USMLE Step 2 Psychiatry Impulse Control Disorder Chp. 13
Terms
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- Impulses vs. compulsive?
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Impulse you feel ok after you do it - egosyntonic
Compulsive you feel terrible afterward... egodystonic - What Neurotransmitter is involved w/ impulses?
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Serotonin
very violent behavior - Pat. w/ intermittent explosive disorder? (IED)
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Reaction is out of proportion
Driving and a cab cuts you off
Pat. says that he injured somebody's neck because someone took his potato chips - What sex is IED seen?
- men
- What is in a pat. history of IED?
- Head Trauma History
- What are the levels of neurotransmitters in IED?
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Linked to low levels of serotonin
low level of 5-HIAA
abnormalities of lymbic system - As the years progress what happens to IED?
- Symptoms become better
- Tx of Patients w/ I Explosive Disorder?
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anticonvulsant
antipsychotics
beta blockers
SSRIs some what helpful
group psychotherapy - Differential Diagnosis of IED?
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Epilepsy
Brain Tumors
Endocrine Disorder - What personality disorder is a differential diagnosis?
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Antisocial
Borderline
Schizophrenia
Substance Intoxication
all lead to violent behavior - What other condition is associated w/ kleptomania?
- Bulemia strongly associated