Psychiatry Rotation
Study online at https://quizlet.com/_bi8tlh
1. MSE GABA (general appearance, behavior, attitude)
Mood
Affect
Speech
Thought process
Thought content
Insight (awareness of situation/illness)
Judgement (based on HPI and recent behavior)
Cognition
2. MSE--general ap- age/gender
pearance compo- appearance relative to age
nents body habitus
hygiene
grooming
physical abnormalities
tattoos/piercings
3. MSE--behavior Posture, eye contact, mannerisms, tics, activity level
Akathisia
Automatism
Catatonia
Choreoathetosis
Dystonia Tremor
4. Akathisia Inner restlessness with inability to stay still.
5. Automatism Spontaneous verbal or motor behavior without patient awareness
6. Catatonia Extreme motor inactivity or hyperactivity
7. Choreoathetosis
, Psychiatry Rotation
Study online at https://quizlet.com/_bi8tlh
irregular migrating contractions (chorea)
twisting/writhing (athetosis)
8. Dystonia Twisting/repetitive movement or abnormal fixed posturing
9. Tremor Unintentional, rhythmic, oscillatory movement
10. Affect--type, Type:
quality/range Euthymic, hyperthymic
elevated/euphoric, dysphoric
irritable
anxious
Quality:
Intense>full>constricted>blunted>flat
Labile>supple/stable>sluggish (motility of emotional state)
Appropriate or not to context
11. Speech--rate, rate: pressured>rapid>regular>slowed
rhythm,
articulation rhythm: cadence, latency, spontaneity
articulation: stuttering, dysarthria
Accent/dialect, tone, volume/modulation (loud, soft)
--Dysarthria
--Echolalia
--Neologism
--Clang associations
12. Thought process
, Psychiatry Rotation
Study online at https://quizlet.com/_bi8tlh
Logical/goal directed
Circumstantial
Tangential
Loosening of associations
Flight of ideas
Perseveration
Thought blocking
Echolalia
Neologisms
Clang associations
13. Thought content Poverty of thought
Overabundance of thought
Delusions (somatic, of grandeur, of reference, paranoid, thought insertion,
thought control, thought broadcasting, erotomaniac, nihilistic)
Depersonalization (loss of personal identity)
Derealization (world feels unrealistic)
Illusion (misinterpretation of existing stimuli)
Hallucination
Obsession
Compulsion
Phobia
Suicidal
Homicidal
14. Cognition--GOAL General consciousness: alert>drowsy, lethargic, stuporous>comatose
CRAMP
Orientation x4
Attention: WORLD backwards, serial 7s from 100
Language: name objects, repeat words/sentences
, Psychiatry Rotation
Study online at https://quizlet.com/_bi8tlh
Calculation: ability to add/subtract
Right hemisphere: intersecting pentagons, clock-face
Abstraction: explain similarities between objects, understand simple proverbs
Memory: immediate (repeat after me), short-term (what were the words?)
Praxis: engage, applying, exercising, realizing or practising ideas
15. Delirium Onset: >48-96hrs post last drink
Tremens --5% develop DT and 5% mortality rate with treatment
Symptoms:
--confusion (usually oriented only to person)
--agitation
--fever
--tachycardia
--hypertension
--diaphoresis
--visual and tactile hallucinations
Can last up to 5 days
Treatment:
--benzo (lorazepam, diazepam) + intensive ICU management
16. Alcohol with- Mild withdrawal: anxiety, insomnia, GI upset, diaphoresis, palpitations, tremors
drawal manifes- --intact orientation
tations and their --6-24hrs
timing?
Seizures: single or multiple generalized tonic-clonic seizures
--12-48hrs
Study online at https://quizlet.com/_bi8tlh
1. MSE GABA (general appearance, behavior, attitude)
Mood
Affect
Speech
Thought process
Thought content
Insight (awareness of situation/illness)
Judgement (based on HPI and recent behavior)
Cognition
2. MSE--general ap- age/gender
pearance compo- appearance relative to age
nents body habitus
hygiene
grooming
physical abnormalities
tattoos/piercings
3. MSE--behavior Posture, eye contact, mannerisms, tics, activity level
Akathisia
Automatism
Catatonia
Choreoathetosis
Dystonia Tremor
4. Akathisia Inner restlessness with inability to stay still.
5. Automatism Spontaneous verbal or motor behavior without patient awareness
6. Catatonia Extreme motor inactivity or hyperactivity
7. Choreoathetosis
, Psychiatry Rotation
Study online at https://quizlet.com/_bi8tlh
irregular migrating contractions (chorea)
twisting/writhing (athetosis)
8. Dystonia Twisting/repetitive movement or abnormal fixed posturing
9. Tremor Unintentional, rhythmic, oscillatory movement
10. Affect--type, Type:
quality/range Euthymic, hyperthymic
elevated/euphoric, dysphoric
irritable
anxious
Quality:
Intense>full>constricted>blunted>flat
Labile>supple/stable>sluggish (motility of emotional state)
Appropriate or not to context
11. Speech--rate, rate: pressured>rapid>regular>slowed
rhythm,
articulation rhythm: cadence, latency, spontaneity
articulation: stuttering, dysarthria
Accent/dialect, tone, volume/modulation (loud, soft)
--Dysarthria
--Echolalia
--Neologism
--Clang associations
12. Thought process
, Psychiatry Rotation
Study online at https://quizlet.com/_bi8tlh
Logical/goal directed
Circumstantial
Tangential
Loosening of associations
Flight of ideas
Perseveration
Thought blocking
Echolalia
Neologisms
Clang associations
13. Thought content Poverty of thought
Overabundance of thought
Delusions (somatic, of grandeur, of reference, paranoid, thought insertion,
thought control, thought broadcasting, erotomaniac, nihilistic)
Depersonalization (loss of personal identity)
Derealization (world feels unrealistic)
Illusion (misinterpretation of existing stimuli)
Hallucination
Obsession
Compulsion
Phobia
Suicidal
Homicidal
14. Cognition--GOAL General consciousness: alert>drowsy, lethargic, stuporous>comatose
CRAMP
Orientation x4
Attention: WORLD backwards, serial 7s from 100
Language: name objects, repeat words/sentences
, Psychiatry Rotation
Study online at https://quizlet.com/_bi8tlh
Calculation: ability to add/subtract
Right hemisphere: intersecting pentagons, clock-face
Abstraction: explain similarities between objects, understand simple proverbs
Memory: immediate (repeat after me), short-term (what were the words?)
Praxis: engage, applying, exercising, realizing or practising ideas
15. Delirium Onset: >48-96hrs post last drink
Tremens --5% develop DT and 5% mortality rate with treatment
Symptoms:
--confusion (usually oriented only to person)
--agitation
--fever
--tachycardia
--hypertension
--diaphoresis
--visual and tactile hallucinations
Can last up to 5 days
Treatment:
--benzo (lorazepam, diazepam) + intensive ICU management
16. Alcohol with- Mild withdrawal: anxiety, insomnia, GI upset, diaphoresis, palpitations, tremors
drawal manifes- --intact orientation
tations and their --6-24hrs
timing?
Seizures: single or multiple generalized tonic-clonic seizures
--12-48hrs
