Psychiatric presentations of metabolic disorder Flashcards
1
Q
Hyperthyoidism
A
Depression- common Mania- can happen, manic psychosis more common than depressive psychosis SchizoP- more common than manic psychosis Paranoid psychosis- rare Organic delirium- 3-4% Other- Irritability, anxiety, poor concentration, cognitive impairment
2
Q
Hypothyroidism
A
Depression- common Mania- uncommon SchizoP- can occur Paranoid psychosis- can occur Organic delirium- less common, although visual can Other- Cognitive impairment, psychomotor retardation
3
Q
Cushing’s
A
Depression- most common Mania- U SchizoP- U Paranoid psychosis- common + mood congruent Organic delirium- U Other- anxiety, suicide
4
Q
Addison’s
A
Depression- common, fluctuating Mania- R SchizoP- R Paranoid psychosis- R Organic delirium- less common Other-
5
Q
Hyperparathyroidism
A
Depression- fairly common
Mania- R
SchizoP- R
Paranoid psychosis- R
Organic delirium- often occurs as calcium rises
Other- personality change, cognitive impairment
6
Q
Hypoparathyroidism
A
Depression- R Mania- R SchizoP- R Paranoid psychosis- U Organic delirium- commonly occurs with secondary hypoparathyroidism Other- cognitive effects most prominent
7
Q
Acromegaly
A
Depression- U Mania- elation common SchizoP- R Paranoid psychosis- U Organic delirium- U Other- lability of mood, anxiety
8
Q
Hypopituitarism
A
Depression- common Mania- R SchizoP- R Paranoid psychosis- R Organic delirium- may occur without metabolic upset Other- apathy, inertia
9
Q
Insulinoma
A
Depression- can Mania- can SchizoP- can Paranoid psychosis- can Organic delirium- can Other- personality change, dementia
10
Q
Pheochromocytoma
A
Depression- can Mania- U SchizoP- U Paranoid psychosis- can Organic delirium- frequent Other- epilepsy
11
Q
Uremia
A
Depression- can Mania- R SchizoP- U Paranoid psychosis- F Organic delirium- 30% Other- epilepsy, neuropathy, anorexia, lethargy
12
Q
Hyponatremia
A
Depression- F Mania- SchizoP- Paranoid psychosis- Organic delirium- Other-
13
Q
Hypernatremia
A
Depression- U Mania- U SchizoP- U Paranoid psychosis- U Organic delirium- C Other-
14
Q
Hyperkalemia
A
Depression- R Mania- R SchizoP- R Paranoid psychosis- R Organic delirium- confusion can occur Other-
15
Q
Hyokalemia
A
Depression- can Mania- R SchizoP- R Paranoid psychosis- can occur Organic delirium- U Other- anxiety, irritability
