Psych Sesh Flashcards
Signs of chronic alcohol use
Caput Medusae Spider Naevi Heptaosplenomegaly Ascites Clubbing Jaundice
3 medications used for alcohol dependance
Disulfiram
Naltrexone
Acamprosate
Alcohol withdrawal signs and timings
6-12 hrs Tremor, sweats, tachycardia, anxiety
36 hrs peak seizure incidence
48-72hrs Delirium Tremens
Medications used for alcohol withdrawal
Chlordiazepoxide
Haloperidol
Thiamine
Triad of Wernicke’s Encephalopathy
Wide based gait disturbance
Ophthalmoplegia
Confusion
Symptoms of Korsakoff’s Syndrome
Antero and retrograde amnesia
Confabulations
How do you calculate the units of alcohol?
Units = [Strength (%) x Volume (ml)] / 1000
Features of serotonin syndrome?
Autonomic dysfunction: Tachycardia, hypertension, hyperthermia, nausea
Neuromuscular activity: Tremor, rigidity, myoclonus, hyperreflexia
Altered mental state: Agitation, confusion, mania
How do you treat serotonin syndrome?
Stop SSRIs
Benzodiazepines
Side effects of TCAs
Can't see: Blurred vision, dry eyes Can't wee: Urinary retention Can't spit: Dry mouth Cant shit: Constipation Postural hypotension, lowers seizure threshold, arrhythmias
Why cant people on MAOI eat cheese and wine? What is an example?
Risk of hypertensive crisis due to tyramine content. Increases noradrenaline.
Selegiline
Screening tool for depression?
Hospital Anxiety and Depression Score
How does CBT work?
Challenged negative thinking patterns to change behaviours
How does IPT work?
Looks at persons ability to interact with others
Negative symptoms of schizophrenia
Anhedonia Loss of motivation Apathy Low activity Decreased communication Self neglect Lack of insight