Psychosomatic medicine (Hill) Flashcards
NT response activated in response to stress (the one he starred)?
Activate Serotonergic systems –> increased serotonin turnover
Psych symptoms seen in lupus?
depression mood disturbances psychosis delusions hallucinations
psych symptoms seen in MS?
anxiety
euphoria
mania
depression, anxiety, type A behavior, hostility, anger, and acute mental stress have been evaluated as risk factors for what on the cardiovascular system?
coronary disease
2x increase risk of incident MI
cardiac arrhytmias and sudden cardiac death
HTN
30% of asthmatics meet critter for __ disorder
panic disorder or agoraphobia
nervousness, excitability, irritability, pressured speech, insomnia, psychosis and visual hallucinations seen in what endocrine disorder?
HYPER-thyroid
lethargy, depressed, personality change, paranoia seen in this endocrine disorder
HYPO-thyroid
frustration, loneliness, dejection, and DEPRESSION seen in this endocrine disorder?
Diabetes mellitus
psych symptoms you can see in a hyponatremic pt?
confusion
lethargy
personality changes
psych symptoms you can see in pt with thiamine deficiency (alcoholics)?
poor concentration
confusion
confabulation
psych symptoms you can see in pt with B12 deficiency?
irritability
inattentiveness
psychosis
dementia
SSRIs effects on the GI tract?
SSRIs have highest rate of GI disturbances d/t serotonin in GI tract –> N/V, usually early on and dose-related
TCA effects on GI?
d/t Anticholinergic effects –> Constipation, dry mouth
Euphoria, disinhibition, psychosis, and depression seen with what hepatic condition?
Hepatic encephalopathy
Mood changes, irritability, facetiousness, impaired judgement, impaired memory, delirium, loss of speech, and loss of smell seen with what type of tumor?
Frontal lobe tumor
Stress management tx’s?
self-observation
cognitive restructuring
relaxation exercises
hypnosis
Most common cause of hallucinations?
__ most common cause of confusion or disorientation among hospitalized pts in general hospitals
Delirium tremens most common cause hallucinations
delirium is most common cause of confusion or disorientation among hospitalized pts
__=Reversible, acute onset of impaired cognition, attention, consciousness, perception, sleep patterns, or emotional states that fluctuate over course of the day
Delirium
Avoid giving this drug in elderly hospitalized pts to avoid delirium?
Benzo’s
This drug can cause the following psych symptoms:
- agitation with blank stare
- anxiety
- stupor
- aggression
- panic
- bizarre behavior
PCP
Corticosteroids can cause what psych symptoms (think of a COPD pt on corticosteroids)?
Mania, psychosis (hallucinations)
