Psychiatry Flashcards
Alcohol withdrawal
- 6 to 12 hours symptoms
- 36 hours seizures
- 72 hours delirium tremens
Erotomania
The presence of delusions often that a famous person loves with the absence of psychotic symptoms
ECT side effects
- nausea
- cardiac arrhythmias
- short term memory impairment
- headache
Obsessive compulsive disorder
Maintain a degree of insight into the fact rituals will not really have consequences
Antipsychotics in the elderly
Increase the risk of stroke and VTE
Anorexia features
Low; potassium, LH, impaired glucose tolerance, FSH
High; growth hormone, glucose, salivary glands, cortisol, cholesterol, carotinaemia
Illness anxiety disorder
Also known as hypochondriasis this is the persistent belief in the presence of an underlying serious disease
Knight’s move
Illogical leaps between ideas with no discernible links
Flight of ideas
Leaps between ideas but there are discernible links between the ideas
Borderline personality disorder
Treatment includes dialectical behavioural therapy
Lorazepam
A benzodiazepine that can cause anterograde amnesia
GAD
Characterised by free-floating, persistent anxiety
PTSD
Requires symptoms to be present for at least one month
PTSD features
- re-experiencing
- avoidance
- hyperarousal
Delirium tremens
Managed acutely with chlordiazepoxide or diazepam
Thought withdrawal
The belief that they are having their thought removed by an external force
PTSD treatment
First line with CBT and EMDR then consider venlafaxine or SSRI
Atypical antipsychotics
Commonly cause weight gain
Clang associations
Ideas related only by the rhyme or being similar in sound
OCD management
Exposure and response prevention
Tardive dyskinesia
Can present as chewing, jaw pouting or excessive blinking in patients on conventional antipsychotics
SSRIs
Can cause hyponatraemia
Acute dystonia
Side effect of antipsychotic medication
Benzodiazepines
Enhance the effect of GABA
Clozapine
Can cause agranulocytosis or neutropenia
