Please enable JavaScript.

Coggle requires JavaScript to display documents.

Psychiatric, Feature of Causality, Disease is able to be divided into,…

- - - - primary cause
        
        Personality disorder
        
        Schizophrenia spectrum
        
        Anxiety disorder
        
        Sleep disorder
        
        Neurocognitive disorder
        
        Sexual dysfunction/ Gender dysphoria
        
        Somatic disorder
        
        Mood disorder
      - Organic mental disorder
        
        Sec. neurodevelop :question:
        
        Sec. psychotic
        
        := hullucination/delusion
        
        Cause
        
        primary Brain
        
        tumor
        
        Huntington disease
        
        Blood borne
        
        Endocrine
        
        Hypo/Hyper -thyroidism
        
        Metabolic
        
        Vit B1/3/12
        
        Wilson disease
        
        Porphyria
        
        Homocystinuria
        
        Hematogenous inf.
        
        encephalitis
        
        Drug
        
        Thyroid hormone
        
        Dopamine
        
        Amphetamine
        
        Steroid
        
        Alcohol :question:
        
        Autoimmune
        
        SLE
        
        Delirium :question:
        
        Sec. mood
        
        := depress/elevate/irritate
        
        depreesive feasure
        
        MD-like E
        
        Manic feature
        
        Mixed
        
        cause
        
        Primary brain
        
        Epilepsy
        
        Post stroke at prefrontal (stroke cause absence, if stroke at dominent hemi sphere cause depression)
        
        Blood brone
        
        Endocrine
        
        Hypo/Hyper thyroidism
        
        Drug
        
        Tamoxifen, Interferon, Anti-epilepsy, SSRI, TCA
        
        Sec. anxiety
        
        Panic-like attack (excessive sympathetic)
        
        CVS: MI, CHF
        
        RS: COPD, Asthma
        
        Endocrine: Pheochromocytoma, Hyperthyroidism
        
        Drug: Caffeine, Amphetamine
        
        Metabolic: Anemia
        
        Sec. OCD
        
        cause
        
        Primary brain disease
        
        Huntington disease
        
        Tourette syndrome
        
        Frontotemporal dementia
        
        Sec. impulsive control :question:
        
        Sec. personality
        
        Sec. catatonia
        
        Sec. neurocognitive
        
        Delirium
        
        := Acute fluctuate x "poor attention & AOL & impair cognitive"
        
        Cause
        
        Acute encephalopathy w/ some reversible
        
        MNCD
        
        := Non-acute fluctuate of "impair cognitive" w/ impair iADL
        
        Cause
        
        Degenerative
        
        Alzheirmer disease
        
        Parkinson's disease
        
        Stroke
        
        Tumor/ Hydeocepahlus
        
        TBI
        
        Blood borne
        
        Infection
        
        2 more items...
        
        Metabolic: E'lyte, Hypoglycemia, Vit B1,3,12, Uremic/Hepatic encephalopayht
        
        mNCD
        
        := Non-acute fluctuate of "impair cognitive" w/o impair iADL
      - substance induced mental disorder
        
        Dx (>=2/11)
        
        Simple prin.(2): rising, can't reduce
        
        Disturb(3): Time, Work(Carrier, Family), Social
        
        Harm(3): aware w/ violent, mental/physical disturb, accident
        
        Withdrawal
        
        Tolerance
        
        Alcohol
        
        MOA: GABA, DA, anti-NMDA
        
        Withdrawal disease
        
        Uncomplicated withdrawal (Day 0.25 - 7)
        
        Hallucination (Day 2-7)
        
        Delirium
        
        Seizure (Day 1-2)
        
        Mx
        
        Med: Diazepam/Lorazepam +/- Haloperidol
        
        Tx cause, co-morbidity
        
        Supportive surround
        
        Nicotine
        
        MOA: DA, NE
        
        Mx for withdrawal
        
        Nicotine replacement
        
        Bupropion
        
        Amphetamine
        
        MOA: DA>Serotonin,NE
        
        Disease
        
        Withdrawal (กิน, นอน, เหนื่อย)
        
        Intoxication (หลอน, ลอย, ระแวง,ไม่กิน,ไม่นอน)
        
        Mx
        
        Diazepam +/- Haloperidol, Ascorbic acid
        
        Bupropion, SSRI