PSYCH AMC Flashcards
Premature ejaciulation
SSRI
- clomipramine
- fluoxetine
- sertraline
- paroxetine
on an as daily or in demand dosing schedule
disinhibited and flirtatious, dramatic and theatrical, excessive emotionality
Histrionic personality disorder
breastfeeding + delusional ideation + isomnia (hypomania)
Olanzapine
Lewy body dementia 3 core features
- fluctuating cognition with pronounced variation in attention and alertness
- recurrent visual hallucinations (typically well formed and detailed)
- ## spontaneous features of parkinsonismdifficulties in visulospatiatl ability (abrnormal clock drawing)
Lewy body dementia diagnosis
Histopathological findings: eosinophilic round inclusion found in the cytoplasm of the substantia nigra cells and in the nucleus basalis of Meynert. locus, ceruleus and dorsal raphe as well as the dorsal motor nucleus
Parkinsons
movement disorders and motor features 12 months before dementia
tremor, badykenesia, rigidity
Shy drager syndrome
parkinsonisms + cerebellar ataxia, erectile dysfunction, urinary incontinence or retention and orthostatic hypotension
unresponsive to levodopa
cognitive impairment before parkinson features
Alzheimers diseasse
difficulty in short term recall and visuospatial tasks
CT scan: diffuse atrophy
Normal pressure hydrocephalus
Hakim’s triad: dementia, urinary incontinence, gait distrubance
Vascular dementia
risk factors ro symptoms of stroke
Frontotemporal dementia
behavioral changes disinhibition, language problems such as varios types of aphasia
opioid withdrawal
clonidine
opiod intoxication
naloxone
rejection sensitivity but yearn for close relationship
avoidant personality disorder
isolative unsociable emotionally reserved and introverted
Schizoid personality disorder
odd and eccentric with less likelihod of occupational success; magical thinking
Schizotypal
Qualor and decline in personal hygiene, hoarding of useless items. Disorder?
Diogenes syndrome
visual hallucinatiuons in blind or partially sighted elderly people who are not delirious, dementing, or psychotic
Charles bonnet
delusional infestation of worms and parasities; restless leg syndrome
Ekbom syndrome
Delusional disorder who believes they lost their body part
Cotard
If the prevalence is low…….
Positive predictive power will be lower
pervasive pattern of slef importance, gradiosity, craving for attention and admiration
Narcissistic peronality disorder
Abdominal pain is a well regconized adverse side effect of which SSRI
Sertraline
pressure of speech is indicative of a possible
psychotic disorder
forgetfulness and difficulty remembering is indicative of a possible
cognitive dysfunction or problem in attention
intermittent explosive disorders
- attack or spells
- proceeded by an aura of unease and rising tension then a sudden uncontrollable eruption of anger, abuse and aggression with subsides spontaneously within a few minutes
intermittent explosive disorders treatment
high dose propanolol, lithium cabonate or anticonvulsants
avoid alcohol and benzodiazepines
Meds use to supress lactation
Cabergolin
Medication beneficial for the treatment of depression in adolescents with moderate or severe symptoms of MDD
Fluoxetine
normal development at least in the first 2 years with age appropriate communication; social relatedness, play and adaptive behavior + loss of previously acquired skills
Childhood disintegrative disorder
Difference between autism and aspergers
In autism there is a language delay
Atypical antipsychotic side effects (olanzapine and clozapine)
increases in weight, development of T2DM, abnormal lipid profile
most appropriate choice for overnight managemnet of insomnia prior to ECT
Zopiclone
Contraindicated prior to ECT
Benzodiazepene
IBS treatment
Fluoxetine + cognitive behavior therapy
Restless legs syndrome
- irresistible urge to move the lges while sitting or at rest
- relieved by temporary movement stretching or walking
- worse in the evening or at night
- begin in childhood
- F>M 2:1
3 most postent antipsychtotics that cause excessive poduction of polactine
- risperidone
- risperdal consta
- amisulpride
treatment of last resort for refractory psychosis and hyperprolactinemia
clozapine
Neuroleptic malignant syndrome
gradual in onset
elevated muscle CK
Due to haloperidol or trifluoperazine
muscular rigidity followed by fever autonomic NS instability, agitation, delirium, confusion and progression to coma
