schizophrenia

Question 1

Organic causes?

Answer 1

delerium
intoxication
endocrine disorders
medications - 
Space occupying lesion
stroke
wilsons
HIV/Syphilis

Question 2

Differentials - psych

Answer 2

psychosis
acute and transient psychosis
persistent delusional disorder

Question 3

What are schneiders 1st rank symptoms

Answer 3

Auditory hallucinations - 3rd person
Passivity phenomena
delusions of perception
thought disorder - insertion, withdrawal, broadcasting.

Question 4

other symptoms

Answer 4

negative - withdrawal, reduced speech and affect blunting with emotional flattening.

cognitive - attention, memory and planning

Question 5

Management

Answer 5

Where to manage them

Bio - atypical antipsychotic such as olanzapine
close monitoring particularly at first of ecg, lipids, BMI, prolactin, BP, glucose tolerance. dystonias and neuroleptic malignant syndrome.

Psycho -
CBT with emphasis on reality testing and coping with hallucinations
psychoeducation and concordance therapy
family therapy - reducing high expressed emotion and bring families together to reduce relapse rates.

Socially may need referall to various services to help with assesment for benefits or housing.