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PSYCHIATRY

Dr. Ankit Goel


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BEST WISHELI
MEE

QAFBLAEAAFFEECT BLUNT
N ATEAECT
LABILE
AFFECT MANIA
ORGANIC Mental
MANIA 70
ORGANIFEPHAREDMA
DELUSION
FALSE FIXED FIRM BELIEF
HELD WITH EXTRAORDINARY CONVICTION

UNEXPLAINED BY SOCIAL CULTURAL BACKGROUND

A
SUPERSTITION
tartmkiLE
TALKING ABOUT HIM SPYING

MANIA
FALSE BIG CLAIMS
DEPRESSION
DENIES EXISTENCE OF
SELF FIM WORLD
COTARD SYNDROME Dept Det
N
Depression
F M

SOMEONE ELSE IN LOVE I Pt

x
PARTNER SPOUSE HAVING AFFAIR

SUBSTANCE A LWHOL
CLOSE PERSON REPLACED BY STRANGER

PERSON IMPOSING AS
FAMILIAR
STRANGER
LBD

CLOSE PERSON REPLACED BY STRANGER


FIGHTING T CLOSE PERSON

FAMILIAR PERSON IMPOSING AS STRANGER

FIGHTING T STRANGER
A FLIGHT Of
IDEAS DELUSION

I circumstantiality 7
Unnecessary
is
Goal Reached
PERSEVERATION
By chance
By Clang Assoc

FLIGHTJIDED

ORGANIC Mental D o
PERSEVERATION

thought PERSIST
POINT OF RELEVANCE
beyond

SEEN IN 1 ORGANIC MENTAL DIO


2 SCHIZOPHRENIA
MFTISMIOPHRENIA

FLIGHT OF LOOSENING OF OBSESSION


IDEAS DELUSION ASSOCIATION

DERAILMENT PASSIVITA
PERSEVERATION THOUGHT
TANGENTIAL M
CIRCUMSTANTIALITY
Neologism
T

B
Illusion
n

FALSE PERCEPTION
WITHOUT REAL OBJECT
TALK
is

P
Det 8 INFESTATION
EKBom Syndrome
Occurs in

jy OUTER OBJECTIVE SPACE

PSEUDO HALL

OCCURS IN
INNER SUBJECTIVE SPACE
Psychotic Sx

HEAR
I

SEE ORGANIC Mental D o

touch FORMICATION Insects


COCAINE BUGS MAGNUM Bugs
smew

TASTE
T.LI
DREAM LIKE State
VH

consiousness
TWILIGHT imp f
episodeviolent
TIME PLACE PERSON
Disorientation DELIRIUM
REPETITION SPAN TEST
DIGIT
D F T D B T
100 7 TEST

Lastmeal
D FT
TEST OF ATTENTION LONG
24 HOURS RECALL METHOD
PERSONAL INFORMATION
HISTORICAL
CONCRETE
LOSS
of ABSTRACT
PROVERB TESTING
similarity
Isin ÉÉÉÉy
SERENA
fire PROBLEM

Psychosis
Impaired
AWARENESS OF ILLNESS
NEUROSIS I
PSYCHOSIS I
ORGANIC MENTAL DISORDERS/
NEUROCOGNITIVE DISORDERS
d
DELIRIUM M AY DID
ACUTE ONSET fEVE
CONSIOUSNESS IMPAIRED
CLOUDING Of CONSIOUSNESS
ALTERED SENSORIUM
ACUTE PSYCHOSIS
DISORIENTATION TIP P

