Schizophrenia Flashcards

1
Q

What are the risk factors for schizophrenia?

A
  • Birth complications
  • Family Hx
  • Smoking cannabis
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2
Q

What are the first rank symptoms?

A
  • Hallucinations (Auditory and Somatic)
  • Thought blocking
  • Thought withdrawal
  • Thought insertion
  • Thought broadcasting
  • Passivity
  • Delusions
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3
Q

What are examples of positive symptoms?

A

o Hallucinations
o Delusions (fixed or falsely held beliefs)
o Disorganised behaviour, speech and thoughts

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4
Q

What are examples of negative symptoms?

A
o	Emotional blunting
o	Reduced speech
o	Loss of motivation
o	Self-neglect
o	Anhedonia
o	Alogia (poverty of speech)
o	Avolition (poor motivation)
o	Social withdrawal
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5
Q

How do you manage schizophrenia?

A
  • Oral atypical antipsychotics (2nd gen)
  • CBT
  • CV risk factor modification
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6
Q

Why do you need to manage CV risk factors?

A

Antipsychotic medication and high smoking rates

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7
Q

What are the features of neuroleptic malignant syndrome?

A
  • pyrexia
  • muscle rigidity
  • autonomic lability: typical features include hypertension, tachycardia and tachypnoea
  • agitated delirium with confusion
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8
Q

How do you manage neuroleptic malignant syndrome?

A
  • Stop antipsychotic
  • Patients should be transferred to a medical ward if they are on a psychiatric ward and often they are nursed in intensive care units
  • IV fluids to prevent renal failure
  • Dantrolene
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9
Q

What is section 135?

A

One doctor, AMHP and police

Warrant to gain access to premises to remove patient to place of safety

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10
Q

What is section 136?

A

Police

Allows police to remove person from public place to place of safety

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11
Q

What is section 2?

A

AMHP or nearest relative

Recommendation by 2 doctors (at least 1 has to be section 12 approved)

Admission for assessment and treatment for 28 days

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12
Q

What is section 3?

A

AMHP or nearest relative

Recommendation by 2 doctors (at least 1 has to be section 12 approved)

Admission for treatment for 6 months

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13
Q

What is section 4?

A

AMHP or nearest relative

Recommendation by any doctor

Emergency admission for assessment for 72hrs

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14
Q

What is section 5(2)?

A

Recommendation from the doctor or approved clinician in charge of the patient’s care or their nominated deputy

Emergency holding order (patient already admitted to hospital on an informal basis) 72hrs

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15
Q

What is section 5(4)?

A

Recommendation from registered nurse for 6hrs

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