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LECTURE 4
PSYCHIATRY
83
Medical
Professional
08/19/2013

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Term
DX OF MAJOR DEPRESSION
Definition
5+ OF THE FOLLOWING >2/52
SLEEP DISTURBANCE (EARLY WAKING)
GUILT
ENERGY LOSS
CONCENTRATION LOSS
APPETITE LOSS
PSYCHOMOTOR AGITATION
SUICIDAL IDEATION
Term
AUTISM:
Definition
REPETITIVE MOVEMENTS
LACK OF VERBAL SKILLS
LACK OF BONDING
Term
ASPERGER'S:
Definition
IMPAIRED RELATIONSHIPS
GOOD COMMUNICATION
NO MENTAL RETARDATION
Term
RETT'S:
Definition
GIRLS ONLY
NORMAL UNTIL 5MO
DECREASED HEAD GROWTH
LOSE MOTOR SKILLS
HAND WRINGING
Term
CHILDHOOD DISINTEGRATIVE DISORDER:
Definition
STOPS WALKING AND TALKING
Term
SELECTIVE MUTISM:
Definition
TALKS SOMETIMES
Term
SEPARATION ANXIETY:
Definition
SCREAMS WHEN MUM LEAVES
Term
ADHD:
Definition
OVERACTIVITY, DIFFICULTY IN SCHOOL
Term
DYSTHYMIA:
Definition
LOW LEVEL SADNESS >2 YEARS
Term
CYCLOTHYMIA:
Definition
DYSTHYMIA W/HYPOMANIA
Term
DOUBLE DEPRESSION:
Definition
DEPRESSION THEN DYSTHYMIA
Term
BIPOLAR I:
Definition
DEPRESSION AND MANIA (PSYCHOSIS)
Term
BIPOLAR II:
Definition
DEPRESSION AND HYPOMANIA (NO PSYCHOSIS)
Term
LOOSE ASSOCIATIONS:
Definition
Term
WORD SALAD:
Definition
UNRELATED WORD COMBINATION
Term
PERSEVERATION:
Definition
REPEATS SAME WORDS
Term
NEOLOGISMS:
Definition
MAKES NEW WORDS
Term
DELUSION:
Definition
FALSE BELIEF
Term
ILLUSION:
Definition
MISINTERPRETED STIMULUS
Term
HALLUCINATION:
Definition
FALSE SENSORY PERCEPTION
FORMICATIN IN EtOH WITHDRAWAL OR COCAINE INTOXICATION
Term
FORMICATIN
Definition
EtOH WITHDRAWAL OR COCAINE INTOXICATION
Term
NIHILISM:
Definition
THINKS THE WORD HAS STOPPED
Term
LOSS OF EGO BOUNDARIES:
Definition
NO CONCEPT OF WHERE I END AND YOU BEGIN
Term
CATAPLEXY :
Definition
LOSS OF MM.TONE DUE TO STRONG EMOTIONAL STRESS
Term
PARANOID PERSONALITY D/O:
Definition
SUSPICIOUS ABOUT EVERYTHING, USES PROJECTION
Term
SCHIZOTYPAL PERSONALITY DISORDR:
Definition
ODD BEHAVIOUR
MAGICAL THINKING
PEOPLE LEAVE THEM ALONE B/C THEY ARE WEIRD BUT WILL INTERACT IF APPROACHED
Term
SCHIZOID PERSONALITY D/O:
Definition
RECLUSE, DONT WANT TO INTERACT WITH OTHERS
Term
ANTISOCIAL PERSONALITY D/O:
Definition
LIE, CHEAT, STEAL, ACT ON IMPULSE, DESTROY PROPERTY, NO REMORSE, ILLEGAL ACTIVITY
Term
CONDUCT D/O (BITE):
Definition
<15YR OLD, WITH TRAITS OF ANTISOCIAL PERSONALITY
AGGRESSIVE
DISREGARDS AUTHORITY/RULES
NO REMORSEGAL
HARMS ANIMALS
ILLEGAL ACTIVITY
Term
OPPOSITIONAL DEFIANT D/O (BARK):
Definition
DEFIANT
NON-COMPLIANT
RESISTS AUTHORITY
Term
HISTRIONIC PERSONALITY D/O:
Definition
THEATRICAL, SEXUAL PROVOCATIVE, USE REPRESSION AS DEFENSE MECHANISM
Term
BORDERLINE PERSONALITY D/O:
Definition
"PERPETUAL TEENAGER"
USES PROJECTION
ACTS OUT
SELF-MUTILATION
USES SPLITTING AS DEFENCE MECH
Term
NARCISSTIC PERSONALITY D/O:
Definition
POMPOUS, NO EMPATHY
Term