www yxj

COGNITION IMPAIRED
MEMORY
guy
ORGANIC MENTAL DISORDERS/
NEUROCOGNITIVE DISORDERS contiousmen
Intact
DELIRIUM 02 DEMENTIA

CONSIOUSNESS IMPAIRED COGNITIONIMPAIREIL


CLOUDING Of CONSIOUSNESS AMNESIA
ALTERED SENSORIUM APHASIA
DISORIENTATION TIP P APRAXIA
CONFUSION AGNOSIA

COGNITION IMPAIRED
PRESSURE
Normal
HYDROCEPHALUS

1
SDH TUMOR ABSESS NPM

COGNITIVE IMPAIRMENT

GAIT ABQ URINARY


INCONTINENCE
MAGNETICGAIT
SDH TUMOR ABSESS NPH
ENCEPHALITIS MENINGITIS

Def Of VIT Biz NIACIN FOLATE B

HYPOTHYROIDISM HYPERTHYROIDISM
HYPER PM
IPO
Alzds
Alcoray IBD
Vascular D
CORTEX SUBCORTICAL GREYMATTER

PARKINSON DS
ALZ DS
HUNTINGTON DS
PICK DS FTD
MS WILSON DS PSP

MOTOR ab
system

MIILALR
LBD
a
go
My IMchor Sx
partisan

cogs
FLUCTUATING COGNITION
VH
MOTOR FEATURES OF PARKINSONISM

SEVERE NEUROLEPTIC SENSITIVITY E


REM SLEEP BEHAVIOR DIO

AUTONOMIC DYSFUNCTION SINOPE LOC


PERSECUTION CAPGRASSYNDROME
DELUSION
OTHERHAN A T 0 9
PATHOLOGY LEWY BODIES
L SYNUCLEIN
t
PARKINSON DS
D
Ha
D LOA D T N
ca
N
LGA Acute
Psychosis

2 OR Sx
ATLEAST ONE FROM
1st 3
r
6 MONTH
ANHEDONIA
A VOLITION
A LOGIA
AFFECT BLUNTING
ASOCIALITY
MOOD Do Schizo 30rad
MUTISM
STUPOR EXCITEMENT

WAXY FLEXIBILITY

NEGATIVISM AUTOMATIC OBEDIENCE


MANNERISM STEREOTYPY

ECHOLALIA ECHOPRAXIA

GRIMACING
CATALEPSY POSTURING
PASSIVE CAGIVA AMBI TENDENCY
T CATATONIA

EPAm
t.V.GR
I
arm

ACUTE ONSET INSIDIOUS ONSET

Age LATE ONSET EARLY ONSET


WORST
SUBTYPEATATONIC PARENTI SIMPLE HEBE PHRENIC
d d
JemovedBtest female Del native
Sx
maze
PRESENCE OF MOOD SX ABSENCE
MOODD O FIN OF SCHIZOPHRENIA

MARRIED Unmarried
as

CT ENLARGED LAT 3rd VENTRICLES

CANNABIS USE A RISK

A RISK
PRENATAL INFLUENZA INFECTION
SIGECAPSS
2WGERS

30 751 10 15 1 0.1 0.21


ONSET 3 5 DAYS DURING PREG
AFTER DELIVERY 4 WEEKS OF DELIVERY
DEN HAUL
SX TRANSIENT MILD DEPRESSION
SADNESS ANHEDONIA
IRRITABILITY GUILT
SLEEP SUICIDAL THOUGHTS
CBT
No Rx Ry SSRI Rx ANTIPSYCHOTICS

BREXANOLONE IV
ZURANOLONE ORAL
PsychoticDep RIADtAP
Rx SSRI MA OI

ATYPICAL DEPT TCA X


mood Reactivity Poor
My
Catatonic w wet Redhouse
Sx I IPRsensitityreichion
L LADEN PARALYSIS
Get High teypersomnia
suicide
Melanoma severe
EMPTY mood MA GUILT
Sx worst in
morning
PERSISTENT
SUDDEN ONSET AgorafWppa
OF INTENSE ANXIETY
ANXIETY I SPECIFIC PHOBIA
Excessive
feeling of WORRIES
IMPENDING
SOCIALPHOBIA
Doom
FEAR OF DYING
taek
OCD IFE.MN Acts
OBSESSIONS Equal COMPULSIONS
sizes
TYPES OCD

FLEEING
0 O
M CONTAMINATION
PATHOLOGICAL DOUBTS TO WASHING
COUNTING
SYMMETRY
Fression symmetry
SEXUAL
OCD therapy
TREATMENT
DRUGS THERAPY
CBT
SSRI DOG
ERP
CLOMIPRAMINE

