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Deterioration of cognitive function, memory
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Dementia
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Rapid onset of cognitive symptoms, mental status fluctuations, anxiety,
irritability
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Delirium
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Paplitations, tremors, hyperventilation or respiratory alkalosis, numb
or tingling mouth or extremities
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Anxiety
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Feelings of worthlessness, hopelessness, apathy, weight loss, insomnia,
daytime sleepiness. Thoughts of suicide
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Depression (SSRI = drug of choice)
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Raw red hands, chafed.
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OCD
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Binge eating, laxative use, starvation
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Bulimia nervosa (Tx w/ SSRI – Fluoxetine)
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Bulimia with electrolyte disorders
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Hypokalemia, metabolic alkalosis
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Antipsychotic meds (phenotiazines), facial tics, lip smacking, tongue
disorders, blinking, ataxia
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Tardive
dyskinesia
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Pt on antipsychotic meds develops altered consciousness, lead-pipe
rigidity, diaphoresis, catatonia.
Hyperthermia, tachypnea, blood pressure changes.
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Neuroleptic malignant syndrome.
Tx supportive care & antipyretics
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Extrapyradimidal signs, BP changes, altered consciousness, hyperpyrexia,
muscle rigidity, dysarthria, CV instability, fever, pulmonary congestion,
diaphoresis. Pt on antipsychotic meds
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Neuroleptic malignant syndrome.
Tx supportive care & antipyretics
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Infrequent blinking, tremor, rigidity, bradykinesia, shuffling gait,
masked facies
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Parkinsons
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Short lived, intense relationships.
Difficulty controlling anger esp. when feeling abandoned. Hx sexual promiscuity and substance abuse.
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Borderline personality disorder
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Periods of excessive drinking, buying, spending
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Manic phase of bipolar disorder
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Male w/ gynecomastia, diminished or delayed secondary sex
characteristics, small firm testicles, long arms & legs (eunechoid body
habitus)
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Klinefelter Syndrome XXY. Low
serum testosterone & infertility.
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Hyponatremia w/ bizarre behavior.
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Lithium OD
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