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Clinical Psychiatry
Clinical Psychiatry: Mood Disorder, Delirium, Dementia, Psychoses, and Drugs
23
Medical
Graduate
05/15/2006

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Cards

Term
Three Criteria for Personality Disorders
Definition
Sx present for extended period of time, not caused by EtOH, drugs, or other dz

Sx cause distress and negative consequences in pts life

Seen in two of the following: Thoughts, Emotions, Interpersonal Functioning, Impulse Control

Term
Describe the Paranoid personality.
Definition
-distrust others, suspicions of evil motives

-trust themselves implicitly

-avoid close relationships, seem cold and distant

-challenge loyalties and intentions of friends and loved ones

Term
Describe the Schizoid personality.
Definition
-avoid relationships, prefer to be alone

-do not show much emotion, weak social skills

-do not show need for attention or acceptance

Term
Describe the Schizotypal personality.
Definition
-represents mild schizophrenia

-characterized by odd forms of thinking and perceiving

-seek isolation from others, believe to have superpowers or connect isolated events to relate to themselves

-eccentric behavior and difficulty concentrating

Term
Describe the Antisocial personality.
Definition
-NOT people c poor social skills

-characterized by lack of conscience

-prone to criminal behavior, lying, stealing

-impulsive c money and actions

-aggressive, self needs > needs of others

Term
Describe the Borderline personality.
Definition
-characterized by mood instability and poor self-image

-prone to mood swings and bouts of anger

-take anger out on themselves, causing injury

-suicidal threats and actions common

-think in black-white terms, esp c relationships

Term
Describe the Histrionic personality.
Definition
-constant attention seekers

-seek consant praise

-exaggerate dress, illness, friendships, relationships, all to gain attention

-often manipulative

Term
Describe the Cluster A personality, give 3 examples.
Definition
odd or eccentric behavior

schizoid, paranoid, schizotypal

Term
Describe the Cluster B personality, give 3 examples.
Definition
Dramatic, emotional, erratic

antisocial, borderline, narcissistic

Term
Describe the Cluster C personality, give 3 examples.
Definition
Anxious fearful behavior

avoidant, dependent, obsessive-compulsive (personality)

Term
List some etiologies of delirium that could cause it in MINUTES (6).
Definition
Hypoxia

Stroke/MI

Seizure

Hypoglycemia

Embolism

Drug Intoxication

Term
List some etiologies of delirium that could cause it in HOURS (5).
Definition
CHF/Edema

Infection

Metabolic Disturbances (Electrolyte Disturb, Hyper/HypoGlycemia)

Uremia

Drug Withdrawl

Term
List some etiologies of delirium that could cause it in DAYS (4).
Definition
Infection

Metabolic Disturbances (Vit Def, Thyroid)

Tumor

Hematoma

Term
What are RFs for Delirium (5)?
Definition
Age (elderly or children)

CNS Dz (esp. Dementia)

End-organ Failure

Substance Use/Abuse

Trauma (burns, head trauma, hip fx)

Term
What are the criteria for Delirium?
Definition
Criterion A (Attention): inability to shift, focus, or sustain attention

Criterion B (Brain): speech, language, thought process, memory, and orientation OR perceptual disturbances

Criterion C (Course): acute, fluctuating

Criterion D (Ddx): underlying causes (minutes, hours, days)

Criterion E (Extras Features): sleep/wake reversal, psychomotor agitation, fear, embarrassment

Term
What drugs can contribute to or cause Delirium (5)?
Definition
EtOH

Sedative-hypnotics

Anticholinergics

Immunosuppressants

Opioid Analgesics

Term
What is the standard of care for Delirium?
Definition
Haldol (haloperidol); 0.5mg po/IV/IM q2h prn agitation

(Lose dose benzodiazepine like Lorazepam 0.5-1.0mg, q2-4h, total day dose 4-12 mg, taper by 25% daily, also works)

Term
What is psychosis?
Definition
Presence of sx that result in impaired reality testing and severe disruption in fxning.
Term
What is Axis I?
Definition
Major mental disorders, developmental disorders, and learning disabilities
Term
What is Axis II?
Definition
Underlying pervasive or personality disorders, and mental retardation
Term
What is Axis III?
Definition
Somatic disorders; any nonpsychiatric medical condition
Term
What is Axis IV?
Definition
Social functioning and impact of symptoms
Term
What is Axis V?
Definition
Global Assessment of Functioning
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