psychosis and ASD)
What is loosening of associations?
This is the idea that a person has a loss of logical thought an incongruent speech
Phenomenology: What is circumstantiality?
This is talking at great length but get to the point
What is perservation?
Repetition of a word
Frontal lobe or Wernicke’s Encephalopathy
What is tangential thinking?
When someone does not return back to the topic
What is confabulation?
Giving a false account to fill a memory gap
If you have a problem with Wernicke’s Region what type of dysphasia to you get?
Expressive dysphasia
What is somatic passivity?
The belief that something is imposed by outside forces
What are made acts, feelings and drives?
The idea that someone is making that person do what they are doing?
What is psychomotor retardation?
Slowing of mental and physical attributes
What is Catatonia?
Excessive or lack of motor activity
Give 3 examples of catatonia?
Waxy
Flexibility
Posturing
What is poverty of speech?
reduced amount
Reduced quantity
Reduced range of speech
What is neologism?
the use of novel/made up words
What is a flattening of affect?
When a patient has a reduced range of affect
What is Belle indifference?
This is when a patient has an apparent lack of concern about their symptom or disability
I.e. not concerned they are in a wheelchair
What is derealisation?
When a person begins to feel like they’re looking at themselves from the outside
What is a stereotypy?
Persistent repetitive movement that is not goal directed
What are mannerism?
Repetition of a seemingly purposeful behaviour
What is an erotomanic delusion?
Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.
What is a Grandiose Delusion?
Grandiose. A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.
What is a jealous delusion?
Jealous. A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.
What is a somatic delusion?
Somatic. A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.
What is a persecutory delusion?
Persecutory. People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.
What is Fregoli’s Syndrome?
Form of jealousy delusion
Where you think your partner is cheating on you
What is a persistent delusional disorder?
Long standing delusion without hallucinations
What is the biopsyosocial model for psychosis?
Bio: you need to give anti-psychotics
Psycho: CBT and family therapy
Social: this is when you do family interventions and try and help with employment, benefits and housing. Get them into voluntary and society
What are 2 SE of carbamazepine?
Neutropenia
Rash
What is the Bio-psychosocial model for bipolar?
Bio: you can give lithium and anti-depressants
Psycho: you can do CBT and relapse prevention
Social: you can give the patient help with benefits, Carers, employment and housing. You can also help with hobby involvement
What are 3 SE of SSRI?
GI reflux
Suicidal
Sexual dysfunction
What are 3 SE of TCA?
You can do sedation, can lead to dry mouth and eyes and urinary retention and also cardiac arrhythmia
What is an example of a tetracycline?
Mirtazipine
With MAO-B what can you not have with them?
Cheese and Red Wine
What do you treat ADHD with?
What do you need to be worried about?
You treat it with Ritalin
You need to be worried about psychosis and appetite decrease with Growth inhibited in children
What is the management method of OCD?
Exposure and Response prevention
What are the 3 parts of the MH act that need to be satisfied for detainment?
They have a Mental Illness
They are at a severity to be detained in hospital
They are at a risk to self or others
What are important componments of a confusion screen?
TSH, B12, Folate & Glucose are important additional blood tests which form part of the ‘Confusion Screen’ and a bone profile
What type of drug group is memantine in?
NMDA receptor antagonist
What is a CI of warfarin?
Oesphageal varies
What is a contraindication of LMWH?
You’re CI in this case is anaphylaxis
What is a CI of Rivaroxaban?
The CI is a hepatic impairment
