stages of change in overcoming addictionprecontemplation(denying)
contemplation(acknowledging, but unwilling)
preparation
action
maintenance
relapse psychiatryUWorld Mar 9, 2020, 1:32 AM HirotoShishido
which test should be used to evaluate executive functionclock drawing test, an element of MoCA(Montreal Cognitive Assessment) neurologypsychiatry Nov 12, 2019, 10:45 PM HirotoShishido
ego defense which is frequently seen ln the patient with borderline personality syndromesplitting
the act of characterizing actions, ideas, people, or things as either “all good” or “all bad" psychiatry Nov 3, 2019, 11:16 PM HirotoShishido
the difference between repression and supressionrepression→ unconsciously holding back inappropriate thoughts(immature ego defense)
supression→ consciously holding back inappropriate thoughts(mature) psychiatry Nov 3, 2019, 9:41 PM HirotoShishido
Patient's with tuberous sclerosis also have a higher propensity of also having autism spectrum disorder. psychiatryneurology Nov 2, 2019, 6:03 AM HirotoShishido
(delivery man→) delirium
(two-headed polar bear→) bipolar
(unicycle→)psychosis
(tortoise→)Tourette syndrome
(hunter→)huntington disease pharmacologypsychiatry Nov 3, 2019, 1:23 AM HirotoShishido
the differences between
barbiturates and benzodiazepines・mechanism
bar→(facilitate GABAa action by)↑duration(giant door stop)
ben→ ↑frequency
・clinical use
ben→ muscle relaxant, treat withdrawal symptoms
common→ hypnotic, anetsthetic, anticonvulsant, anxiolytic
・adverse effects
bar→ respiratory and cardiovascular depression, life threatning withdrawal, CYP450 induction
ben→ overdose can be treated w/ flumazenil
common→ drowsiness, paradoxical stimulation, addiction pharmacologyneurologypsychiatry Nov 2, 2019, 9:15 AM HirotoShishido
Trichotillomaniadefined by pulling out of one's hair, often preceded by tension
first-line therapy is cognitive behavioral therapy psychiatry Oct 29, 2019, 2:11 AM HirotoShishido
with what antisocial personality disorder frequently comorbid?
ASPD diagnosisdrug abuse including alcohol abuse
must be 18yo and have history of conduct disorder before age 15 psychiatry Oct 30, 2019, 11:29 PM HirotoShishido
treatment for phencyclidine, cocainePCP→benzodiazepine
treatment for negative symptoms of schizophreniaatypical antipsychotics(MARTA,DPA)are indicated psychiatrypharmacology Jun 12, 2019, 6:05 AM HirotoShishido
cluster B(wild) Bad(antisocial),Boderline,flamBoyant(histrionic),must be the Best(narcissistic)
cluster C(worried)
Cowardly(avoidant→desires relationship with others), obsessive-Compulsive,Clingy(dependent) psychiatry Jun 12, 2019, 4:40 AM HirotoShishido
reduced number of neutrophils,basophils,and eosinophils=agranulocytosis
Wernicke encephalopathy
on imaging,symptoms, managementincieased MRI T2 FLAIR signal involving the ☆mammillary bodies, →Confusion
dorsomedial thalami, →Amnesia
tectal plate,
periaqueductal area,
(around the third ventricle)
+Ataxia,Nystagmus,Ophthalmoplegia
(CAAN Of beer)
intravenous thamine should be administered before infusion of glucose-containing fluids in at-risk patient because ☆glucose can deplete the last remaining stores of thiamine neurologypsychiatryUWorld Jun 9, 2019, 3:52 AM HirotoShishido
