psychosomatic Flashcards
Medical Symptoms: Asterixis, hyperreflexia, spider angioma, palmar erythema, ecchymosis, liver enlargement/atrophy.
Hepatic Encephalopathy
Psychiatric Symptoms: Euphoria, disinhibition, psychosis, depression.
Medical Symptoms: Excessive thirst, polydipsia, stupor, coma, seizures
Hyponatremia/ SSRIs
Psychiatric Symptoms: Confusion, lethargy, personality changes
Depression, anxiety, type A behavior, hostility, anger, and acute mental stress have been evaluated as risk factors for the deve and expression of …
coronary disease
• Two-fold increased risk of incident MI and CAD-related mortality.
Corticosteroids
Mania, psychosis (hallucinations)
asthma
panic disorder and anxiety
Medical Symptoms: Abdominal pain*, fever, nausea, vomiting, constipation, peripheral neuropathy, paralysis.
Acute Intermittent Porphyria
Psychiatric Symptoms: Acute depression, agitation, paranoia, visual hallucinations
Benzodiazepines
Sedation, paradoxical agitation
o Avoid use in elderly with delirium
TCA somatic effects
TCA side effects due to anticholinergic effects
o Constipation, dry mouth
Medical Symptoms: Cold intolerance, dry skin, constipation, weight gain.
hypothyroidism
Psychiatric Symptoms: Lethargy, depressed**, personality change, paranoia
Frontal Lobe Tumors
Mood changes, irritability, facetiousness, impaired judgment, impaired memory, delirium, loss of speech, loss of smell.
SSRI somatic effects
SSRI medications have highest rate of GI disturbances due to serotonin in the GI tract
o Nausea and diarrhea
o Usually early on and dose related
Medical Symptoms: Increased urination/thirst, high glucose levels.
Diabetes Mellitus
Psychiatric Symptoms: Frustration, loneliness, dejection, depression
Antidepressants
Mania (bipolar patient), anxiety, insomnia
Medical Symptoms: Pallor, dizziness, peripheral neuropathy, dorsal column signs, ataxia
Cobalamin (Vitamin B12) Deficiency
Psychiatric Symptoms: Irritability, inattentiveness, psychosis dementia*
Medical Symptoms: Heat intolerance, excessive sweating, diarrhea, weight loss, tachycardia, palpitations, vomiting, fine tremor, hyperactivity, short attention span, impaired recent memory, exaggerated startle response, bulging eyes.
hyperthyroidism
Psychiatric Symptoms: Nervousness, excitability, irritability, pressured speech, insomnia, psychosis, visual hallucinations.
Medical Symptoms: Fever, photosensitivity, butterfly rash, joint pains, headache.
Systemic Lupus Erythematosus (SLE)
Psychiatric Symptoms: Depression, mood disturbances, psychosis, delusions, hallucinations.
o Supportive psychotherapy can help patients acquire knowledge and maturity to cope and promote positive interactions
Crohn’s Disease pts have highest prevalence in
pts w preexisting panic disorder.
Medical Symptoms: Neuropathy, cardiomyopathy, Wernicke-Korsakoff syndrome, malaise, common in alcoholics.
Thiamine Deficiency
Psychiatric Symptoms: Poor concentration, confusion, confabulation.
–Cannot form new mems and not rly upset aout it
Medical Symptoms: Elevated BP, tachycardia, nystagmus, muscular rigidity, vomiting.
Phencyclidine (PCP)
Psychiatric Symptoms: Agitation with blank stare, anxiety, stupor, aggression, panic, bizarre behavior.
Ulcerative Colitis increased prevalence in
dependent personalities
Peptic Ulcer Disease d/t
Increased gastric acid excretion associated with psychological stress.
Pancreatic Carcinoma –> med and psych symp
Weight loss, abdominal pain, depression, lethargy, anhedonia, apathy, decreased energy
