Professional Documents
Culture Documents
F A 2 0 1 4 , P. 5 0 0 - 5 2 0
IN GENERAL, PSYCH IS SDAM. HOWEVER, THERE ARE
S O M E M A J O R T H I N G S T H AT YO U M U S T F O C U S O N
WHEN STUDYING THIS CONTENT
ERRATA
2013:
None
2014:
Pg. 512
Eating disorders In the entry for anorexia nervosa, change the
lower limit of normal :
BMI from 17 to 18.5 kg/m2
PATH POINTERS:
Know all of thetiming cutoffsanddiagnostic criteriathat are
mentioned in FA!! This ishuge.
The question will often hinge on whether or not a patient's
symptoms fall within the correct diagnostic time period or
not!
(E.g. does this patient have dysthymia or MDD?)
Operant
Learning which elicits Voluntary response
Positive, Negative, Punishment, Extinction
TRANSFERENCE AND
COUNTERTRANSFERENCE
SDAM
Transference: patients projection
Counter Transference: doctors projection
CHILD ABUSE
child abuse is usually tested in a vignette with a pediatric patient
being examined after some sort of incident
There may be fractures on exam, found on imaging studies, etc
Retinal Hemorrhage/ Detachment
Shaken baby syndrome clue, esp. if bilateral!!
Subdural Hematoma
Different phases of healing on Xray
Must report to CPS
the vignette will neither rule in/rule out child abuse and the question
will basically be should you just trust the parent's story or not
with the answer being some variation on no.
Conduct dd:
Symptoms ofantisocial personality in someone who is<18 yo
Bad behavior ingrained, cruelty to animals, setting fire to things
Conduct disorder <18yo
Antisocial personal dd >18yp
TOURETTE'S SYNDROME:
onsetbefore age 18,
Know the stereotypical behaviors:
copralalia (only 20%, e.g.: involuntary 4 letter words)
Must beboth motor and vocaltics thatendure for at least 1
year.
Know the treatments and associations
Anti-Dopa agents
Fluphenazine
Pimozide
Pimp side who is bitching= Pimozide for Tourette's
Tetrabenazine
theme of vignettes:
Child with fake complaints to avoid school or other activities.
Fear of separation: parent, safety blanket, etc.
Rett's:
XLgenetics (one of few x linked dominants)
Girls !! (males die in utero)
Stereotypicalhand wringing /hand to mouth = vignette tip off!
Other signs: decreased IQ, decreased verbal, ataxia
Diff from autism: Girls, only constant hand wringing
Childhood disintegrative dd:
have normal initial development, then get worse around 2 yo
usually male
significant loss of verbal / social / motor skills.
In all honesty it can be hard to distinguish CDD from Rett's superficially.,
helpful formula
Retts: girl + hand wringing
CDD: boy + severe regression
PART 3:
p. 510
Malingering vs Factitious dd
SDAM; emphasize the importance of being able to
distinguish.
Malingering: conscious motivation
Factitious: motivation is unconscious
> Munchausen's
Somatoform disorders
SDAM
Personality Dds
SDAM! Be able to recognize each of these. Grouping them in the
clusters is helpful for memorization purposes.
EATING DISORDERS
Bulemia often has a weight in the normal range
+
Anorexia can have purging!
Otherwise, SDAM.
HALLUCINOGENS
SDAM; thisis tested!
My only tips here:
LSD > visual / auditory / anxiety / paranoia / olfactory / etc.
hallucinations. ALL sorts of hallucinations!!
PCP > areally angryperson with hallucinations
WERNICKE-KORSAKOFF
SUPER HY!! Know all that is listed in first aid!!
DELERIUM TREMENS
Know when they tend to occur :
2-5 days after last drink (know!!)
Know withdrawal signs and the order they appear!
QS, CH 14
6, 12, 13, 15, 16, 19