Psychiatry Flashcards
How long does a Section 2 last?
28 days
How long does a Section 3 last?
6 months
What is a Section 5(2)?
When a patient that is voluntarily in hospital, can be detained by a doctor for up to 72 hours
What is Section 5(4)?
Allows a nurse to detain a patient in hospital for up to 6 hours
What is a Section 135?
Allows police to break into a home to remove a person to a Place of Safety
What is a Section 136?
Allows police to remove a person to a Place of Safety when found in public
What is the risk of atypical antipsychotics in the elderly?
Increased risk of VTE
What are the adverse effects associated with clozapine?
Agranulocytosis (1%), neutropaenia (3%) Reduced seizure threshold Constipation Myocarditis Hypersalivation
What are the adverse effects of Lithium?
Nausea/vomiting, diarrhoea Fine tremor Nephrotoxicity Thyroid enlargement, may lead to hypothyroidism ECG: T wave flattening/inversion Weight gain Idiopathic intracranial hypertension Leucocytosis Hyperparathyroidism and resultant hypercalcaemia
What are the features of anorexia nervosa?
Most things are low, but the G's and C's are raised: Growth hormone Glucose Salivary glands Cortisol Cholesterol Carotinaemia
What are the clusters of personality disorder?
A - ‘weird’
B - ‘wild’
C - ‘worried’
How do you differentiate the type A personalities?
Schizotypal - weird magical thinking
Schizoid - loners, not distressed by the situation
Schizophrenia/Schizoaffective - psychotic symptoms
Avoidant personality disorder - distressed by their social isolation
What is conduct disorder?
Pre-cursor to antisocial disorder - Dx in those under the age of 18
What is antisocial disorder?
Someone with antisocial personality disorder will typically be manipulative, deceitful and reckless, and will not care for other people’s feelings
How often should TFTs be tested when on lithium?
Every 6/12
