Psych Psychoses and stuff Flashcards
Basilar artery stroke symptoms?
Pons ischemia. Think CN defects and altered mental status or coma
Can have contralateral full body weakness
Vertigo
Irrational belief that can’t be changed by proof or rational arguments
Delusion
Hallucination is what? how different than illusion?
Hallucination is sense something not there.
Illusion is misinterpret a stimulus that is there
Circumstantiality
Tangentiality
Loose associations
Diverge from questions asked but returned. GET THERE EVENTUALLY
Tangentiality doesn’t ever get there. CAN FOLLOW THOUGH
Loose associations can’t follow the thoughts.
Neologism
Word salad
Making up new words
words that don’t make sense who strung together
Schizophrenia is what?
lasting 6 months. Dysfunction in work and social
must have 2 of the following
Delusions, hallucination, disorganized speech, catatonic behavior
NEGATIVE symptoms
Schizo risk factor of birth time is what?
Uterine exposure to flu. So born in late winter/early spring
Neuroimagining of schizo?
Enlargement of lateral and third ventricle
Cortical thinning
Schizotypal personality?
Just do weird things. Weird behavior/appearance and discomfort with relationships
Schizoid personality disorder
voluntary isolation AVOID
Schizoaffective?
Psychosis with intermittent mood disorder
Schizophrenia is how long? what if shorter?
Psychosis of 6 months
Schizophreniform is less than 6 months
Brief is less than a month
What is delusional disorder?
Delusions for month (So can’t be convinced otherwise)
Hallucinations can be present and if so, they are related to the delusions (like patient hearing voices of kids stealing electricity and living in the attack)
FUNCITONING is not impaired!!
Glucocorticoids and anabolic steroids can cause psychosis
DUH!
Crazy thoughts that are delusional but able to hold down a job or function in society?
Delusional disorder
Schizoaffective is what?
Psychosis with intermittent mood disorder
Side effects of low potency antipsychotics?
Anticholinergic
Chlorpromazine
Thioridazine
CHEATING THIEVES!
Side effect of high potency antipsychotics?
Less anticholinergic
Extrapyramidal
Tardive dyskinesia
NMS
What are high potency antipsychotics?
Haloperidol Fluphenazine Loxapine Thiothixene Trifluoperazine
Atypical side effects? They block D2 and 5HT2
Special monitoring
Ol Cl Quie Risper
Weight gain
Diabetes
CLO is agranulocytosis so check CBC ONCE PER WEEK
What causes extrapyramidal side effects? What are they?
High potency like fluphanazine, haloperidol loxapine, thiothixene, trifluoperazine
Acute dystonia
Parkinsonian
Akathisia (compulsion to move)
Treatment for acute dystonia from antipsychotic? (meaning patient can’t relax muscle)
Benztropine or diphenhydramine
They are anticholinergics
Tardive dyskenesia tx?
try to switch to atypical, but may be permanent
Neuromalignant syndrome looks like what? How is it different than other disease that is similar?
Mental status change: agitated
Muscle rigidity
Rhabdo
NMS tx?
DANTROLENE is a big one.
IVF, cooling blankets
Clonidine or nitroprusside to vasodilate and treat HTN
DVT prevention
Benzos for agitation
Antipsychotic causing DM?
Olanzapine makes you super FAT like a big round O
