Psych 1 Flashcards
1
Q
anxiety clinical pres
A
- palpitations/CP/SOB
- sweating
- numbness/tingling
- diarrhea
- chronic HAs
2
Q
anxiety risk factors
5
A
- female
- unmarried
- lower educational level
- poor health
- stress
3
Q
anxiety PE shoudl include
4
A
- identifiying any underlying medical conditions
- investigate abnormal VSs - don’t assume they are r/t anxiety
- MSE - include SI/HI or plan
- evidence of trauma, substance use
4
Q
anxiety - img/testing
2
A
none usually
consider EKG, cxr if clinically indicated
5
Q
anxiety tx
A
none usually in mild anxiety - consider benzos and PCP or psych f/u
6
Q
depression - patient may present w/
5
A
fatigue
HA
abd pain
change in weight
psychomotor changes
7
Q
depression - investigate for
A
medical, social, or medication-induced complaints
8
Q
depression - high risk signs and behaviors
5
A
- male, teen, or middle aged >45
- single
- previous suicide attempts, psych care
- alchol or drug use
- lack of social support
9
Q
depression mnemonia for history taking
A
IN SAD CAGES
interests
sleep, appetite, depressed mood
concentration, activity, guilde, energy, suicide
10
Q
depression - PE
3
A
- idenfity any underlying medical condition - don’t assume abdnomal VS r/t depression
- MSE
- assess for evidence of trauma and substance use
11
Q
depression - img/testing
2
A
- urine toxicoloy screen
- consider EKG, cxr if clinically indicated
12
Q
depression - tx and disposition
4
A
- refer to ER if - acutely depressed, risk of harm, need for optimization of meds
- do not change chronic meds in UC setting
- alochol and/or substance use disorders may req detoxification
- 24 hour national suicide prevention hotline
13
Q
suicidal ideation scale you can use for assessment
A
SADPERSONS
14
Q
SI PE - assess for
3
A
- scars (cutting)
- physical abuse (ligature marks, burns, old and new ecchymosis, fx)
- neuro exam - MSE
15
Q
SI - img/testing
A
none in UC
