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LMCC randoms > Psych - schiz, dep, bipolar, tx > Flashcards

Psych - schiz, dep, bipolar, tx Flashcards

1
Q

schizophrenia dx

A

> 2 x 1 mo but 6 mo overall - delusions, hallucinations, disorg speech, disorg/catatonic, neg symptoms

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2
Q

schizophrenia subtypes

A

paranoid, catatonic, disorg, undiff, residual

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3
Q

schizophrenia tx categories

A

antipsychotics (anti dopamine), anticonvulsants, anxiolytics

psychotherapy, cbt, housing

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4
Q

schizophreniform dx

A

lasts at least 1 mo but less than 6 mo

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5
Q

brief psychotic disorder

A

acute psychosis 1+ pos symptoms for 1 day to 1 mo, full return to normal, after stress

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6
Q

schizoaffective disorder

A

MDE/manic/mixed episode plus criteria A

at least 2 weeks

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7
Q

schizophrenia criteria a

A

delusions, hallucinations, disorg speech, disorg/cat behaviour, negative symptoms/avolition

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8
Q

delusional disorder

A

non-bizarre, 1 mo, don’t meet criteria A

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9
Q

MDE

A

> 5, 2 week period, depressed/loss of interest

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10
Q

SIGMECAPS

A

sleep interest guilt energy concentration appetite psychomotor suicidal mood

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11
Q

manic episode

A

elevated, expansive, irritable mood >1 week, >3 symptoms

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12
Q

GSTPAID

A

grandiosity sleep talkative pleasure activity ideas distractable

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13
Q

mixed episode

A

criteria for mde and manic met every day for 1 week

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14
Q

hypomanic episode

A

duration >4 days, function not severely changed

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15
Q

MDD

A

MDE, 2 mo interval

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16
Q

depression tx

A

antidepressants, lithium, antipsychotics, anxiolytics, ect

individual/family tx, pd, ip, cbt

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17
Q

dysthymia

A

depressed most days > 2 yrs, never without for >2 mo

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18
Q

dysthymia tx

A

psychological, ind/group/fam, maybe ssri/snri

19
Q

post partum blues

A

mild dep, 2-4d PP, lasts 48h-10d

20
Q

postpartum depression

A

MDE <4 weeks PP, lasts 2-6mo

21
Q

post partum d incidence

A

10%, 50% recurrence

22
Q

ppd tx

A

psychotherapy, short term ssri

23
Q

premenstrual dysphoric disorder

A

most cycles, 5+ symptoms in last week of luteal phase and absent post menses

24
Q

pmdd tx

A

ssris intermittently in luteal phase x 14d, clomipramine, ocp, gnrh ag

25
Q

bipolar I

A

one manic or mixed episode, usually with 1 MDE

26
Q

bipolar II

A

1 MDE and 1 hypomanic episode, no past manic or mixed

27
Q

rapid cycling bipolar

A

4 episodes in last 12mo

28
Q

bipolar tx

A

mood stab, anticonvulsants, antipsychotics, antidepressants, ect, psych, social

29
Q

cyclothymia

A

numerous periods of hypomanic and depressive s not meeting MDE for >2 yrs with no 2 mo free

30
Q

schizophrenia good px

A

acute onset, precip factor, good cognition/premorbid fxn, no fhx, affective s, brain N, good drug response, support

31
Q

neuroleptic malignant syndrome cause

A

massive dopamine blockade

32
Q

nms s&s

A

fever, autonomic reactivity, rigidity, ms change

33
Q

nms dx

A

high cpk, leukocytosis, myoglobinruia

34
Q

nms tx

A

stop drug, hydrate, cool, dantrolene, bromocriptine

35
Q

extrapyramidal symptoms

A

dystonia, akathisia, pseudoparkinsonism, dyskinesia

36
Q

dystonia

A

sustained abn posture

tx: benztropine/diphenhydramine

37
Q

akathisia

A

motor restlessness

tx: lorazepam, propranolol, diphen

38
Q

pseudoparkinsonism

A

tremor, rigid cogwheel, akinesia, postural instab

tx: benztropine, benzo

39
Q

dyskinesia (tardive)

A

facial and mouth muscles
tx: clozapine, d/c drug
DONT GIVE ANTICHOL

40
Q

serotonin syndrome

A

nausea, diarrhea, palp, chills, restless, confus, leth –> myoclonus, hypertherm, rigor, hypertone

41
Q

SS vs NMS (SS)

A

twitchy, shiver, restless, flushed, sweaty, v/d/abdo pain

42
Q

SS vs NMS (NMS)

A

global rigidity, pallor, no GI symptoms

43
Q

serotonin discontinuation syndrome

A

flu-like, insomnia, nausea, imbalance, sensory disturb, hyperarousal
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LMCC randoms (7 decks)

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