AUGMENTING AGENT
ANTIPSYCHOTICS RIA

Rx Of CHOICE

Druasttherafy

No cause in Body
Physical Sx
Somatoform and related disorders
cordon DISORDIFNSDF m
NEUROLOGICAL SX
Rare
s motors 35yrs
sensory
PSEUDO S2
NO POST 62 M PRL

IS ULI
CARELESS ATTITUDE
TOWARDS SERIOUS ILLNESS
Somatoform and related disorders
CONVERSION DISORDER FN SD
NEUROLOGICAL SX

SOMATIC SYMPTOM DISORDER PREOCCUPIED I


symptoms

HYPOCHONDRIASIS PREOCCUPIED T
ANXIETY SERIOUS ILLNESS
ILLNESS
DIO
AUTISM SPECTRUM DISORDER

F TDEFICITS IN SOCIAL Communication


M
REPETITIVE BEHAVIOR

AUTISM X
oReitssyndrome Language
impairment
newer syndrome

ASPERGER's SYNDROME
RETT'S SYNDROME
FSP
1st 5 month
MEC B gene
development

Gm
Ly ears
Stereotypic movement Hand Wringing
th
MICROCEPHALY

Ispat ms coordination
ADHD M f

ON
I

Empty
DOC METHYPHENIDATE
Growth suppression
Tics
CMR
INTELLECTUAL DISABILITY

MC GENETIC CAUSE DOWN SYNDROME

MC INHERITED CAUSE FRAGILE X SYNDROME


SINGLE GENE
Ach DGlutamate
NÉE
Ap Deposits
MAB
CHOLINESTERASE
HIM Antagonist
ADUCANUMAB
TACRINEXCHEPA MEMANTINE
X HUMAN
IgG MAB
DONGPEZIL d
RIVASTIGMINE
Mod Severe
GALANTIMINE
Cases LECANEMAU
HUMANIZED MAB
a

MOA atypical
SHTIFANTAGONIST
Dz ANTAGONIST D2

EPS MORE LESS


hot MTN Don thinid
METABOLISIE Less MORE

5 HT 2C ANTAGONISM
kt
CHLORPROMAZINE
ALSO BLOCKS N H M

EYE CORNEAL LENTICULAR DEPOSITS

THIORIDAZINE
TAI LESSEPS
RETINAL PIGMENTATION

I LIBIDO
RETROGRADE EJACULATION
CLOZAPINE 2nd G Antipsychotic
Da D D2 LEAST EPS
No Redhouse
ANTI SUICIDAL PROPERTY 2 At
RELIANT SMIZOPHREIA
IIIT
S E MCO SEDATION H Blockade H Swallowing
SIALORRHEA TOWEL OVER PILLOW
C A
HYPOTENSION
WEIGHT GAIN MAX
CONSTIPATION ANTICHOLINERGIC S E
CLOZAPINE

SERIOUS IE T
CIE CBZO
TRxAntiepilefrid
Seizure STOP
WBC 3 ooo mm
HAYE
tactosis ANC L I 500 mm

Myocarditis manga
1st GM
Schizophrenia
Sx
t
FAT NEGATIVES
Positives
D Hatin
SlE 4DA_AAnt.P
0mg'm t.Dfdptra
EPS SExualSl A.G
inf
ED

AT

D P Night
At

V M AT 2
to I

Neeta
Da 5HI
2dL EPSLf Ant

BE

I
0

DYSTONIA
DEPRESSION TREATMENT

DRUGS
SSRI Doc SE
SERTRALINE
FLUOXETINE
GI
NAUSEA DIARRHEA CONSTIPATION
SIE
DRY É
mchorytom
PAROXETINE SEXUAL H
LIBIDO RELAYED EJACULTION
CITALOPRAM
ESCITALOPRAM IDDREAMS SWEATING
ELDERLY
VILAZODONE HYPONATREMING SEA
SPARI I
SSRI SNRI
IN PREG
Pulm ton
AUTISM ADHD
DELAYED MILESTONE
LOW APGAR
SSRI C I INIREG PREMATURITY

