Eating Disorders
Eating disorder able to maintain normal weight (or be overweight) with ego-dystonic compensatory behaviors.
What is bulimia nervosa?
Name 1 predisposing and 2 precipitating factors for delirium.
What is:
Predisposing: cognitive impairment*, age, hx of stroke, poor functional or nutritional status, substance use, sensory impairment, multi morbidity
Precipitating: acute illness or trauma, infection, surgery/anesthesia, pain, dehydration, electrolyte abnormality, Polypharmacy, sleep deprivation
Legal requirements to hold a patient.
What is immediate danger to themselves or others on the basis of a mental illness and gravely disabled?
Spontaneous, unexpected, recurring panic attacks with persistent concern about future attacks, implication of the attacks, and/or maladaptive behavior.
Anxiety about being in places or situations from which escape may be difficult.
What is agoraphobia?
Eating disorder with the highest mortality rate of all psychiatric conditions.
What is anorexia nervosa?
(Cardiovascular/Suicide)
First line drug for delirium.
What is haloperidol (antipsychotic)?
(Avoid if benzodiazepine or alcohol withdrawal. Use benzodiazepines if alcohol/benzodiazepine withdrawal and catatonia.)
Common finding in lost EM malpractice cases.
Medication used for situational performance anxiety in social anxiety disorder.
What is beta blockers/propanolol?
What is 18.5 kg/m^2?
Eating disorder characterized by lack of control, severe distress, and not associated with compensatory behaviors.
What is binge eating disorder?
Three causes of amnesia.
What is:
Acute: trauma, infection
Chronic: tumors, dementia, thiamine/B1 deficiency
Benzodiazepines
Electroconvulsive therapy
This SSRI can increase suicidal thoughts or actions.
What is fluoxetine (prozac)?
Adjunct medication specific to GAD.
What is buspirone?
Treatment of neuroleptic malignant syndrome.
What is dantrolene?
Most common complication in the management of anorexia nervosa.
Amnesia is the lack of this type of memory.
What is explicit/declarative memory?
Emergency characterized by lead-pipe rigidity, autonomic instability, and altered mental status?
What is neuroleptic malignant syndrome?
Two of the four intrusion symptoms in PTSD.
What is:
1) Re-experiencing
2) Avoidance
3) Persistent negative alterations in cognition and mood
4) Alterations in arousal and reactivity
What is delirium tremens?
[Rx: benzo]
Only FDA approved medication for bulimia nervosa.
What is fluoxetine (prozac)?
These three drug classes help treat cholinergic deficiency in delirium.
What is anti-inflammatory agents, acetylcholinesterase inhibitors, and antipsychotics.
Treatment for serotonin syndrome.
The four major patterns of obsession in OCD.
What is:
1) Contamination (EW, DAVID!!)
2) Pathologic doubt (THE STOVE!!)
3) Symmetry/precision
4) Intrusive obsessive thoughts w/o compulsion (STAB DA HUBBY!!)
Name two medical co-morbidities of anorexia nervosa.
What is: fibromyalgia, cancer, anemia, osteoporosis?