Psychiatry Flashcards
Section 2
admission for assessment for up to 28 days, by 2 docs or 1 psych consultant
Non renewable
Section 3
admission for treatment for up to 6 months, can be renewed
AMHP along with 2 doctors, both of which must have seen the patient within the past 24 hours
Section 4
72 hour assessment order
Emergency, when admission for 28 day assessment is too slow
By GP and an AMHP or NR
(often changed to a section 2 upon arrival at hospital)
Section 5(2)
Legal detainment by a doctor for 72 hours of a voluntary patient in hospital
Section 5(4)
Detain by a nurse detaining a patient for 6 hours who is voluntarily in hospital
Bullet points of mental state examination
Appearance and behaviour Speech Mood Thought Perception Cognition Insight
Post traumatic stress disorder features
Hyperarousal
Avoidance
Reexperiencing
Emotional numbing
Scoring system for postnatal depression
Edinburgh postnatal depression scale
Questionnaire for eating disorders
SCOFF questionnaire Sick Control One stone Fat Food (dominating)
Refeeding syndrome pathophys
Basically in fast state body switches to fatty acid and protein metabolism. This reduces intracellular electrolytes (esp phosphate). When carbohydrate metabolism and insulin secretion restart, the remaining phosphate is driven into cells and severe hypophosphataemia can develop
Increase weight by 1.5kg/week to help prevent.
Do ECG and monitor phosphate.
ICD 10 for bulimia
Must have
- Binging
- Craving
- Vomiting / purging
- Starvation in alternate periods
- Use of drugs
- Think they’re too fat
ICD 10 anorexia
- More than 15% off predicted weight
- Self induced weight loss
- Perception of being too fat
- Endocrine involvement
Must not have - Binge
- Craving
Lithium side effects
Lithium toxicity / liver damage / leucocytosis Intention tremor Teratogenic Hypothyroidism Insipidus Urine excess Metallic taste
What is tardive dyskinesia
Tardive dyskinesia is characterized by repetitive, involuntary, purposeless movements. Like grimace pout etc
What is neuroleptic malignant syndrome?
usually within 10 days of starting atypical antipsychotic… or when parkinson drug suddenly stopped.
pyrexia, regidity, reduced concsiousness, autonomic - tachyc etc. Might have raised creat kinase
