Psych PACES Flashcards

1
Q

Specific delusional disorders

A

Fregoli - different people are in fact a single person who changes appearance or is in disguise, can be related to brain lesion

Cotard syndrome = nihilistic delusion that body is rotting away/patient is dead (seen in severe depression)

Folie a deux = shared delusion/hallucinations between people

Capgras = believing a close acquaintance has been replaced by an identical imposter

Erotomonia / De Clerembault’s syndrome = excessive sexual desire, often believing a celebrity is in love with them

Othello syndrome /delusional jealousy = belief that partner is being unfaithful

Factitious disorder / Munchausen = consciously pretending they have a medical illness (NOT malingering) due to satisfaction in taking a sick role.

Munchausen By proxy = intentional abuse of another individual (often, child) to be able to care for them

Ekbom’s syndrome = somatic delusion, belief that patient is infested with parasites, accompanied by tactile hallucinations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Dementia/Memory Assessment Tools

A

Screening:
AMTS - <7 suggests cognitive impairment – less sensitive & specific
GPCOG
6CIT

Detailed:
Addenbrooke’s (ACE-R) - 100-point score covering language, memory etc.
MMSE
MoCA - now copyrighted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Organic Dementia Screen

A

(+ Memory assessment)

Initial Screen: FBC, ESR, U&E, TFTs, HbA1c, B12 & Folate, LFTs, Ca2+, fasting glucose & lipids, VDRL

    • Syphilis, HIV serology (if relevant)
    • MSU –> exclude delirium (from UTI)
    • CXR, ECG
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Key Dementia Subtypes & Symptoms

A

Alzheimer’s - progressive decline (+ family Hx)

Vascular - sudden stepwise decline, emotional lability, + Hx vascular RF/disease

Lewy body - hallucinations, Parkinsonism Sx, Falls, short-term memory OK

Frontotemporal - disinhibition, emotional blunting, hyperorality

Huntington’s - mood changes before memory & motor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly