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What are the 2 subtypes of schizophreniform disorder?
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What are the clinical symptoms of schizophreniform disorder?
Clinical symptoms of schizophrenia and coincidentally a major mood disturbance, such as a manic or depressive episode. They must also have periods of illness in which they have psychotic symptoms without a major mood disturbance. Mood disturbances need to be present for a substantial portion of the illness.
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What is the age of onset of schizophreniform disorder
Late teens to early 20s
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What is schizoaffective disorder?
A disorder with psychotic episodes that resemble schizophrenia but with prominent mood disturbances. Their psychotic symptoms, however, must persist for some time in the absence of any mood syndrome
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What is the management of schizophrenia?
- 1. Antipsychotics- used to treat acute psychotic episodes and to maintain pts in remission or with long-term illness.
- 2. Psychosocial treatments- stable reality oreinted psychotherapy, family support, psychoeducation, social and vocational skills training, attention to details of living situation (housing, roommates, daily activities.
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What are some nutrtional causes of acute psychotic syndromes?iacin
- 1. Niacin deficiency (pellagra)
- 2. Thiamine deficiency (Wernicke-Korsakoff Syndrome)
- 3. Vitamin B12 deficiency
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What are some metabolic causes of schizophrenia?
- 1. Acute intermittent porphyria
- 2. Cushing's syndrome
- 3. Early hepatic encephalopathy
- 4. Hypo and hypercalcemia
- 5. Hypo and hyperthyroidism
- 6. Paraneoplastic syndromes (Limbic encephalitis)
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What are some neurologic causes of acute psychotic syndromes?
- 1. AIDS encephalopathy
- 2. Brain tumor
- 3. Complex partial seizure
- 4. Early alzheimer's or pick's dz
- 5. Huntington's dz
- 6. Hypoxic encephalopathy
- 7. Infectious viral encephalitis
- 8. Lupus cerebritis
- 9. Neurosyphilis
- 10. Stroke
- 11. Wilson's Dz
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Which toxic agents can cause acute psychotic syndromes?
- 1. Carbon disulfide
- 2. Heavy metals
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Which prescription drugs can cause acute psychotic syndromes?
- 1. Anticholinergics
- 2. Digitalis toxicity
- 3. Glucocorticoids and ACTH
- 4. Isoniazid
- 5. L-DOPA, and other dopamine agonists
- 6. NSAIDS
- 7. Withdrwl from MAOIs
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Which drugs can cause acute psychotic syndromes?
- 1. EtOH withdrwl
- 2. Amphetamines and cocaine,
- 3. PCP and hallucinogens
- 4. sedative hypnotic withdrwl
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What are the major psychiatric disorders casuses of Acute psychotic syndromes?
- 1. Acute exacerbations of schizophrenia
- 2. Atypical psychoses (eg schizophreniform)
- 3. Depression with psychotic features
- 4. Mania
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What are the major categories in the differential of schizophrenia?
- 1. Major psychiatric disorders
- 2. Drug abuse and withdrl
- 3. prescription drugs
- 4. other toxic agents
- 5. neurologic causes
- 6. Metabolic causes
- 7. nutritional causes
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