Psychiatry - delerium, dementia & learning difficulties Flashcards
How would you treat delerium and what is the assessment method?
CAM (confusion assessment method)
- acute and fluctating course
- inattention
- disorganised thinking
- altered level of consiousness
haloperidol and benzodiazepines
Which imaging would you do for testing for dementia?
CT
What are the pharmalogical treatment of dementia?
NMDA antagonist - memantine
acetylcholinesterase inhibitors e.g. donepezil
Name 3 physical health issues associated with intellectual disability
epilepsy pain constipation morbid obesity sleep opneoa dental issues
What are the 6 clinical disorders to look out for in intellectual disabilities?
- Challenging behaviour
- genetic syndrome
- neurodevelopmental disorders
- physical disorders
- situational/environmental causes
- mental disorders
What are the 4 things that must be present for the diagnosis of autism?
- deficits in social situations and interactions
- verbal and not verbal language impairment
- repetitive and restricted interests and routine
- abnormal behaviour in first 3 years
What are the 3 diagnostic points for a learning disability?
IQ <70 - global impairment of intellectual function
improper adaptive functioning
onset < 18 years
What are the two types of disorders?
global disorders
local disorders
What are 6 screening tests for dementia?
MMSE, GP-COG, 6-CIT, AMT, Addenbrooke’s, MRI
What are some things involved in the Abbreviated Mental Test?
Age? Time? Address to recall later Year? Name of this place? Identify 2 people DOB? Year of WWI? Name of monarch? count backwards from 20 Address recall
What is the definition of a learning difficulty?
difficulties in acquiring knowledge and skills to the normal level expected of those of the same age, especially due to mental disability or cognitive disorder
