PSYCHOSIS Flashcards
1
Q
psychosis key hx: assoc sxs
A
positive sxs (delusions, hallucinations, disorganized thoughts, disorganized or catatonic behavior) negative sxs (blunt affect, social w/d, decreased motivation, decreased speech/thought) cognitive sxs (disorganized speech/thought, paranoia) self-reference sxs (people watching you, people talking about you, receiving messages from the media)
2
Q
psychosis key hx: onset
A
age at first sxs
3
Q
psychosis key hx: med hx
A
hospitilizations
4
Q
psychosis key hx: meds
A
prev psych meds
5
Q
psychosis key hx: fam hx
A
fam hx psych d/o
6
Q
psychosis key hx: soc hx
A
alcohol and substance use
7
Q
psychosis key PE
A
VS
MSE
general appearance (grooming, clothing)
8
Q
schizophrenia ddx
A
schizoid/schizotypal PD schizophreniform d/o psychotic d/o due to general medical condition substance-induced psychosis depression with psychotic features
9
Q
schizophrenia w/u
A
mental status exam urine tox tsh cbc elytes
10
Q
substance-induced psychosis ddx
A
brief psychotic d/o
schizophreniform d/o
schizophrenia
psychotic d/o due to general medical condition
11
Q
substance-induced psychosis w/u
A
urine tox mental status exam tsh cbc elytes, BUN/Cr AST/ALT
12
Q
schizoaffective d/o ddx
A
mood d/o with psychotic features
schizophrenia
schizophreniform d/o
psychotic d/o due to general medical condition
13
Q
schizoaffective d/o w/u
A
mental status exam beck depression inventory urine tox tsh cbc elytes