Psychosomatic Disorders Flashcards
What somatic disorder can present with psychosis or psych sx?
Lupus (SLE)
What can hyponatremia cause?
sx: excessive thirst, stupor coma
SEIZURES!!!!
What is depression an independent risk factor for?
coronary heart disease
stroke
DM
What is anxiety a risk factor for?
CAD
asthma
specific phobias
Response to stress
release of catecholamines
serotonin turnover (less)
glucocorticoids
dopamine
corticotropin releasing factor–> releases ACTH
inhibits immune fxn
What can produce psychosis, confusion, catatonia-like states and bizarre behavior?
seizures
What can asthma produce?
anxiety
30% have panic disorder
Sx of hyperthyroid
heat intolerance excessive sweating diarrhea weight loss tachy palpitations vomiting fine tremor hyperactivity short attention span impaired recent memory exaggerated startle response bulging eyes
Psych sx of hyperthyroid
nervousness excitability irritability pressured speech insomnia psychosis visual hallucinations
Sx of hypothyroid
cold intolerance
dry skin
constipation
weight gain
Psych sx of hypothyroid
lethargy
depression
personality change
paranoia
Diabetes is associated with
depression
Sx of hyponatremia
excessive thirst polydipsia stupor coma seizures
Psych sx of hyponatremia
confusion/delirium
lethargy
personality changes
Psych sx of thiamine deficiency
poor concentration
confusion
confabulation
–>Wernicke-Korsakoff
Psych sx of Vitamin B12/cobalamin deficiency
irritability
inattentiveness
psychosis
dementia
Sx of cobalamin/B12 deficiency
pallor dizziness peripheral neuropathy dorsal column signs ataxia
–>treat if under 400
Sx of thiamine deficiency
neuropathy
cardiomyopathy
Wernicke-Korsakoff
malaise
–>common alcoholics
What should you avoid in elderly hospitalized patients/
benzos
What can corticosteroids cause?
mania
psychosis/hallucinations
What can benzos cause?
sedation
paradoxical agitation
avoid in elderly with delirium
What can antidepressants cause?
mania (bipolar patient)
anxiety
insomnia
Psych sx of PCP
agitation with blank stare stupor anxiety aggression panic bizarre behavior
med sx: elevated BP tachy nystagmus (vertical) muscular rigidity vomiting
What is the most common cause of hallucinations?
delirium tremens
What is the most common cause of confusion or disorientation among hospitalized patients?
delirium
Sx of frontal lobe tumor
mood changes irritability facetiousness impaired judgement impaired memory delirium loss of speech loss of smell
Sx of pancreatic carcionma
weight loss abd pain depression lethargy anhedonia apathy decreased energy
Sx of acute intermittent porphyria
abd pain F N/V constipation peripheral neuropathy paralysis
Psych sx of acute intermittent porphyria
acute depression
agitation
paranoia
visual hallucinations
Sx of hepatic encephalopathy
asterixis hyperreflexia spider angioma palmar erythema ecchymosis liver enlargement/atrophy
Psych sx of hepatic encephalopathy
euphoria
disinhibition
psychosis
depression
