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69 Cards in this Set

  • Front
  • Back

Intracerebral hemorrhage related to waefarin

Vit K , prothrombin complex concentrate PCC

Alzheumer's disease

Neuroimaging = atrophy , mainly in temporal & pariatel lobe

Tourette syndrome

Multiple motor and one or more vocal tics before age 18


◆ADHD , obsessive-compulsive disorder - comorbid condition

Neonatal abstinence syndrome


Heroin

Infant withdrawal to opiates and usually present in the frist few days of life = irritability , high pitched cry , poor sleeping , tremors, seizures , sweating , poor feeding

Pyromania

Intentional and repeated fire setting with no obvious motive

Selective mutism children

Verbal and talkative at home , but refuse to speak in specific social setting , commonly at school , it considered n anxiety disorder

Generalized anxiety disorder

Multiple worries lasting > 6 mounth with , restlessness , fatigue , difficulty concentrating , irritability , muscle tensionb, sleep disturbance


◆Buspirone

Alcohol withdrawal

Treated by intermediate-duration benzodiazepine , Lorazepam


◆Gama-glutamyl trasnpeptidase ⬆⬆

Amphtamin intoxication

Psychiatric symptoms - agitation , irritability , psychosis , chest pain , tachycardia , HTN , diaphorasis , mydrasis

Anabolic -androgenic steroid

"Testesterone ,trenbolone , boldenone , stanozolol , nandrolone ' side effect , acne , baldness , gynecomastia , hepatic dysfunction , altered lipid profile , virilization , testicular failure , mood behavioral change

Anorexia nervosa

Bupropion

Frist line treatment for major depression not cause weight gain , sexual dysfunction -


Is contraindicated in seizure , anorexia , bulimia nervosa

Neuroleptic malignant syndrome

Life thereatening condition after admission of anticychotic medication


◆⬆Fever , lead pipe rigidity , altered mental status , autonomic instability


◆dopamine dysregulation


◆Creatinine kinase , wbc ⬆


◆mortality rate 10%-20%


◆Treated by dopamine agonist - bromocriptine & dantrolene

Antisocial personality disorder

Pervasive pattern of violating the rights of others , and lack of remorse , patient at least 18 with history of consuct disorder

Avoidant personality disorder

Avoiding social interaction , hypersensitivity to rejection- limited relationship feeling of inferiority

Short acting benzodiazepine


Alprazolam

Abrubt cessation = withdrowal symptoms = seizures & confusion

Companation of alcohol & benzodiazepine

Sedative hypnotonic , vital sign detangmentv , respiratory depression

Acute menia

Bipolar disorder 1

Manic episodes +-Hx of major deppression


1st line mood satabilizer lithium & valproate +( 2nd anticychitic quetiapine , lamotrigine

Bipolar disorder 2

Hypomanic + major deppression

Cyclothymic disorder

.

Borderline personality disorder

Persistent pattern of unstable relationship , mood lability , impulsivity , recurrent suicidal behavior


dialectical behavioral therapy , thycotherapy , behavioral focas

Bulimia nervosa

Recurrent bing eating , & restrictive compensatary behavior , normal weight to overweight patient

Cannabis intoxication


Marijuana

Conjuctival injection , dry mouth , tacychardia , ⬆appetite , psychomotor impairment , anxiety , paranoia

Catatonia syndrome

Seen in severe psychiatric & medical illness = immobility , mutism , posturing


◆Benzodiazepine , electroconvulsive therapy

Treatment-resistant schizophrenia

Clozapine = is unique superiorty in Treatment-resistant schizophrenia

Cocaine abuse

Wt loss , behavioral change , erythema of the turbinate and nasal srptum

Cognitive behavioral therapy

Reducing automatic negative thoughts , and avoidance behaviour that cause distress

Conduct disorder age <18


Age >18 = antisocial personality disorder

Childhood psychiatric disorder ,


Voilate major societal norms or rights of other

Conversion disorder

Sudden onset of neurological symptoms , cilinical finding that are incompatible with recognized neurilogical condition


Precipitated by stress

Intellectualizationt

Transformation of an emotianally difficult event into purly intellectual problem to avoid confronting its un comfortable emotialnal component

Cyclothymic disorder

◆Chronic , fluctuating mood disorder for many years


Fall within bipolar spectrum less severe form , >2 yrs for diagnosis

Reaction formation

Defence mechanism = transforming unacceltable feeling & impulse into their extreme opposite

Defence mechanism


Unconscious mean of responding and adapting to different situation while preserving self image

Displacement

Immature defence mechanism = transfering emotions assosiated with an oudettung object to safer alternate object

Delusional disorder

One or More persistent delusion & no other prominant psychotic symptoms

Normal aging & dementia

.

Dissociative disorder

Volproate

Anticonvulsant mood stabilizer , cause elevated aninotransferases , rere cases of hepatic failure

Lamotrigine

Serious rashes , stevens-Johnson syndrome

Elctroconvulsive therapy

Anterograde & retrograde amnesia

Factitious disorder

Intentuonally produce sign & symptoms , for purpusa of assyming sick role

Malingering

Falsification or exaggeration of stmptoms , with goal tu assume sick role

Risperidone

Second generation antipsychotic


Cause ⬆ freguency of prolactin elevation


◆Serotonin 2A & dopamine D2 receptor blocker

Gambling disorder

.قمار

Gender dysphoria

Persistent intense desire to be another gender

Narcolepsy

Excessive daytime sleepness , cataplexy and REM sleep

Smoking cessation

Nicotine replacement therapy


Varenicline & bupropoin

Glucocirticoid induced psychosis

Frist week

Major depressive disorder

◆⬆Cortisol level = hyperactivity hypothalamic-pituitary-adrenal axis


◆⬇Hippocampal & frontal lobe volume - change in sleep REM sleep latency


treated by bupripion

ADHD

◆Frist line = methylphenidate


◆Side effect = ⬇appetite , wt loss , insomnia

Persistent depressive disorder

Venlafaxine

Antideppressant


Serotonin-norepinephrine reuptake inhibitor


◆dose delendent htn

Post-traumatic stress disorder

Caffeine intoxication

Excessive amaunt of energy drink

Schizophreniform disorder

Schizophrenia present >1 month -<6 monuth

Toxic megacolon

Postopartom deppressiin

◆SSRI = sertaline


◆> 4 WEEKS

Somatic symptom disorder

Ssri = fluxetine

Illness anaxiaty disorder hypochondriasis

Amphetsmine analogues

Bath salt = prolonged duration of effect

Stranger anxiaty

Normal for age 8mnth to 2 yrs

Obsessive compulsive disoeder

Tourette syndrome

Selective mutism

Refuse to speak in specific social setting mainly at school

Reactive attachment disorder

Early child abuse or neglected= difficulty forming relationship

Rett syndrome

Girl , loss of speech , puposeful hand use , autism features

Bevermeant

Notmal reaction to loss


◆Persistent yearing to love

CR vein