Psychiatry Flashcards
what is a globus sensation
sensation of a lump in the throat
how is a globus treated
reassurance, treat cause: stress, smoking, reflux, SALT (speech and language therapy)
what is functional dysphagia
the SENSATION of difficulty swallowing
how is functional dysphagia managed
reassurance, dietary adjustments, careful chewing
what can cause pyschotic symptoms
mood disorders (depression, mania, bipolar), schizophrenia, drug induced, organic causes (dementia, delirium, brain tumours)
is there ulceration of the bowel in IBS
no
how many patients with IBS have a link to physical or sexual abuse
32-44%
how can antidepressants help in IBS
can reduce stomach pain and cramping
how many GI symptoms are medically unexplained symptoms (MUS) at GP appointments
20%
how many MUS are unexplained at 12 months
75%
how many MUS have an underlying psychiatric disorder
30%
what is a malingering and factitious disorder
malingering: making up or exaggerating symptoms for external gain
factitious: making up or exaggerating symptoms in order to occupy the sick role- not for secondary gain
what are the characteristics of anorexia nervosa
significant weight loss that is self induced, intrusive, overvalued idea that obesity represents failure and chaos and slimness represents success and control, morbid fear of fatness, associated with image distortion, endocrine abnormality
what are the different types of anorexia
atypical (1 key feature missing), restricting, binge eating and purging
are there endocrine abnormalities in bulimia
no
name this sign: calluses on knuckles die to inducing vomiting
Russell’s sign
what percentage of AN patients have additional psychiatric symptoms
80%
what psychiatric morbidities are associated with AN/BN
depressive symptoms, personality disorders, obsessive compulsive symptoms (30% of female OCD patients have a history of AN)
what is the aetiology of AN/BN
socio-cultural pressures, family disorders, personal vulnerability factors, conflicts relating to sexual maturity (abuse), biological vulnerability (twins, affected relative)
how are eating disorders treated
weight gain, theraputic alliance, psychological interventions,
what drugs could be used to treat eating disorders
antidepressants, antipsychotics,
how many eating disorder patients return to normal weight and menstration
50%
how many eating disorder patient will die after 20 years
20%
how many eating disorder deaths are from suicide
50%
