Psychosomatic Medicine - Hill Flashcards
Neurotransmitters released in response to stress?
Endocrine responses to stress?
Effect of stress on immunity?
Catecholamines, Serotonin, Glucocorticoids, Dopamine
CRH release –> ACTH
Inhibition by glucocorticoids or activation by IL-1, IL-6
Patient w/ CV disease has an MI. What is the most likely psychological result?
Depression
A patient develops CV disease over time. What recurrent psychological states can put him at risk for this? (6)
DEPRESSION, anxiety, type A behavior, hostility, anger, stress
Patients with asthma or COPD commonly have what psychological states? (3)
Panic disorder, agoraphobia, anxiety
Heat intolerant, sweating, diarrhea, weight loss, tachycardia, palpitations, vomiting, tremor, impaired recent memory
Psych symptoms?
Hyperthyroid
Nervousness, excitability, irritability, pressured speech, insomnia, PSYCHOSIS, visual hallucinations
Cold intolerant, dry skin, constipation, weight gain
Psych symptoms?
Hypothyroid
Lethargy, DEPRESSION, personality change, paranoia
Increased urination, thirst, elevated glucose level
Psych symptoms?
DM
Frustration, loneliness, dejection, DEPRESSION
Excessive thirst, polydipsia, stupor, coma, seizures
People at risk?
Psych symptoms?
Hyponatremia
Geriatrics, SSRI meds
Confusion, lethargy, personality changes
Neuropathy, cardiomyopathy, malaise, alcoholic
Psych symptoms?
Thiamine deficiency
Poor concentration, confusion, confabulation
Pallor, dizziness, peripheral neuropathy, ataxia, loss of proprioception
Psych symptoms?
B12 deficiency
Irritability, inattentiveness, psychosis, dementia
Skin problems – psych issue?
Anxiety
Corticosteroids – psych issues?
Mania, psychosis, hallucinations
Benzos - psych issues (specific patient)?
Sedation, delirium in elderly
Antidepressants - psych issue (specific patient)?
Mania in bipolar patient
