Psychiatry

Childhood Disorders

Intellectual Disability Disorder Autism Spectrum Disorders ADHD Treatment First line → Methylphenidate, Dextroamphetamine Side effects Insomnia ↓Appetite GI disturbance ↑Anxiety Headache Non stimulants Less side effects, Non-addictive, Best for adults/addiction propensity Atomoxetine → If they really push you against stimulants NRIs Alpha-2 agonists Clonidine Guanfacine Behavioral Disorders Oppositional Defiant Disorder Conduct...

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Eating Disorders

Anorexia Nervosa Presentation Distorted body perception BMI <18.5 <5th percentile Induced vomiting Parotid hypertrophy Pharyngeal erythema Tooth decay Knuckles bruises (Russel sign) Amenorrhea Lanugo → Thin, brown body hair Bradycardia ↓BP ↓WBC Complications Arrhythmia Refeeding syndrome Suicide Treatment BMI <16 → Hospitalize Best initial → CBT Alternate → SSRI/SNRI...

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Sleep Disorders

Narcolepsy Presentation Sleep attacks Forced naps during the day ≥3 per week At least 3 months Cataplexy Hypnogogic/hypnopompic hallucinations Sleep paralysis Diagnosis ↓ CSF Hypocretin-1 ↓ REM Treatment Modafinil Methylphenidate Dextroamphetamine Gamma-hydroxybutirate (GHB) at bedtime Obstructive Sleep Apnea CPAP Central Sleep Apnea Thin person Cheyne-Stokes respirations Bipap Insomnia Diphenhydramine...

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Personality Disorders

Cluster A Paranoid Suspicious Mistrustful Secretive Isolated Question loyalty Schizoid Solitary activity No close friends Emotional coldness Don’t enjoy close relationship Schizotypal Ideas of reference Magical thinking Odd thinking Eccentric Social anxiety Brief psychotic episodes Cluster B Histrionic Center of attention Promiscuous Self-dramatize Physical appearance Antisocial Don’t conform to...

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