Psychiatry
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).
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)