Psychistry

Question 1

Mania

Answer 1

Psychiatric cause
▪️bipolar disorder type 1 and type 2 
▪️schizoaffective 
▪️cyclothermia 
Organic causes 
▪️infection - inducing delirium like state 
▪️thyrotoxicosis 
▪️cranial: stroke, space occupying lesion 
▪️hyponatremia 
▪️thrombotic thrombocytopenc pupura 
️Drugs: pescribed
▪️L-Dopa 
▪️steroids 
▪️️️️catopril 
▪️procyclidine 
▪️antidepressant - venlafaxine 
️Drugs: illicit 
▪️cocaine 
▪️amphetamines

Question 2

Delirium

Answer 2

️Drugs
▪️etoh
▪️sedative
▪️opioids 
▪️anti-cholingergic 
▪️Parkinson medications 
▪️️steroids 
▪️benzodiazipine 
▪️polypharmacy 
Endocrine 
▪️hypothyroidism 
▪️hyperthyroidism 
▪️hypoglycaemicia 
▪️hyperglycaemia 
Low oxygen States 
️Infection 
▪️UTI 
▪️pneumonia 
▪️septicaemia 
Retention 
▪️urine 
▪️stool 
Ictal 
Under hydration or under nutrition 
️Metabolic - renal, hepatic or other system failure

Question 3

Dementia

Answer 3

Alzhiemers dementia 
Vascualr dementia 
Lewy body dementia 
Delirium 
Cranial 
▪️subdural heamatoma
▪️space occupying lesion 
▪️normal pressure hydrocephalus 
Endocrine 
▪️hypothyroidism 
▪️Hyperparathyroidism 
▪️Addison 
▪️Cushing syndrome 
Vitamin defficnancy: b12 folate, thiamine, niacin 
Pseudo dementia

Question 4

Psychosis

Answer 4

Organic disorder 
▪️drug induced psychosis - use or withdrawal 
              E.g. Levodopa, methyldopa, steroids, antimalaria 
▪️complex partial epilepsy 
▪️delirium 
▪️dementia 
▪️Huntington. 
▪️SLE 
▪️syphillis 
Non- organic disorder 
▪️delusional disorder - ️️acute or persistant delusional disorder 
▪️psychotic depression 
▪️manic episode 
▪️schizoaffective 
▪️schizotypal disorder 
▪️schizophrenia 
▪️puerperal psychosis