psychiatry Flashcards
fractgure type associated with child abuse
spiral fracture
REPORT TO CHILD SUPPORT
oppositional defienat evoluction
oppositional defiant–>conduct disorder–>antisocial personality disorder.
ADHD realtionship
decreased frontal lobe volume/metabolism
tourette syndrome
associated with OCD and ADHD
tactile hallucination types associaition
cociane crawlies
alcohol withdrawal
manic episode
more than 1 week(DIG FAST)
- distractibility
- irresponsability
- grandiosity
- flight of ideas-racing thoughts
- increase in goal directed Activity/psychomotor Agitation
- no Sleep
- Talkativeness or pressured speech
cyclothymic
dysthumia and hypomania; lasting at least 2 years.
depression criteria
SIG E CAPS
- Sleep distrubance
- loss of Interest(anhedonia)
- Guilt or feelings of worthlessness
- Energy loss and fatigue
- Concentration problems
- Appetite/weight changes
- Psychomotor retardation or agitation
- Suicidal indeations
Sleep disturbance in depression
- decrease REM latency
- increase REM early in sleep cycle
- increase total REM sleep
- repeated nighttime awakenings
- early morning awakening
GAD
uncontrollable anxiety for at least 6 months that is unrelated to anything
Obsessive-compulsive disorder
Ego dystonic
acute stress disorder
last between 3 days and 1 month
post-traumatic stress disorder
more than 1 month
paranoid mechanism of ego protection
projection
cluster A personality association
Schizophrenia
border line mechanism of defence
splittting
screaming during sleep (NON-REM)
sleep terror disoerder
narcolepsy
orexin=hypocretin deficciency
korsakoff psychosis
mammillary bodies (necrosis or hemorrhage) due to thiamine defficiency
substances that increase lithium in blood
NSAIDS, Thiazides and ACEIs
TCA tox:
-convulcions
-coma
-Cardiotoxicity(due to fast Na channel blockage)
GIVE BICARB
TCA
amoxapine clomipramine desipramine doxepine imipramine nortriptiline amiotryptiline
MAO Inhibitors
tranylcypromine,Phenelzine,Isocarboxazid,Selegiline
depression and neuropathic pain
give duloxetine
depression fearful of weigh gain and sexual disabiliti
give bupropion
depression and insomnia
give Mirtazapine
acute mania treatmetn
- LITHIUM
- valproic acid
- atypical antipsycotics
bipolar depression treatment
- LITHIUM( need OK Kidney)
- quetiapine
- lurasione(OK IN PREGNANCY)
- lamotrigine
bereavement treatment
psychotherapy
bupropion tox
seizures
sigle most effective tratment for depression
electroconvulsive therapy
serotonin syndrome treatment
stop SSRI
cyproheptadine( serotonin antagonist)
schizophrenia first line treatment
ATYPICAL ANTIPSYCHIOTIC
- lurasidone(ok in pregnancy)
- asenapine
- iloperidone
- risperidone & paliperidone(FOR NOT COMPLIANT)
- olanzapine(diabetes and weight gain)
- quetiapine
- ziprazidone(prolong QT)
- Clozapine(agranulocytosis)
- risperidone(movement disorders)
- aripiprazole
panic disorder treatment:
ATTACK:
AT OFFICE:
ATTACK:benzodiazepine
AT OFFICE: SSRI
Hoarding disorder
give SSRI
OCD treatmetn
SSRI
if TCA choose CLOMIPRAMINE
postraumatic disorder treatment
paroxetine and sertraline
GAD treatmetn
SSRI
venlafaxine and buspirone also efective
benzos for liver problem
lorazepam and oxazepam
adjustment disorder treatment
psychotherapy
binge eating disorder
give topiramate
risperidone
increases prolactin
PROLACTIMOMAS alos but more than 200
panic disorder assoaciation
- agoraphobia
- depression
- bipolar
- suicide
- substance abuses
pAnic disorder neuroimagin
decreased volume Amigdala
OCD neuroimaging
abnormalities in orbitofrontal cortex
post-traumatic stress disorder
decreased hippocampal volume
schizophrenia
enlarment of cerebral ventricles
delirium tremens
DESORITATION is the hallmark
