Psych/Neuro Flashcards
What are the essential features of schizophrenia?
Psychotic features
Functional deterioration
Onset before the age of 45
The illness lasts for months not days
How do we treat brief psychotic disorder?
Atypical antipsychotics
When can we diagnose brief psychotic disorder?
After 1/12 of no sx if lasts less than 1/12
How does facioscapulohumeral dystrophy present?
Progressive difficulty whistling and sucking through a straw
Can you see psychotic features in depression?
Yes, in severe depression
How does NPH present?
Triad of urinary incontinence, gait disturbance and dementia
For how long do we continue antidepressant therapy?
For 6m after resolution of sx
Where do you see subhyaloid haemorrhages?
SAH
What are the early signs of lithium toxicity?
Diarrhoea, vomiting, drowsiness, muscular weakness and lack of coordination
What are the signs of moderate lithium toxicity?
Giddiness, ataxia, blurred vision, tinnitus and increased volume of dilute urine
What are the signs of severe lithium toxicity?
Hyperreflexia, convulsions, renal failure, collapse, coma and death
What is seen on ECG in lithium toxicity?
Reversible flattening, isoelectricity or inversion of T waves
Where should lithium levels be maintained?
0.5-1.2mmol/l, and should be taken 12-18hrs after last dose (at least 12hrs)
What is post-herpetic neuralgia?
Pain after shingles infection
A 76y.o M presents with worsening sleep disturbance with restless legs, painful cramps and difficulty turning in bed. Dx?
Parkinson’s
What is restless leg syndrome?
Subjective experience of restlessness interfering with sleep
What is akathisia?
Prominence of lower limb restlessness
Occurs within hours to weeks of starting/increasing the dose of antipsychotics
Which antipsychotic is most associated with EPSES?
Risperidone
What is coital cephalgia?
Headache related to sexual activity at or near orgasm
How do we manage mild-moderate depression?
Low-intensity psychological intervention
Try to avoid antidepressant usage - only use in moderate-severe depression
Where do you see bitemporal hemianopia?
Pituitary tumour
What is bitemporal hemianopia?
Loss of temporal vision in both eyes
What is homonymous hemianopia?
Loss at one side in both sides - damage in unilateral optic tract
What is seen ophthalmologically in temporal lesion?
Superior homonymous quadriplegia
Loss of top quarter bilaterally