4371988
| Question | Answer |
| Major Categories of medical Mimics in psychiatric complaints | THINC MED T- Tumors H - hormones (Thyroid, Adrenals, Insulin I - Infections and immune (aids, mono) N - Nutrition (B1,6,12, manganese, iron overload) C - CNS - trauma, seizures, MS, Parkinson's M - misc (anemia, sleep apnea, CHF) E - Electrolyte and toxins D - Drugs (Nicotine, caffeine, illicit) |
| Medications that can cause anxiety | caffeine Thyroid medications Theophylline Albuterol |
| Medical conditions that can cause anxiety | Hyperthyroidism CHF, Asthma, COPD, Malignancy, Pheochromocytoma, Hyperadrenal, Hypoglycemia, Epilepsy MI |
| Medical Problems that can present with symptoms of depression | Addison's Dz, AIDS, Anemia, Asthma, Chronic Fatigue Syndrome, CHF, chronic infections, Cushing's, Diabetes, Hypothyroidism, MS, Lupus, Menopause, Malignancies, |
| Drugs that can cause depression | Antihypertensives - reserpine, propranolol, methyldopa, clonidine Corticosteroids, hormones Antianxiety drugs (diazepam etc) Accutane Birthcontrol |
| Screen for depression using SIGECAPS | S - sleep, I - interest, G - Guilt, E- energy, C - concentration, A - appetite, P -psychomotor, S - suicidality |
| Screen for BiPolar | DIG FAST D - distractibility, I - Insomnia, G - grandiosity, F - flight of ideas, A - activity increase, S - Speech pressured, T - thoughtless risk |
| Components of brain | Cerebrum Cerebellum Brain Stem |
| Functions of Cerebral Cortex | General Movement Visceral Fx Perception Behavior Integration of above fxs |
| Frontal Lobe | Voluntary skeletal movement Speech formation Emotions, affect, drive and awareness of self |
| Parietal Lobe | Processing of sensory data Comprehension of written language Propioception and interpretation of sounds and speech Integration of sensations, behavior and personality |
| Occipital Lobe | Processing vision |
| Hippocampus | Memory |
| Amygdala | confusion, fear, anger |
| Cingulate gyrus | Attentive behaviour and sexual activiy |
| Septal area, medial forebrain bundle | pleasure |
| Hypothalumus | ANS, Limbic system and endocrine |
| Risk factors for suicide | - HX of suicide attempts and depression - family hx - acute overuse of ETOH or CNS depressant - Severe hopelessness Atraction to death Loss or separation Serious medical condition (perceived or real) Age (teens, males over 80) giving away special possesions |
| Assessment for Mental Status | Appearance Behaviour Cognitive Abilities Emotional Response Speech and language |
| Generalized Anxiety Disorder | Excessive anxiety and worry about a number of topics >6 mo Associated with 3 or more of the following Restless, feeling tense, being easily fatigued, sleep disturbances, difficulty concentrating, irritability, muscle tension |
| SAFE acronym to guide assessment of domestic abuse | S: stress in relationship, feel safe with partner A: what happens when partner is angry? Are you afraid? have you been abused F: What financial resources do you need, firearms at home? Friends and Family Know? E: Emergency situation now? what plans for escape? |
| Common Mental Health Disorders | Depression Anxiety Mania Schizophrenia Delirium and Dementia |
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