psychiatry step 2 ck block 1 q1

first degree relative has 5-10% to develop bipolar disease

1% in the normal population

histrionic personality disorder

: excessive emotionality , and attention seeking trait

schizoaffective disorder : psychotic episodes with major depression or manic symptoms , mood symptoms is present for majority of illness

vs schizophrenia : mood symptoms are absent or present for onlybried periods vs major depression or bipolar disease : psychotic features occur exclusively during mood symptoms

bulimia nervosa

uncontrolled binge eating followed by feeling extreme disguise or guilt try to compensate by ( laxative , vomit , excessive exercise , dirut , fasting ) happen 2 a week for 3 months normal BMI regular menstrual cycle normal body weight

ANOREXIA NERVOSA amenorrhea abnormal body weight low BMI

bulimia nervosa regular menstrual cycle normal body weight

major depression disorder -

sertraline antidepressant if not respond switch to another antidepressant from the same family sertraline change with citalopram

just doctor patient conversation

drug use sexual history domestic violence

conversion disorder : sudden onset of * neurological symptoms* and clinical finding incompatible with neurological conditions (bilateral lower extremity weakness) as example

factitious disorder : intentional production of physical or psychological symptoms of goal to assume sick being

vs serotonin syndrome

has fever , rigidity but usually start with diarrhea restlessness and autonomic instability

factitious vs malingering disorder: factitious is intentional production of false physical or physiological sign or symptoms to order to assume sick role vs malingering associated with secondary gain

hypochondirasis is somatic multiope complain marked imparoment and pain last > 6 motnhs

borderline personality disorder :

interpersonal relationship instability and high impulsivity

malignant neuroleptic syndrome

malignant neuroleptic syndrome : fever , rigidity , automine disturbance tachycardia , hyperthermia , altered mental status , : dantrolene is the blockage agent as result from typical antipsychotic drug such haloperidol

histrionic personality disorder : persuasive pattern of excessive emotion and attention seeking behaviour by early childhood

malingering disorder: intentional production of false or grossly exaggerated physical or psychological symptoms with motivation of secondary gain ( money , nactorics).

most important lithium toxicity

nephrogenic diabetes insipidus hypothyroidism ebstein anomaly

antipsychotic medication (risperidone) can cause hyperprolactinemia secondary to dopamine blockade which lead to high prolactin level

prolactinoma : cause high prolactin level > 200 ng\dl large cell carcinoma of lung : can produce hCG result in gynecomastia and mild discharge