Psychiatry - Substance Use + Eating Disorders Flashcards
1
Q
features of anorexia?
A
low BMI postural hypotension bradycardia long QT langugo dry skin hair thinning osteopenia/porosis amenorrhoea loss of libido/potency (M)
2
Q
what is a low BMI?
A
≤17.5
3
Q
Ix for anorexia?
A
FBC, U+Es, LFTs, TFTs, urinalysis B12/folate ECG estrogen/testosterone DEXA
4
Q
Tx for anorexia?
A
psychotherapy nutrition, fluids K, Mg, Ca, Na replaced dietition physio SSRIs
5
Q
what is amenorrhoea?
A
when carb metabolism rapidly increases
P, Mg and thiamine are depleted
6
Q
features of bulimia nervosa?
A
binging low self esteem dental erosion russel's sign reflux misuse of meds arrythmias
7
Q
features of substance dependence?
A
drug seeking behaviour relief use (what time) cravings higher tolerance neglect of alterate pleasures use despite clear harm withdrawal state
8
Q
what is the antidote for opiods?
A
naloxone
9
Q
what drugs are given for acute withdrawal?
A
benzos
loperamide
fluids
thiamine
10
Q
what is wernicke’s?
A
acute encephalopathy due to thiamine (B1) deficiency
11
Q
features of wernicke’s?
A
mental state changes
nystagmus
ataxia
opthalmoplegia
12
Q
what is korsakoff’s?
A
chronic psychosis due to B1 deficiency
13
Q
features of korsakoff’s?
A
anterograde amnesia
hallucinations
confusion
14
Q
features of opiate overdose?
A
miosis
15
Q
when dose DT’s occur?
A
6-12hrs after last risk
