Emergency Medicine study guide – Flashcards

the study of death and dying -crisis management, team approach, prepare the family

not a sexual act, this is an act of violence -sexual dysfunction often occurs with this

act of self blame in the event of trauma ex. a lot of rape victims will blame themselves for the act of the rape (many think if they blame themselves they can prevent it from ever happening in the future)

fatal: 50% firearms are male bias non-fatal: female bias (highest attempt rate) highest fatal= elderly men

distortion of the body image, obsession with eating and weight control, irrational fear of weight gain -obsession with food but they don't actually eat it -compulsive exercise -hair changes -lanugo -menses abnormalities -greater diagnosis in females than males -increased risk with high up females

minute ventilation rate exceeds metabolic demands -increase in O2, not enough CO2 -paresthesias, perioral, chest, hands, carpopedospasm, respiratory alkalosis causes ionized Ca++ -dizziness < pco2 causes cerebral vasoconstriction (before you diagnose this you need to rule out all medical first that can cause hyperventilation - pulmonary emboli, pneumothorax, coronary artery syndrome)

abnormal muscle tone produced as a side effect of certain medications especially antipsychotics -dopamine receptor imbalance -torticollis, oculogyric crises, opisthotonos (arched back), trismus (jaw tightening) -associated meds that cause this : 1st gen antipsychotics, antiemetic, antidepressants

treats this abnormal muscle tone reaction Cogentin (benzotropin) Benadryl (diphenhydramine)

a naïve, inappropriate lack of emotion or concern for the perceptions by others of one's disability, usually seen in persons with conversion disorder (significant)

an involuntary and repetive movement disorder associated with high potency or long term use of some antipsychotic medications ex. lip smacking, tongue darting, grimacing, lateral jaw movements treatment- early recognition, discontinue med that causes it.

waxy flexibility -acute schizophrenia