Psychiatry Flashcards
Flight of ideas, rapid speech
Bipolar disorder
PTSD diagnosis time
1 month
Copropraxia
Involuntary obscene gestures or touching
Echolalia
Meaningless repetition of another person’s spoken words
Echopraxia
meaningless repetition of movements of others
Palilalia
repeating own words and sentences
Circumstantiality
unneccessary detail
Tangentiality
detail but comes to the point
Clang associations
similar sound and rhymes
Word salad
incoherent speech with real words but nonsense sentences
Knight’s move thinking
Severe type of loose associations; illogical leaps from one idea to another
Flight of ideas
leaps from one idea to another but wit links between them
Perseveration
repeating ideas or word despite attempts to change the topic
Serotonin syndrome
2 antidepressants such as MAOI with Citalopram; triptans
Neuroleptic malignant Syndrome
Rigidity, hyperthermia, autonomic instability and confusion.
Stopping the drug can cause
Treatments of delirium tremens or alcohol withdrawal
Chlordiazepoxide or Diazepam
Prevent Wernicke’s Using
IV pabrinex
Metoclopramide SE
Tardive dyskinesia
Parkinsonism
Extrapyramidal SE- acute dystonia
Avoid in Bowel obstruction
ECT can cause what type of memory impairment
Anterograde amnesia
Side effect of Mirtazapine
Increased appetite and sedation
SE of MAOI
Tyramine cheese reaction
Tardive dyskinesia is a SE of
Typical antipsychotic
Agranulocytosis is SE of
Clozapine
Treating Borderline PD
Dialectical Behavioral therapy
Capgras Syndrome
Delusion that person/ place replaced by exact duplicate
Delusional Parasitosis
Infested by bugs
Fregoli syndrome
One or more familiar persons, usually persecutors following the patient repeatedly change their appearance
Induced delusional disorder
Two people who share the same delusion
Formication
Crawling, biting; Stinging sensation
Poor prognosis for Schizophrenia
Strong FH, Gradual onset, Low IQ, Prodromal phase of social withdrawal and lack of obvious precipitant
Erotomania
Presence of delusion that a famous person is in love with them, No psychotic symptoms presen
Hypothyroidism is associated with what bipolar disorder drug
Lithium
Extrapyramidal SE of antipsychotics such as oculogyric crisis can be managed by what
Anticholinergic drug called procyclidine
Management of serotonin syndrome - Rigidity, hyper reflexes and autonomic dysfunction
Diazepam
Lead pipe muscle rigidity, pyrexia and autonomic dysfunction after antipsychotic use
Neuroleptic malignant syndrome
Involuntary and abnormal choreoathetosis (twitching) especially chewing and lip smacking and lip pouting
Tardive dyskinesia
Management - Tetrabenazine
Emotional instability, disturbed patterns of thinking or perception, impulsive behaviour and intense but unstable relationships
Borderline PD
Opthalmoplegia, Ataxia and Confusion in an alcoholic
Wernicke’s
Treat using thiamine (b1)
Flight of ideas, pressured speech, grandiosity
Bipolar disorder
Auditory hallucinations is a typical feature of
Schizophrenia
Sensitive, unforgiving if insulted, question loyalty and reluctance to confide in others
Paranoid personality
Solitary activity, lack of interests and companions
Schizoid personality
Paranoid ideations, magical beliefs, ideas of reference, odd behaviours and speech
Schizotypal personality
Munchausen’s Syndrome
Causing symptoms purposefully
Conversion disorder
Loss of physical function but no cause
Dissociative disorder
Loss of function but non physical such as memory
Important to know: 1st Rank symptom of Schizophrenia
3rd person auditory hallucinations, Thought echo, Delusional perception, thought insertion and withdrawal and Somatic passivity
2nd rank symptoms of Schizophrenia
Catalonia, 2nd person auditory hallucinations
Confusion, visual hallucination, tachycardia, and pyrexia + alcohol abuse
Delirium tremens
Hyperarousal, emotional numbing, nightmares, and avoidance are core behaviours of what disorder
PTSD
Othello syndrome
Delusional jealousy- unfaithful