Neupsy Key

Alcohol Intoxication and Withdrawal Intoxication Blood Alcohol Level (BAL) Alcohol is metabolized at a rate of ˜30 mg/dl/h, dependent on tolerance and liver function. BAL(mg/dl) Clinical Features 30 Attention difficulties…

Capacity Capacity Assessment When to assess capacity Abrupt change in mental status Refusal of recommended treatment Not willing to discuss refusal Reasons for refusal not clear Refusal based on misinformation…

Violence Assessing Risk Factors for Violence Dynamic Static Homicidal plan Past crime/violence Weapon access Impulsivity Drug intoxication Antisocial/borderline Command auditory hallucinations Childhood abuse (e.g., violence at home) Paranoid delusions Disinhibition…

HIV/AIDS Pretest HIV Counseling1 Discussion of HIV test, including risks and benefits, sensitivity and specificity, possible need for confirmatory testing. Discuss meaning of a positive result and clarify distortions (e.g.,…

Traumatic Brain Injury Epidemiology Most common cause of death among persons under age 35 are injuries incurred during motor vehicle accidents. In the United States, between 2.5 million and 6.5…

Sleep Disorders Sleep Disorders and Psychiatric Illness Depression Insomnia: present in the majority of patients with major depression Generalized sleep disturbance: Increased time to sleep onset Increased nighttime awakenings Early…

Parkinson Disease Epidemiology Onset between 45 and 65 years of age Approximately equal sex and ethnic distribution Risk factors for development of dementia include increased age, greater severity of neurologic…

Huntington Disease Epidemiology Onset between 30 and 50 years of age Average life expectancy ˜15 years Male = female Cardinal features Triad of dyskinesia, dementia, and behavioral abnormalities Autosomal dominant…

Dementia Epidemiology Average age from diagnosis to death is 3 to 10 years. Risk increases exponentially with age from 1% under age 65 to 25%-50% over age 85. Characteristics of…

Delirium Differential Diagnosis of Delirium Delirium Dementia Depression Schizophrenia Onset Acute Often insidious Variable Variable Course Fluctuating Often progressive Diurnal variation Variable Reversibility Usually Not usually Usually, but can be…