Alcohol Withdrawal – Tremors start around 6 hours, seizures around 12 hours, but can occur 3-5 days later. Mortality can be as high as 35%. 3 Ts – Increase temp, tremor and tachycardia Treatment: correct electrolyte imbalances, benzos, can use propofol or barbiturates in refractory cases, magnesium, alpha 2 agonists, Beta blockers, calcium channel blockers Avoid: […]
Psychiatry
Sleep Disturbances
Lifestyle Modifications: Maintain sleep schedule Do not go to bed unless tired Sleep long enough, but not too much Optimize bedroom lighting, temp and sound Develop a ritual Do not stay in bed for more than 15 minutes if you can’t sleep Don’t go to bed hungry. Only use the bedroom for sleep Avoid naps Avoid […]
Depression
Diagnosis: MDD – Major Depressive Disorder/Unipolar DisorderAt least five symptoms every day for at least 2 weeks.Depressed mood = SIG E CAPS Sleep disturbances Interest in activities lost Guilt or worthlessness feelings Energy decreased Concentration decreased Appetite and weight changes Psychomotor retardation Suicidal ideation Rating Scales: HAM-D: Hamilton rating scale for depression – 18 moderate, 7 […]
Bipolar Disorder
Manic Episode: 1 week of abnormal and persistently elevated mood. inflated self-esteem, irritability, decreased need for sleep, flights of ideas, poor attention span, high-risk behaviors. Bipolar 1: one or more manic or mixed episodes and major depressive episodes Bipolar 2: one or more major depressive episodes accompanied by at least one hypomanic episode Cyclothymic disorder: Periods […]