Ebook Pathophysiology flash cards: Part 2
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Ebook Pathophysiology flash cards: Part 2
A 46-year-old male presents to his primary care physician with a complaint of trouble sleeping. He states that he lies in bed for up to 3 hours before Ebook Pathophysiology flash cards: Part 2e falling asleep but does not have problems staying asleep. Further questioning reveals that the patient lost his job 5 months ago and his family has been relying on his wife’s part-time income. He states that he has been feeling depressed for the past several months, as he has not been able to find Ebook Pathophysiology flash cards: Part 2 another source of employment to support his family. He feels it is hopeless to continue to find a job. and now spends most of his time now on the couEbook Pathophysiology flash cards: Part 2
ch watching TV. He has no interest in activities he used to enjoy. He reports a decreased appetite but denies weight loss, problems concentrating, subA 46-year-old male presents to his primary care physician with a complaint of trouble sleeping. He states that he lies in bed for up to 3 hours before Ebook Pathophysiology flash cards: Part 2amination reveals an appropriately dressed male with a restricted affect and linear thought process.Major Depressive DisorderThis patient has major depressive disorder. Although there are often several criteria for many diagnoses in psychiatry, it is important to first commit to memory the time requ Ebook Pathophysiology flash cards: Part 2irements and number of symptoms. For major depressive disorder, five symptoms must be present, one of which must be either depressed mood or anhedoniaEbook Pathophysiology flash cards: Part 2
(lack of Interest), for a minimum of 2 weeks. The rest of the nine possible symptoms are Sleep disturbance, feelings of worthlessness or inappropriatA 46-year-old male presents to his primary care physician with a complaint of trouble sleeping. He states that he lies in bed for up to 3 hours before Ebook Pathophysiology flash cards: Part 2l mnemonic is SIG E CAPS. The vignette does not describe any history of manic episodes that could indicate bipolar disorder. If the patient had not met at least five criteria, a diagnosis of adjustment disorder could be considered as his symptoms were precipitated by a major life stressor that was i Ebook Pathophysiology flash cards: Part 2nitiated within 3 months of the stressor and had not persisted for more than 6 months. In dysthymic disorder, a patient exhibits a less severe form ofEbook Pathophysiology flash cards: Part 2
depression on more than half of the days for a period of more than 2 years.A 27-year-old female medical student is brought to the emergency departmenA 46-year-old male presents to his primary care physician with a complaint of trouble sleeping. He states that he lies in bed for up to 3 hours before Ebook Pathophysiology flash cards: Part 2rhe roommate also states that the patient has been acting unusually promiscuous over the past week and accumulated thousands of dollars in credit card charges buying new clothes, rhe patient states she feels great and just has not been feeling tired. Her past history is significant for one suicide a Ebook Pathophysiology flash cards: Part 2ttempt at 17 years after breaking up with a boyfriend, she was subsequently treated with fluoxetine for 2 years but currently takes no medications. OnEbook Pathophysiology flash cards: Part 2
examination, the patient is hyperverbal with psychomotor agitation and reports that she is on the verge of discovering the cure for cancer.Bipolar DiA 46-year-old male presents to his primary care physician with a complaint of trouble sleeping. He states that he lies in bed for up to 3 hours before Ebook Pathophysiology flash cards: Part 2e or more episodes of major depressive disorder. A manic episode consists of at least 1 week of an abnormally elevated, expansive, or irritable mood or a required hospitalization with at least three symptoms. Symptoms include distractibility, insomnia or decreased need for sleep, grandiosity (inflat Ebook Pathophysiology flash cards: Part 2ed self-esteem), flight of ideas (racing thoughts), psychomotor agitation or increase in goal-directed activities, pressured speech, and risk-taking (Ebook Pathophysiology flash cards: Part 2
activities involving pleasure with painful consequences, i.e., excessive spending, sexual indiscretion, gambling). A useful mnemonic is DIG FAST. For A 46-year-old male presents to his primary care physician with a complaint of trouble sleeping. He states that he lies in bed for up to 3 hours before Ebook Pathophysiology flash cards: Part 2tic features. If this is not the case, but at least three symptoms with mood change have been present for at least 4 days, it is considered a hypomanic episode and the diagnosis would be bipolar II disorder. It is important to distinguish the symptoms from personality disorders, as the personality d Ebook Pathophysiology flash cards: Part 2isorders are reported under axis II diagnoses.An 11-year-old boy is brought to the pediatrician by his mother, who is concerned about his behavior. ShEbook Pathophysiology flash cards: Part 2
e states he has become increasingly rebellious since his parents divorced 3 years ago. He was recently suspended for making fun of a smaller classmateA 46-year-old male presents to his primary care physician with a complaint of trouble sleeping. He states that he lies in bed for up to 3 hours before Ebook Pathophysiology flash cards: Part 2examination reveals a slightly overweight boy, appropriately dressed with normal affect, and linear thought process without psychomotor agitation.Oppositional Defiant DisorderThis patient is presenting with oppositional defiant disorder. This is characterized by ongoing defiant and hostile behavior Ebook Pathophysiology flash cards: Part 2toward authority figures. This differs from conduct disorder in that there are not serious violations of social norms, such as physical altercations,Ebook Pathophysiology flash cards: Part 2
property destruction, animal cruelty, theft, or other activities that might rise to the level of concern to law enforcement. Conduct disorder also oftA 46-year-old male presents to his primary care physician with a complaint of trouble sleeping. He states that he lies in bed for up to 3 hours before Ebook Pathophysiology flash cards: Part 2f an attachment figure in the divorce, which typically starts at around 7 to 8 years of age.A 46-year-old male presents to his primary care physician with a complaint of trouble sleeping. He states that he lies in bed for up to 3 hours beforeGọi ngay
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