DEPENDENT PERSONALITY D/O:
Definition
CLINGY, SUBMISSIVE, LOW SELF ESTEEM, USES REGRESSION
Term
OBSESSIVE COMPUSIVE D/O:
Definition
PERFECTIONIST, DOESN'T SHOW FEELINGS, USES ISOLATION
Term
AVOIDANT PERSONALITY D/O:
Definition
SOCIALLY WITHDRAWN, WANTS TO FIT IN BUT FEARS REJECTION
Term
KLEPTOMANIA:
Definition
STEALS FOR THE FUN OF IT
Term
PYROMANIA:
Definition
STARTS FIRES
Term
INTERMITTENT EXPLOSIVE D/O:
Definition
LOSES SELF-CONTROL DISPROPORTIONATE TO CIRCUMSTANCES
Term
TRICHOTILLOMANIA:
Definition
PULLS OUT THEIR OWN HAIR AND EAT IT
Term
LEWY BODY DEMENTIA:
Definition
STIFF, VISUAL HALLUCINATIONS
Term
NORMAL PRESSURE HYDROCEPHALUS:
Definition
INCONTINENCE
ATAXIA (MAGNETIC GAIT)
DEMENTIA
Term
KARSAKOFF PSYCHOSIS:
Definition
ALCOHOLIC
B1 DEFICIENCY
Term
VASCUALR DEMENTIA (MULTI-INFARCT):
Definition
SUDDEN ONSET
UNEVEN PROGRESSION
"STAIR STEP" DECLINE
Term
HUNTINGTON'S CHOREA:
Definition
TRINUCLEOTIDE REPEAT D/O
CHR 4
CAG
PERSONALITY CHANGE
"CHOREIFORM MOVEMENT"
Term
CREUTZFELDT-JACOB:
Definition
PRION INDUCED
DIE WITHIN 1 YEAR
CORNEAL TRANSPLANT
Term
PICK'S DISEASE:
Definition
FRONTAL LOBE ATROPHY
DISINHIBITION
Term
ALZHEIMER'S DISEASE:
Definition
LOW Ach IN NUCLEUS BASILIS OF MEYNERT
BAD APOE
AMYLOID PLAQUES
NEUROFIBRILARY TANGLES
TAU PROTEIN
Term
PARKINSON'S :
Definition
SUBSTANTIA NIGRA
LEWY BODIES
BRADYKINESIA
PILL ROLLING TREMOR
Term
SOMATIZATION:
Definition
PSYCHOLOGICAL TRIGGER GETS THEM SICK
(INCLUDES PAIN 4 PARTS, 2 GI PROBLEMS)
Term
HYPOCHONDRIASIS:
Definition
FIND IN THEMSELVES, THE SYMPTOMS OF OTHER SICK PEOPLE, SEEK FOR MEDICAL ATTENTION.
Term
BODY DYSMORPHIC D/O:
Definition
IMAGINED PHYSICAL DEFECT
Term
PAIN D/O:
Definition
PROLONGED PAIN NOT EXPLAINED BY PHYSICAL CAUSES
Term
CONVERSION:
Definition
BLINDNESS, MUTISM TRIGGER BY A STRESSOR
Term
MALINGERING:
Definition
FAKES ILLNESS FOR MONATARY GAIN OR GETTING OUT OF JAIL.
AVOIDS ACTUAL TREATMENT.
Term
FACTITIOUS:
Definition
FAKES ILLNESS FOR ATTENTION SEEKS TREATMENT
Term
FACTITIOUS BY PROXY:
Definition
FAKES ILLNESS OF A CHILD TO GET ATTENTION
Term
AMNESIA:
Definition
CANT RECALL IMPORTANT FACTS
Term
MULTIPLE PERSONALITY D/O:
Definition
5-10 ALTS
ASSOCIATION WITH INCEST
Term
SUBLIMATION:
Definition
SUBSTITUTES ACCEPTABLE FOR UNACCEPTABLE
(LIKES TO FIGHT, BECOMES A BOXER)
Term
IDENTIFICATION :
Definition
ACT LIKE SOMEONE ELSE
Term
DISPLACEMENT:
Definition
TAKE ANGER OUT ON SOMEONE ELSE (MOE HITS LARRY, LARRY HITS CURLY)
Term
IDEALISATION:
Definition
SEES ONLY GOOD IN SOMEONE DESPITE EVIDENCE TO THE CONTRARY
Term
TRANSFERENCE:
Definition
PATIENT VIEWS DR AS PARENT
Term
COUNTERTRANSFERECE:
Definition
DR VIEWS PATIENT AS A CHILD
Term
ACTING OUT:
Definition
EXPRESSION OF IMPULSE (TANTRUMS)
Term
REGRESSION:
Definition
IMMATURE BEHAVIOR GO BACK IN DEVELOPMNT
Term
RATIONALIZATION:
Definition
MAKES EXCUSES FOR BEHAVIOR IN ADVANCE (BECAUSE OF ..)
