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Behavioral science > psychosomatic medicine > Flashcards

psychosomatic medicine Flashcards

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Biology 101 flashcards
1
Q

Describe the Stress theory

A
  • A circumstance that disturbs, or is likely to disturb, the normal physiological or psychological functioning of a person
  • Stimulation of autonomic nervous system particularly the SYMPATHETIC
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2
Q

Describe the neurotransmitter responses to stress

A
  • -Activate Noradrenergic systems: release Catecholamines
  • Activate Serotonergic systems: increased Serotonin Turnover
  • Glucocorticoids enhance serotonin function
  • increased dopaminergic neurotransmission
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3
Q

Describe endocrine responses to stress

A
  • CRH (hypothalamus) triggers release of ACTH
  • promotes energy used, increasing cardiovascular activity, and inhibiting functions such as growth, reproduction, and immunity
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4
Q

describe immune responses to stress

A

-inhibition of immune functioning

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5
Q

what are the musculoskeletal diseases that can present with psychiatric symptoms

A
  • SLE

- MS

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6
Q

Medical symptoms of SLE?

Psychiatric symptoms?

A
  • Fever, photosensitivity, butterfly rash, joint pains, headaches
  • Depression, mood disturbances, psychosis, delusions, hallucinations
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7
Q

what are the medical symptoms of MS?

psychiatric symptoms?

A
  • Transient motor/sensory disturbances, impaired vision, diffuse neurological signs with remissions and exacerbations, slurred speech, incontinence
  • Anxiety, euphoria, mania
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8
Q

what psychiatric disorders have been evaluated as risk factors for the development and expression of coronary disease?

A
  • Depression
  • anxiety
  • type A behavior
  • hostility
  • anger
  • acute mental stress
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9
Q

KNow the hyperthyroid and hypothyroid symptoms

A

Slide 16

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10
Q

What is the correlation b/t DM and psychiatric symptoms

A

depression

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11
Q

hyponatremia medical symptoms?

Psychiatric symptoms?

A
  • Excessive thirst, polydipsia, stupor, coma, seizures

- Confusion, lethargy, personality changes

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12
Q

Thiamine deficiency medical symptoms?

Psychiatric symptoms?

A
  • Neuropathy, cardiomyopathy, Wenicke-Korsakoff syndrome, malaise, common in alcholics
  • Poor concentration, confusion, confabulation
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13
Q

Cobalamin (vitamin B12) deficiency medical symptoms?

Psychiatric symptoms?

A
  • Pallor, dizziness, peripheral neuropathy, dorsal column signs, ataxia
  • irritability, inattentiveness, psychosis, dementia
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14
Q

UC shows increased prevalence in what personality disorder

A

dependent

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15
Q

Crohn’s has high rate of what preexisting disorder

A

panic

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16
Q

what medications have highest rate of GI disturbances?

A
  • SSRI due to serotonin in GI tract

- N/V

17
Q

main TCA side effects

A
  • anticholinergic

- constipation, dry mouth

18
Q

Pancreatic Carcinoma and Psychiatry?

A
  • weight loss
  • abdominal pain
  • depression
  • lethargy
  • anhedonia (inability to find pleasure in things that are usually enjoyable)
  • apathy
  • low energy
19
Q

Acute Intermittent Porphyria medical symptoms?

Psychiatric symptoms?

A
  • Abdominal pain, fever, nausea, vomiting, constipation, peripheral neuropathy, paralysis
  • Acute depression, agitation, paranoia, visual hallucinations
20
Q

Hepatic encephalopathy medical symptoms?

Psychiatric symptoms?

A
  • Asterixis, hyperreflexia, spider angiomata, palmar erythema, ecchymoses, liver enlargement/atrophy
  • Euphoria, disinhibition, psychosis, depression
21
Q

symptoms of a frontal lobe tumor

A
  • mood changes
  • irritability
  • Facetiousness
  • impaired judgment
  • impaired memory
  • delirium
  • loss of speech
  • loss of smell
22
Q

what is the most common cause of confusion or disorientation among hospitalized patients in general hospitals

A

Delirium

23
Q

Bullet points for delirium

A
  • common in elderly, surgical and ICU pts (ICU psychosis)
  • educate pts and family PRIOR to hospitalization/surgery
  • Reversible, acute onset of impaired cognition, attention, consciousness, perception, sleep patterns (day/night reversal), or emotional states that fluctuate over the course of the day
  • often misdiagnosed or unrecognized and thus inappropriately treated or untreated
24
Q

What are the interventions to mitigate risk factors for Delirium?

A
  • orientation protocols: used of clocks, calendars, windows, verbal reorientation
  • Cognitive stimulation: visits from family, friends, but avoid at night
  • Facilitate physio sleep: procedures/meds avoided (when possible) during sleeping hours. reduce night time noise
25
Q

What should be avoid in elderly hospitalized pts

A

Benzodiazepines

26
Q

Phencyclidine (PCP) medial symptoms?

psychiatric symptoms?

A
  • elevated BP, tachycardia, NYSTAGMUS, muscular rigidity, vomiting
  • Agitation with blank stare, anxiety, stupor, aggression, panic, bizarre behavior
27
Q

Corticosteroids and psychiatry?

A
  • mania
  • psychosis (hallucinations)
  • maybe COPD treatment
28
Q

Avoid what in elderly with delirium

A

Benzos

29
Q

An antidepressant can induce what in a bipolar patient

A

mania

Behavioral science (18 decks)

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