Patient
MIRTAZAP
DEPRESSION TREATMENT
SIE SSRI
SNRI SIEHTNNDRI
VENLAFAXINE BUPROPION
DESVENLAFAXINE LOW RISK Of SEXUALDYSFUNCTIONSEDATION WE Gain
DULOXETINE
MILNACIPRAN SIE SEIZURE esp at Higher doses
L
C I BULIMIA NERVOSA
ANOREXIA NERVOSA
MA OI TYRAMINE
TCA TOXICITY RICH food
SEIZURE COMA CHEESE Rxn
CNS
TDRS
CHIN CRISIS
CVS ARRYTHMIAS
NatCHANNEL 0
TRAZODONE
ANS DRY mouth S E PRIAPISM

Rx Namco
MONITOR ECG
ACTIVATED CHARCOAL
É
VORTIOXETINE SEROTONIN MODULATOR STIMULATOR

AGONIST 5HTIA
PARTIAL AGONIST JHTIB
ANTAGONIST SHTID
5HT3
5h57
THT REUPTAKE INHIBITOR
BIPOLAR DISORDER

MANIA BIPOLAR DEP


HYPOMANIA
ten to
1St STEP STOP AD DON't USE AD ALONE

hi VAL
AD TMS

Pry
AP
d
HIS NTD
EBSTEIN
Anomaly
X
ZURANOLON

BREXANOLONELIV
GABA A MODULATOR

3 Least Sexual
Gepirone SIE
5HTIA AGONIST PA
VBSIIPIR
TROFENITIDE
TRIPEPTIDE Gly Pro Glu
ANALOGUE OF IGF I
LE CANE MA B

Bretrazore
PA D2
JOHN F J CADE

THERAPEUTIC RANGE 0.5 15m Eg L

ACUTE MANIA I 15m


Eq L

MAINTENANCE O G l 2mEq L

TOXICITY 71 SMELL
ANTI SUICIDAL PROPERTY
OSS HAIR APPETITE

NCREAGE LEUCOCYTES

REMORS DOC PROPRANOLOL


YPOTHYROIDISM HYPERTHYROIDISM
ACE It
N CREASE NSAIDs Clarence
Rx THIAZIDES
RINET DI Kt SPARING DIURETIC

ÉIN
5day

12 Hrs
I 30min

50 125 Ng mL
TOXICITY Md
MILD MOD VOMITING ABDOMINAL PAIN
15 2 Meg L ATAXIA NYSTAGMUS MS WEAKNESS

MOD SEVERE ANOREXIA N V


2 2.5 meg L
HYPERACTIVE DTR CONVULSIONS STUPOR
COMA

SEVERE 2 SMELL

mmm
RENALFAILURE DEATH
TOXICITY

RX STOP LITHIUM CORRECT HYDRATION

REMOVAL OF UNABSORBED LITHIUM FROM GI TRACT

POLYETHYLENE GLYCOL
SODIUM POLYSTYRENE SULPHONATE

IN SEVERE CASES
HEMODIALYSIS
gaming
x

HALOPERIDOL
TREMORS
condiousnes
6 8 Hrs intact
8 s A Is Ah
II
EEIZUR .ua
PEAK Ieqiimmtfns
IDinfairment 8
Irons consiosner
TREATMENT
withdrawal MAINTENANCE
detoxification
DOC BED
Effrayed
LIVER LORAZEPAM DIAZEPAM

OK OXAZEPAM CHLORDIAZEPOXIDE

TREATMENT TEMAZEPAM

THIAMINEN
TREATMENT
DETOXIFICATION MAINTENANIP
1 DISULFIRAM AVERSIVE AGENT
ALDEHYDE DEHYDROGENASE
ALDA

2 ANTICRAVING AGENT
ACAMPROSATED NMDA Antagonist
NALTREXONE Y ANTAGONIST
LMEUROLOGNINUEDIPP

ACUTE CHRONIC
AMNESIA A R
G CONFABULATION
0
A
DEFICIENCY OF VIT BI THIAMINE
TPP ALKGDH TRANSKETOLASEPDH
BRANCHED CHAIN KETOACID
THIAMINE DI
1st THIAMINE 7
DEXTROSE NO Response
ACUTE CHRONIC
AMNESIA
G
O CONFABULATION
A
DEFICIENCY OF VIT BI THIAMINE

