Psychiatry Flashcards
Drug choice GAD
Sertraline then another SSRI or SNRI
How long depression to diagnose
2 weeks
Mild, moderate, severe depression
Mild - 2 typical and 2 core
Moderate - 3 typical 2 core
Severe - 4 typical 3 core
Depression questionanres
HAD
PHQ-9
TCA OD features
Dry mouth, dilated pupil, agitation, blurred vision
TCA OD treatment
IV bicarbonate
TCA OD ECG
Sinus tachy, QRS widening, prolong QT
Salicylate OD features
Tinnitis, sweating, nausea and vomiting
Salicylate OD treatment
IV sodium bicarbonate (urinary alkalisation)
Haemodialysis if severe - pulmonary oedema, AKI
Paracetomol OD treatment
Activated charcoal if <1h
Aceylcysteine
Liver transplant if pH < 7.3
Beta blocker OD features
Bradycardia, hypotension, syncope
Beta blocker OD treatment
Atropine
Opioid OD treatment
Naloxone
Acute stress disorder treatment after CBT
Benzo
PTSD treatment after CBT
Venlafaxine or SSRI
Schizophrenia diagnosis
1 month of 1 first rank symptom:
- thought echo/insertion/withdrawal/broadcast
- delusion of control/passivity/influence
- 3rd party auditory hallucinations
- persistent delusions
Bulaemia nervosa sign
Russel sign - calluses on knuckle
Alcohol withdrawal treatment
Long acting benzo - chlordiazepoxide
Lorazepam in hepatic failure
Serotonin syndrome treatment
IV fluids
Benzodiazepam
Neuroleptic malignant syndrome features
Hours to days of stopping antipsychotic
- pyrexia
- rigidity
- confusion
Neuroleptic malignant syndrome bloods
CK increased
Leukocytosis
AKI secondary to rhabdomyolysis
Neuroleptic malignant syndrome treatment
IV fluid to prevent renal failure
Dantrolene
Charles bonnet syndrome
Hallucinations in visual impairment
Cotard syndrome
Believe are dead
De Clerambauths syndrome
Believes famous person loves them
Othelos syndrome
Jealousy partner is cheating
How long antidepressent continued after remission
6 months
Treatment tardive dyskinesia
Tetrabenazine
Anorexia bloods
Everything low, Gs and Cs raised
Alcohol anti-craving
Acamprostate
Alcohol prevention
Disulfiram - makes vomit when drinks alcohol
Alternative to methadone
Buphrenorphine
