Psychiatry Flashcards
ADHD
Bedside
- Clinical Diagnosis
Special
- ADHD Rating Scale (18 item)
- Collateral History
- Mental State Exam
Autism
Special
- Autism Spectrum Disorder Screening
- Childhood Autism Scale and Screening
Bipolar Disorder
Bloods (Exclusion)
- FBC
- TFT
- Vit D
- Toxicology
Special
- Mood Disorder Questionnaire (MDQ)
- Bipolarity Index
- PRIME-MD
Generalised Anxiety Disorder
GAD-7
Consider
- TFT
- ECG (palpitations)
- Urine Drug Screen
PTSD
PTSD Checklist for DSM-5
Schizophrenia
Diagnostic
- ICD-10 requires a first rank symptom or persistent delusion for at least one month + no other cause for psychosis
Bloods (Exclusion)
- FBC
- TFT
- U+E
- LFT
- CRP
- Fasting Glucose
- HIV
- Syphilis
- Serum lipids (before antipsychotics)
Special Exclusion
- Urine culture (UTI delirium)
- Urine Drug Screen
Delirium
Bedside
- Collateral Hx Baseline
- Prev MMSE or MoCA
- Urinalysis (UTI)
- ECG (MI)
Bloods
- FBC (anaemia or infection)
- Chemistry Panel (metabolic disturb, hepatic encephalopathy)
- ABG (hypoxia, hypercapnia, lactate)
Imaging
- CXR (pneumonia, CHF, hypoxia cause)
- CT/MRI head if prelim inconclusive
Special
- Drug levels (digoxin, lithium, quinidine)
- Alcohol level if Hx
- Lumbar puncture (meningitis, encephalitis) if prelim inconclusive
- EEG (seizure, encephalopathy) if prelim inconclusive
Chronic Fatigue Syndrome
Specific
- DePaul Symptom Questionnaire (54 item)
Exclusion Bloods
- FBC +WCC
- ESR
- CRP
- Electrolytes
- Urea
- Creatinine
- Calcium
- Phosphorous
- LFT (AST/ALT)
- Total Protein
- Albumin
- Glucose
- TSH (hypothyroid)
- ANA (connective tissue)
- HIV
Depression
Bedside
- Clinical diagnosis (>=5 symptoms including anhedonia and depressed mood)
Bloods (exclusion)
- Metabolic Panel
- FBC
- TFT
Special
- PHQ-2
- PHQ-9
Dementia
Bedside
- ACE-3 cognitive questionnaire
- Assess clinically
- Obtain extensive history
- Urine Dip
- ECG if indicated
Bloods Dementia Screen
- FBC
- ESR
- U+E
- Calcium
- HbA1c
- LFT
- TFT
- Serum B12 and Folate
Imaging
- CXR if indicated
Special
- HIV if indicated
- Syphilis if indicated
Acute Stress Response
Thorough history and symptom association to a stressful event.
Anorexia Nervosa
Bedside
- Urine Dip
- Low specific gravity (large free water)
- Ketonuria (semi-starvation
- ECG (if electrolyte abnorm)
- Bradycardia
- Conduction deficit
- Prolonged QT
Bloods
- FBC
- Normocytic Normochromic Anaemia
- Thrombocytopenia
- Serum Chemistry
- Metabolic alkalosis and hypokalaemia (vomiting)
- Metabolic acidosis, hyponatremia and hypokalaemia (laxatives)
- Hypomagnesaemia
- Hypophosphatemia
- Hypocalcaemia
- Hypoglycaemia
- Elevated Urea
- TFT
- Low T3
- Normal T4
- normal TSH
- LFT
- Elevated ALT
- Elevated AST
- Elevated Cholesterol
Imaging
- DEXA (osteopenia, osteoporosis)
Special
- Oestradiol or Testosterone low
Bulimia Nervosa
Bedside
- Pregnancy Test
- Urinalysis (ketones)
Bloods
- Electrolytes (hypokalaemia, elevated bicarb alkalosis)
- Creatinine elevated
- Magnesium low
- LFT (high due to drug overdose, alcohol, exercise)
- Creatine Kinase elevated (drug, alcohol, exercise)
- FBC (anaemia)
- Ferritin (irreg period)
- B12
Imaging
- DEXA (normal usually)
Somatisation Disorder
Inconclusive Bloods
Normal EEG