Term
JUSTIFICATION :
Definition
MAKE EXCUSES FOR BEHAVIOR AFTERWARDS
Term
INTELLECTUALIZATION :
Definition
ACT LIKE A "KNOW IT ALL" TO AVOID FEELING SITUATIONAL EMOTIONS
Term
ISOLATION :
Definition
ISOLATE FEELINGS IN ORDER TO KEEP ON FUNCTIONING
Term
SUPPRESSION:
Definition
CONSCIOUSLY BLOCK MEMORY
Term
REACTION FORMATION:
Definition
UNCONSCIOUSLY ACT OPPOSITE TO HOW YOU FEEL ; "TEARS ON A CLOWN"
Term
UNDOING :
Definition
DOING EXACT OPPOSITE OF WHAT YOU USED TO DO TO FIX A WRONG
Term
DRUGS FOR ALZHEIMER'S:
Definition
AChE INHIBITOR ->DONEZEPIL
NMDA RECEPTOR BLOCKER ->MEMANTINE
Term
DRUGS FOR PARKINSON'S:
LOW DOPAMINE
LOW ACh
Definition
LEVODOPA: PRO-DRUG ->DOPA IN BRAIN
CARBIDOPA:INHIBITS DECARBOXYLATION OF LEVODOPA IN PERIPHERY
BROMOCRIPTINE:DOPAMINE AGONIST
AMANTADINE: INCREASES DOPAMINE, NE, EPI RELEASE
SELEGILINE:SELECTIVE MAO-B INHIBITOR
BENZTROPINE:ANTICHOLINERGIC
Term
TYPICAL ANTIPSYCHOTICS:
DECREASE D2
Definition
HALOPERIDOL:NMS (NEUROLEPTIC MALIGNANT SYNDROME)
THIORIDAZONE:RETINITIS PIGMENTOSA
Term
ATYPICAL ANTI-PSYCHOTICS:
DECREASE D2
INCREASE SER
Definition
RISPERIDONE
OLANZAPINE:OBESITY, AGRANULOCYTOSIS
CLOZAPINE: AGRANULOCYTOSIS
Term
ANTIDEPRESSANTS:
TCA:
Definition
1- NE+SER UPTAKE INHIB.
2- ALPHA BLOCKERS
3- ANTI-MUSCARINIC
AMITRIPTILLINE, IMIPRAMINE (BEDWETTING)
Term
ANTIDEPRESSANT:
SSRI:
Definition
SEROTONINE REUPTAKE INHIBITOR
FLUOXETINE
CITALOPRAM
Term
ANTIDEPRESSANT:
MAO-I:
Definition
TYRAMINE OXIDASE INHIBITOR (MAOI)
PHENELZINE
TRANYCYPROMINE
Term
ANTIDEPRESSANT:
HETEROCYCLICS:
Definition
TRAZODONE:SEROTONINE REUPTAKE INHIBITOR, SE: PRIAPISM
VENLAFAXINE: SER, NE, DA REUP INHIB
MIRTAZEPINE: ALPHA 2 BLOCKER
BUPROPION: SER, NE, NICOTINE REUP INHIB.
Term
EPILEPSY:
Definition
-T-CHANNEL DEP. CA CHANNEL BLOCKER- ABSENCE SEIZURES IN CHILDREN:-ETHOSUXAMIDE
-NA CHANNEL BLOCKERS:
VALPROIC ACID, CARBAMAZEPINE (HEPATOTOXIC, APLASTIC ANEMIA)
PHENYTOIN (GINGIVAL HYPERPLASIA, LINPHADENOPATHY)
TOPIRAMATE: (ALSO GABA ENHANCER)
-GABA AGONISTS: GABAPENTIN, PERGABALIN
-GABA ENHANCERS: TOPIRAMATE : (ALSO NA CHANNEL BOCKER)
TIAGABINE
-BENZOS: INCREASE FREQUENCY OF CL CHANNELS GABA OPENING
SHORT:ALPRAZOLAM
MEDIUM:LORAZEPAM
LONG:DIAZEPAM, CHLORDIEPOXIDE
-BARBS: PROLONG DURATION OF CL CHANNELS GABA
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