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Psychiatry revision

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medmaestro's version from 2015-11-03 05:00

Section

SOMATOFORM DISORDERS
Question Answer
Somatisation disorders / HYSTERIAMany physical complaints affecting many organ systems
Conversion disorder1 or 2 neurological complaints
Hypochondriasisfocus on symptoms than by patient’s beliefs that they have a SPECIFIC disease
Body dysmorphic disordera false belief or exaggerated perception that a body part is defective.
Pain disordersymptoms of pain either solely related to,or exacerbated by psychological factors.
Undifferentiated somatoform disorderincludes somatoform disorders not otherwise described that have been present for 6 MONTHS or longer
Somatoform disorder NOS-not otherwise specifiedthose disorders that don’s meet any of the above criteria.
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ANTIPSYCHOTICS
Question Answer
Least extrapyramidal side effectClozapine & Risperidone(almost NO xtrapyramidal effect) ; Thioridazine
Longest actingFluphenazine
Least potentchlorpromazine
With antidepressant actionflupenthixol
More emetic potentialclozapine/olanzapine/risperidone/molindone
Least extrapyramidal side effects & least antiemetic property (ie., causes emesis)Clozapine
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Lithium
Question Answer
Discovered byArfeudson in 1817,first used for trt of gout
Starting dose for acute mania900-1200 mg/day lithium carbonate
300mg lithium contains1597 mg lithium carbonate
Therapeutic levels of lithium (Li2CO3) for trt of acute mania0.6-1.2 Meq/L
Prophylactic levels for relapse prevention in bipolar disorder0.6-1.0 meq/L
Toxic levels>1.5 meq/L
Mild to moderate intoxication1.5-2.0 meq/L
Moderate to severe intoxication2.0-2.5 meq/L
Severe lithium intoxication>2.5mq/L; generalized convulsions,oliguria,renal failure,death
DOC for acute manic episode,Prophylaxis of MDP(Manic Depressive Psychosis) lithium
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