Lecture 8: Psychosomatic Medicine Flashcards Preview

BSP Exam 2 > Lecture 8: Psychosomatic Medicine > Flashcards

Flashcards in Lecture 8: Psychosomatic Medicine Deck (12)
Loading flashcards...
1
Q

Pt’s with anxiety, type A behavior, hostility, anger, and acute mental stress are at an increased risk for what?

A
  • 2-fold ↑ risk of incident MI and CAD-related mortality
  • Strongest evidence shows ↑ incidence of depression
2
Q

Asthmatics are at an increased risk for which psych disorders?

A
  • Panic disorder or agoraphobia
  • Fear of dyspnea can trigger asthma attacks and high levels of anxiety
3
Q

Diabetes is associated with an increased risk for what psych conditions?

A

Frustration, loneliness, dejection, and depression

4
Q

What are some of the psych sx’s associated with hyponatremia?

A

Confusion, lethargy, personality changes (Delirium)

5
Q

Which medications have the highst rate of GI disturbances as AE’s; why?

A

SSRIs due to serotonin in the GI tract

6
Q

DWhich psych sx’s are very common with pancreatic carcinoma?

A

Depression, lethargy, anhedonia, apathy, and ↓ energy

7
Q

Abdominal pain + psychosis should make you think of what underlying disease?

A

Acute Intermittent Porphyria

8
Q

What are some of the psych sx’s associated with hepatic encephalopathy?

A

Euphoria, disinhibition, psychosis, anddepression

9
Q

What are some of the psych sx’s associated with frontal lobe tumors?

A
  • Mood changes + irritability + facetiousness
  • Impaired judgement + Impaired memory
  • Delirium
  • Loss of speech
  • Loss of smell
10
Q

What medication should be avoided in elderly hospitalized pt’s especially those with delirium?

A

AVOID benzodiazepines

11
Q

Which commonly used drug is associated with mania + psychosis (hallucinations)?

A

Corticosteroids

12
Q

Which drugs can cause mania in a bipolar patient?

A

Antidepressants