THIAMINE
N
NORCSPONSIL.TN
OPIOIDS
INTOLICATIOX
CLINICAL TRIAD OF RESPIRATORY DEPRESSION

PINPOINT PUPIL MIOSIS

COMA

DRUG OF CHOICE

I V NALOXONE OPIOID ANTAGONIST


SHORT ACTING
Extra

OPIOID
HTM TACHYCARDIA TALMYPNEA
CARDIAC ARRYTHMIAS S2
MAGNUM BUGS
FORMICATION
SCRATCH
MARKS
cocaine MAREILON
NASAL SEPTALPERFORATION
JET BLACK PIGMENTATION
T.
4 j

Gums Lozenges
PATCHES PA Ly Ba N Ach R

Slf A suicidal
thoughts

2 BUPROPION
N DRI
METHANOL POISONING
FOMEPIZOLE 7 ETHANOL
ALCOHOL DH O

BED POISONING
FLUMAZENIL
DEPRESSION SCHIZOPHRENIA
ADHD
BP II BP I ASD
ANXIETY DIO EXCEPT
RETTSYNDROME
PD AGORA 7 SOCIALPHOBIA
Specific GAD ASPD
EATINGDIO
BORDERLINE PD

RETTSYNDROME

CONVERSIONDIO

OCD
5 61

SUICIDE
071
Lifetime prevalence of schizophrenia________________
IT
10 154

40 Yrs

30
yrs
2 31

19 Yrs
PANIC DISORDER

DEPRESSION

DEPRESSION
F m
O
OBSERVE 2hr

RESEEDING Syndrome
O
BMFjm

475kt ALKALOSIS
F m

BING.CAT
NGDISORDI

MCEATINGDP
B ED AN BN
41 2 21
mo
I
Chat Hypothalamus

MODAFINIL
DUAL therapy

EXCITEMENT ORGASM

SENSATE FOCUS TEWISVE SQUEEZE TEN


STOP START TECH

SILDENAFIL SSRI
TADA LAFIL
VARDEN A FIL
A VANA FIL
tit s

OMEGA SIGN
SLIP SPINDLES E
K complexes
m
f

R
mummmmm

SAWTOOTH APPEAR ENCK


Bad
TRIMOBEZOAR
J
t
TRICHOPHAGY
I
TRICHOTILLOMANIA
EATING DISORDER

CONFUSION ASSESSMENT METHOD (CAM) DELIRIUM

MMSE DEMENTIA
hg.fm
PANSS SCHIZOPHRENIA

the I ve
syndrome Scale
S CAGE QUESTIONAIRRE
TRAUMALSTROSOLP
FEVERE MID
NP
ADJUSTMENT DO
31mV
IM A MILD BCM Emotional Sx
0fEXc
Sy M
A
H NR
I
RX ANTAINST
FBI Prazosin a AD
FOR NIGHTMARES
Meat
Read
ona relationships
IMPULSIVITY
RECURRENT SUICIDAL BEHAVIOR

MOOD INSTABILITY

Rx
DIALECTICAL BEHAVIOR THERAPY
MENTAL HEALTH
Point
CEIMfct.jo
MHCA 2017

ADVANCE DIRECTIVE Way person wishes to be Rx not Rx


for mental Illness

NOMINATED REPRESENTATIVE to take Rx Related decision

DECRIMINALIZATION OF SUICIDE
BUILDINGRADPOX
BREAKINGS
BAD NEWS
PARTNERSHIP
SETTING
EMPATHY
PERCEPTION
APOLOGY
INVITATION
KNOWLEDGE respect
EMOTIONS LEGITIMIZATION

STRATERCY SUPPORT

Firgame
PARAPHILIAIMP Read

T R A M SV ESTI S M
BEST WISHES
THANK YOU

KEEP SMILING
KEEP MOVING FORWARD

E
DrAYFÉÉ

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