Rescue 911
Intentional ingestion of large quantity of medication, typically seen in a suicide or self harm attempt
Purposeless constant movements involving facial muscles, often tongue or lip smacking
Tardative Dyskinesia
Slowness in initiation of voluntary movement with reduction in speed and range of repetitive actions.
Bradykinesia
Belief that one possesses special wealth, powers, skill, influence or destiny. Inflated sense of self
Grandiose
Thought follows a pattern with a direction and makes sense
Logical and Goal Directed
Team based coordinated emergency response for a violent person
Code White
Internal restlessness, crawling sensation in legs, jerky movements
Akathisia
Neurological disorder that causes shaking movements in one or more parts of your body, most often in your hands.
tremor
Belief that one is being harmed, watched, ridiculed, discriminated against, or plotted against by another individual or group
Often the individual or group is a Neighbour, or a culturally significant gang, or political body like CIA
Persecutory Delusion
Thought form where someone jumps rapidly and erratically between thoughts and ideas
Flight of Ideas
Symptoms onset within 24 hours and include muscle aches, restlessness, anxiety, lacrimation, runny nose, excessive sweating, insomnia, yawning, diarrhea, gooseflesh, dilated pupils, tachycardia and hypertension
Opiate Withdrawal
Abnormal posture, contraction of muscle groups (ie neck, eyes), muscle spasms, twisted repetitive movements
Acute dystonia
Muscle resistance to external (passive) joint movements
Rigidity
False fixed belief involving functioning of the body
For example there is a tumor in abdomen despite none being found. Believing pregnant despite no evidence.
Somatic Delusion
Thought process demonstrated by the inability to change or cease a thought once having started it.
The thought gets 'stuck' and they go back to it over and over and over again
Perseveration
Onset within 72 hours and lasts up to 7 days.
Characterized by tremor, headache, confusion, tachycardia, hypertension, heavy sweating, nausea, vomiting and diarrhea. Worsening symptoms include hallucinations.
If untreated leads to seizure and potentially death
Alcohol Withdrawal
Grouping of movement conditions similar to _________ that are as a result of psychotropic medications
Parkinsons/ Parkinsonism
Disturbance in balance that impairs ability to maintain upright posture when standing
Postural Instability
False belief that insignificant remarks, events, or objects in one's environment have personal meaning or significance. "Usually the meaning assigned to these events is negative, but the 'messages' can also have a grandiose quality
Delusions of Reference or Ideas of Reference
Repetitive negative thought processes that loop continuously in the mind.
Rumination
Characterized by loss of appetite, vomiting, blurred vision, excessive thirstiness, needing to pee frequently, confusion, tremor, muscle weakness, twitches, jerks, or spasms affecting your face, tongue, eyes, or neck, trouble speaking. Looks like alcohol intoxication
Lithium Toxicity
Partial or complete loss of muscle movement. Looks like a slowing of movement. Due to a disruption in the basal ganglia.
Hypokinesia
Inability to initiate voluntary movement
vs
Diminished ability for voluntary movement
Akinesia vs Dyskinesia
Delusional belief that others can hear their thoughts
Thought Broadcasting
Bonus 200 points
Belief that others can pull thoughts out of head
The difference between Tangential and Circumstantial
Both the patient goes off topic
In circumstantial they will eventually come back to the point
Very rare condition. Onset of symptoms within a few days to 2 weeks
Characterized by fever, muscle stiffness, sweating anxiety, tachycardia, tachypnea, dystonia, myoclonus.
Clinically look "frozen" with fever
Can lead to serious conditions like Kidney failure, Heart and lung failure, acidosis
Neuroleptic Malignant Syndrome
Markedly decreased activity. Peron is immobile, stares blankly, no response to other people or environment. They are mute or mimick someone else's speech. They hold their body in an unusual position or resist people who try to adjust their body
Catatonia
A difficulty in speech production despite a cognitive understanding of language
Dysarthria
Delusional belief that thoughts are being placed by others into own mind
Thought insertion
Abrupt stoppage of a train of thought before the idea is finished.
Unable to recall what was being said, or go back to original thought
Thought Blocking
Medical emergency of too much _________.
Characterized by nausea, vomiting, diarrhea, dilated pupils, agitation, restlessness, muscle twitching and spasms or rigidity, sweating and nystagmus
If untreated can lead to confusion and seizure
Clinically look like 'ants in your pants'
Serotonin Syndrome
Medication Treatment for Extra Pyramidal Symptoms
Benztropine
BONUS
500 additional points if you can name a common OTC medication that can be used for EPS
Less precise to involuntary muscle contractions or spasms. Muscle stiffness that can cause movements to be less precise or uncontrollable
Spasticity
False fixed belief that self, others or world is non-existent or coming to an end
Preoccupation with meaninglessness
Everything is nothing. Extreme skepticism that the world has a real existence
eg. My arm isn't an arm, I'm not even here right now
Nihilistic delusions or Nihilism
Lack of connection or loose connection between thoughts or ideas
When the connections between different ideas are broken, the output is disorganized and meaningless
Loose Associations
This common legal substance of abuse can cause death from respiratory depression and aspiration
Alcohol
A tendency to remain in an immobile posture. Attempts to reposition the patient are met by slight, even resistance, and after being repositioned, the patient will typically remain in the new position.
Waxy Flexibility
Two subtypes of rigidity seen in parkinsons
Cogwheeling
Lead Pipe
Unshaken belief of body being infested by parasites or other bugs or worms
Delusional Parasitosis
Thought form where there is reduced spontaneous thought.
Responses are typically vague, simple, or meaningless repetition of question asked.
Only speak when prompted. Answers are limited.
Poverty of Thought/ Poverty of Speech/ Paucity of Speech/ Alogia