Term
| Conduct disorder vs. Oppositional Defiant Disorder |
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Definition
Conduct: Repetitive and pervasive behavior violating social norms (physical aggression, property destruction, theft). After 18, antisocial personality disorder.
ODD: Enduring pattern of hostile, defiant behavior toward authority figures, IN ABSENCE of serious violations of social norms. |
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Term
Torrette's syndrome
Features?
Tx? |
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Definition
Sudden, rapid, recurrent, nonrhythmic, sterotyped motor movements or vocalizations (tics). Coprolalia 20%. Associated with OCD.
*persists > 1 yr. Onset < 18 yrs old.
Antipsychotics (haloperidol) |
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Term
| Rett's disorder vs. Childhood disintegrative disorder |
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Definition
Retts: X-linked dominant; seen in females only (male fatal in utero). Starts age 1-4, regression, loss of development, MR, loss of verbal abilities, ataxia, hand-wringing.
CDD: More common in boys. After 2 years of normal dev, loss of expressive or receptive language skills, social skills, adaptive behavior, bowel or bladder control, play, motor skills. Onset between ages 3-4. |
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Term
Schizophrenia vs.
Brief psychotic disorder
Schizophreniform disorder
Schizoaffective disorder
Delusional disorder |
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Definition
Schizophrenia: > 6 months. Psychosis, disturbed behavior and thought, decline in functioning. At least 2: delusions, hallucinations, disorganized speech (loose associations), disorganized or catatonic behavior, negative symptoms (flat affect, social withdrawal, lack of motivation, speech, thought.)
Brief psychotic disorder: < 1 month. Stress related.
Schizophreniform: 1-6 months.
Schizoaffective: At least 2 weeks of psychotic sx with stable mood, then a depressive or manic episode.
Delusional: Fixed, persistent, non-bizarre belief, lasting > 1 month. Not functionally impaired. Usually self-limited. |
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Term
| Manic vs. hypomanic vs. cyclothymic |
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Definition
Manic: DIG FAST (at least 3), >1 week.
Hypomanic: Same, not severe enough to cause impairment in social or occupational functioning, no psychotic features.
Cyclothymic: Dysthymia + hypomania, lasts at least 2 years |
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Term
| Treatment for bipolar disorder? |
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Definition
Mood stabilizer: Lithium, Valproic acid, or Carbamazepine
plus atypical antipsychotic. |
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Term
| Major depression vs. dysthymia vs. recurrent MDD |
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Definition
MD: SIG E CAPS (at least 5), > 2 weeks.
Dysthymia: Milder, lasts > 2 yrs
Recurrent MDD: 2 episodes of MD with sx-free interval of at least 2 months. |
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Term
Features of atypical depression?
Tx? |
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Definition
Depression, but with hypersomnia, overeating, mood reactivity, sensitivity to rejection.
MAO inhibitors, SSRIs. |
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Term
| Postpartum blues vs. depression vs. psychosis. |
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Definition
Blues: < 10 days, most common (50-85%)
Depression: 10 days to >1 year, (10-15%)
Psychosis: Psychotic sx, 4-6 weeks, rare (0.1%) |
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Term
| Risk factors for suicide completion |
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Definition
SAD PERSONS
Sex: male
Age: teenage or eldery
Depression
Previous attempt
Ethanol or drugs
Rational thinking (able to plan it!)
Sickness (medical illness, polypharmacy)
Organized plan
No spouse (or lives alone)
Social support lacking
Women try more, men complete more |
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Term
Panic disorder?
Vs. Pheochromocytoma? |
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Definition
PANICS
Palpitations
Paraesthesias
Abdominal distress
Nausea
Intense fear
lIght-headedness
Chest pain, Chills, Choking, disConnectedness
Sweating, Shaking, Short of breath.
Strong genetic component! Context related.
CBT, SSRIs, TCAs, BZDs
Pheo is similar, with episodic HTN. |
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Term
| OCD vs. obsessive compulsive personality disorder? |
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Definition
OCD is inconsistent with one's belief's and attitudes: recognize it's a problem.
Tx: SSRIs, clomipramine (a TCA)
OCPD: preoccupation with perfection, order, control, don't see as problem. |
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Term
| PTSD vs. acute stress disorder? |
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Definition
PTSD: Sx last > 1 month (but can start anytime after event)
Acute stress disorder: < 1 month |
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Term
| Somatization disorder vs. conversion disorder |
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Definition
Somatization: Multiple complaints in multiple organ systems over years.
Conversion: Sudden loss of sensory or motor function, often after acute stressor. Adolescents and young adults. |
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Term
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Definition
Anorexia: Excessive dieting to < 85% ideal body weight, may have purging. Low body weight symptoms (amenorrhea, stress fractures, anemia).
Bulemia: Binge eating, purging. Body weight within normal range. Vomiting signs (parotitis, enamel erosion, alkalosis, dorsal hand calluses [Russell's sign]) |
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Term
| Substance abuse vs. Substance dependence |
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Definition
Abuse: Recurrent use despite lack of fulfilling obligations, use in physically hazardous situations, legal problems.
Dependence: 3 or more of: tolerance, withdrawal, use in excess of desire, wish to cut down, spend large amount of energy obtaining, impairment in social, occupational, recreational activities, continued use in spite of knowing problems.
*dependence is more physical/psychological compulsion, abuse is just "bad use"?* |
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