Difference between revisions of "Psychiatry"
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*Stimulant toxicity: mydriasis, irritability, anxiety, tachycardia, hypertension, '''loss of appetite, diaphoresis''' | *Stimulant toxicity: mydriasis, irritability, anxiety, tachycardia, hypertension, '''loss of appetite, diaphoresis''' | ||
*Stimulant prescriptions for ADHD are not associated with increased risk of substance use disorder. | *Stimulant prescriptions for ADHD are not associated with increased risk of substance use disorder. | ||
| − | *Histrionic personality disorder | + | *Histrionic personality disorder diagnosis |
| + | *The difference between illness anxiety disorder and somatic symptom disorder is that in the former they are not complaining of having symptoms, just preoccupied with concern that they ''might'' have a serious undiagnosed disease (e.g. brain tumor). | ||
| + | *Bupropion is not first line in pediatrics for depression | ||
| + | *Always rule out secondary causes of dementia (e.g. depression) before jumping the gun. | ||
| + | *Late onset MDD is associated with increased risk of '''Alzheimer's''' | ||
| + | *'''Akathisia''' (inability to sit still), is a side effect of '''FGA > SGA''', treat with '''propranolol'''. | ||
| + | |||
| + | =Tourettes= | ||
| + | *H&P: Comordid psychiatric disorders include '''OCD/ADHD > MDD/anxiety''' | ||
| + | *Dx: Motor and vocal tics for more than 1 year, onset before 18. | ||
| + | *Tx: Management is with '''behavioral training, antiDA agents (risperidone), or alpha-2 receptor antagonists (clonidine)''' | ||
Latest revision as of 16:50, 15 January 2023
Missed Concepts
- Varenicline can be combined with NRT without additional adverse effects, and is possibly more effective than either method alone.
- Adjustment disorder is characterized by emotional symptoms causing clear impairment in social and occupational function developing within 3 months of an identifiable stressor.
- Opioid withdrawal: mydriasis, irritability, anxiety, tachycardia, hypertension, nausea, vomiting, cramping, myalgias, arthralgias, lacrimation
- Stimulant toxicity: mydriasis, irritability, anxiety, tachycardia, hypertension, loss of appetite, diaphoresis
- Stimulant prescriptions for ADHD are not associated with increased risk of substance use disorder.
- Histrionic personality disorder diagnosis
- The difference between illness anxiety disorder and somatic symptom disorder is that in the former they are not complaining of having symptoms, just preoccupied with concern that they might have a serious undiagnosed disease (e.g. brain tumor).
- Bupropion is not first line in pediatrics for depression
- Always rule out secondary causes of dementia (e.g. depression) before jumping the gun.
- Late onset MDD is associated with increased risk of Alzheimer's
- Akathisia (inability to sit still), is a side effect of FGA > SGA, treat with propranolol.
Tourettes
- H&P: Comordid psychiatric disorders include OCD/ADHD > MDD/anxiety
- Dx: Motor and vocal tics for more than 1 year, onset before 18.
- Tx: Management is with behavioral training, antiDA agents (risperidone), or alpha-2 receptor antagonists (clonidine)