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NCMHCE > Rule out medical conditions > Flashcards

Rule out medical conditions Flashcards

1
Q

What medical issues need to be ruled out before a dx of Acute Stress Disorder (4)

A

Sleep disorder (obstructive sleep apnea, insomnia); Stroke; Epilepsy; Migraine

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2
Q

What medical issues need to be ruled out before a dx of Alcohol Use Disorder (6)

A

Diabetes, A seizure disorder, Hypoglycemic attack, Diabetic Ketoacidosis, Cerebellar Ataxia; Multiple Sclerosis

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3
Q

What medical issues need to be ruled out before a dx of Anorexia Nervosa (12)

A

Lupus, Chron’s disease, Lyme disease, Addison’s disease, Emetophobia, Phagophobia, Body Dysmorphic Disorder, Cholelithiasis, Hepatitis, Intestinal Obstruction, Irritable Bowel Syndrome, Celiac Disease

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4
Q

What medical issues need to be ruled out before a dx of ADHD (6)

A
  • Undiagnosed lead poisoning (irritability, loss of appetite, loss of weight, fatigue, learning disabilities
  • Hearing or vision impairment (depressed mood, avoiding social interaction, difficulty understanding directions);
  • Hypothyroidism (poor mental development, poor growth, impaired memory);
  • Child abuse (aggression, anger, hyperactivity, changes in school performance, anxiety, loss of self confidence, defiance, difficulty sitting, inappropriate emotional development/expression);
  • Medication side effects;
  • Sleep disturbance (difficulty concentrating, forgetfulness)
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5
Q

What medical issues need to be ruled out before a dx of Avoidant/Restrictive Food Intake Disorder? (2)

A

Poverty, Neglect

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6
Q

What medical issues need to be ruled out before a dx of Bulimia Nervosa? (8)

A

Diabetic gastroparesis, Gastroparesis GERD, Peptic Ulcer Disease, Post nasal drip, Parasitic infections, Cancer, Intestinal Obstruction

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7
Q

What medical issues need to be ruled out before a dx of Conduct Disorder (5)

A

TBI(MTBI) (violent outbursts, lack of empathy); Substance use, Intoxication, Epilepsy, Endocrinopathies (anger outbursts, non-compliance)

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8
Q

What medical issues need to be ruled out before a dx of Conversion Disorder (5)

A

Epilepsy, MS, Lupus, Drug Interaction, Undiagnosed stroke

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9
Q

What medical issues need to be ruled out before a dx of Cyclothymic Disorder (2)

A

MS, Thyroid gland abnormalities

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10
Q

What medical issues need to be ruled out before a dx of Depersonalization/Derealization? (3)

A

Epilepsy, Migraine, Drug side effect or interaction

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11
Q

What medical issues need to be ruled out before a dx of Dissociative Amnesia (3)

A

Normal aging, a seizure disorder, head trauma

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12
Q

What medical issues need to be ruled out before a dx of Encopresis? (7)

A

Child abuse, Crohn’s disease, Celiac disease, Inflammatory Bowel disease, Pancreatitis, Ulcerative colitis, Food allergies

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13
Q

What medical issues need to be ruled out before a dx of Enuresis? (5)

A

Obstructive sleep apnea, Child abuse, Urinary tract infections, Overactive bladder syndrome, Interstitial cystitis

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14
Q

What medical issues need to be ruled out before a dx of Erectile Dysfunction? (3)

A

Medical Issues (Physical evaluation), Substance use, Stress

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15
Q

What medical issues need to be ruled out before a dx of Exhibitionists Disorder? (1)

A

Pick’s Disease

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16
Q

What medical issues need to be ruled out before a dx of Factitious Disorder? (7)

A

Pernicious Anemia, MS, Alzheimer’s Disease, Epilepsy, Lupus, Drug Interaction, Undiagnosed stroke

17
Q

What medical issues need to be ruled out before a dx of Female Orgasmic Disorder? (4)

A

Substance use, Medication side-effects, spinal cord damage, damage to pelvic blood vessels

18
Q

What medical issues need to be ruled out before a dx of Frotteuristic Disorder? (4)

A

Pick’s Disease, Dementia, Temporal lobe epilepsy, Klein-Levin Syndrome

19
Q

What medical issues need to be ruled out before a dx of Gambling Disorder? (1)

A

Side-effect of dopamine agonist (used in treating Parkinson’s Disease)

20
Q

What medical issues need to be ruled out before a dx of GAD? (11)

A

Lyme Disease, Hyperthyroidism, Chronic Fatigue Syndrome, PTSD, Wilson’s disease (copper overload), Drug addiction, Heart attack, Angina, Hypertension, Hypoxia, Pheochromocytoma

21
Q

What medical issues need to be ruled out before a dx of Illness Anxiety Disorder? (4)

A

Chronic Fatigue syndrome, Chronic Pain, Fibromyalgia, Hypothyroidism

22
Q

What medical issues need to be ruled out before a dx of Insomnia? (13)

A

Medication/Substance use, Chemotherapy, Chronic pain, neuropathic pain, sleep apnea, dyspnea, Restless leg syndrome, stress, GERD, Overactive thyroid, Changes in the body’s circadian rhythms, poor sleep hygiene and aging

23
Q

What medical issues need to be ruled out before you make a dx of intermittent explosive disorder? (6)

A

Temporal lobe epilepsy, substance intoxication, alzheimer’s disease, brain tumor(s), Parkinson’s Disease, Traumatic brain injury

24
Q

What medical issues need to be ruled out before you make a dx of kleptomania? (2)

A

Head trauma, brain injury

25
Q

What medical issues need to be ruled out before you make a dx of MDD? (14)

A

Parkinson’s, hyper/hypothyroidism, anemia, lyme disease, medication interaction, lupus, chronic fatigue syndrome, MS, substance use, fibromyalgia, grief, burnout, aging

26
Q

What medical issues need to be ruled out before you make a dx of Narcolepsy? (6)

A

Epilepsy, Hypersomnia, Obstructive sleep apnea, Chronic fatigue syndrome, sleep paralysis, hypnagogic and/or hypnopompic hallucinations

27
Q

What medical issues need to be ruled out before you make a dx of OCD? (2)

A

Temporal lobe epilepsy, Addiction

28
Q

What medical issues need to be ruled out before you make a dx of Oppositional Defiant Disorder? (4)

A

Epilepsy, Endocrinopathies (anger, outburts, non-compliance, tantrums), Lyme Disease, Traumatic Brain Injury TBI, or Mild TBI

29
Q

What medical issues need to be ruled out before you make a dx of Panic Disorder? (8)

A

Hypertension, Cardiac arrest, Endocrine dysfunction, substance use disorders, neurological problems, mitral valve prolapse, pheochromocytoma, Digestive issues

30
Q

What medical issues need to be ruled out before you make a dx of Paranoid personality disorder? (9)

A

Epilepsy, Frontal lobe tumors, Herpes encephalitis, Neurosyphilis, AIDS, B-12 deficiency, Endocrinopathies (especially thyroid and adrenal, Heavy metal poisoning, huntington’s disease

31
Q

What medical issues need to be ruled out before you make a dx of Persistent Depressive Disorder? (6)

A

Lupus, Chronic fatigue syndrome, MS, drug side effect, lyme, disease, anemia

32
Q

What medical issues need to be ruled out before you make a dx of Pica? (4)

A

Malnutrition, Parental neglect/lack of supervision, Pregnancy, nutritional deficiency

33
Q

What medical issues need to be ruled out before you make a dx of PTSD? (6)

A

Stroke, Epilepsy, Pseudotumor cerebri, addiction, tbi, post-concussive syndrome

34
Q

What medical issues need to be ruled out before you make a dx of Premature Ejaculation? (7)

A

Prostatitis, Abdominal or Pelvic Trauma, Erective dysfunction, Abnormal hormone levels, Thyroid problems, Uretha or prostate infection or inflammation, Limits in control of the urethal sphincter

35
Q

What medical issues need to be ruled out before you make a dx of Rumination Disorder? (6)

A

Pneumonia, ulcers, dehydration, weight loss, malnutrition, failure to thrive

36
Q

What medical conditions need to be ruled out before you make a dx of Schizophrenia? (15)

A

Anemia, amphetamine overdose/psychosis, systemic lupus, epilepsy, tumors, CNS Infections, Neurosyphilis, AIDS, Acute, Intermittent Porphyia, Endocinopathies, Metal poisoning, pick’s disease, wernicke-korsakoff syndrome, Wilson’s disease, syphilis

37
Q

What medical issues need to be ruled out before you make a dx of Separation Anxiety Disorder? (3)

A

Hyperthyroidism, Pruritus, a stereotypy as part of a pervasive developmental disorder

38
Q

What medical issues need to be ruled out before you make a dx of Somatic Symptom Disorder? (7)

A

Hyperparathyroidism, stroke, epilepsy, a sleep disorder, chronic fatigue syndrome, fibromyalgia, multiple chemical sensitivity

NCMHCE (15 decks)

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