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chpt 37 Quickie

inflammatory & structual heart disorders

Chronic constrictive pericarditis s/s, tests, tx s/s: mimic CHF, pericardial sac adheres, MRI & CT done, pericardectomy done (ressection), causes scarring of peri sac
Acute pericarditis s/s, tests, tx s/s: JVD, muffled heart sounds , frx rub at left sternal border, caused by Virus B--> echocardiography, CBC, -ray, cath lab
endocarditis s/s, test, tx, cause caused by IVDA, tx w/IV anbx,handwashing, s/s, oslers, janesway, murmur & splinter, roth spots, tested w/CBC, echo, x-ray cath lab
Rheumatic fever s/s, tests, tx caused by group A hemolytic strep, s/s: carditis, murmur, distant heart sound, Aschoff's bodies/calcification, polyarthritis, all layers of heart affected, older people have a better chance w/MI d/t developed collateral circulation
myocarditis cause, s/s chronic constrictive virus B, s/s: flu-like
Impulse control the serotonin neurotransmitter system mediates symptoms, Brainstem and CSF levels of 5-HIAA are decreased and serotonin-binding sites are increased in persons who have committed suicide, the dopaminergic and noradrenergic systems
Otto Fenichel behaviors linked to attempt to master anxiety, guilt, and depression or other painful affects by using an action- impulse control
Heinz Kohut considered forms of impulse-control problems like, gambling, kleptomania, and some paraphilic behaviors to be related to an incomplete sense of self
ODD repetitive pattern or angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months and exhibited while interacting with at least one individual who is not a sibling- vindictive at least 2x within the past 6 months.
Conduct d/o A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, in trouble w/law, bully
ODD and CD are disorders of childhood
Intermittent Explosive Disorder, Kleptomania & Pyromania are disorders of Adulthood
Intermittent explosive d/o adults > age 18 who exhibit an inability to control aggressive impulses-verbal or physical and targeted toward other people, animals, property, or themselves-Anything can trigger- must demonstrate a repetitive pattern & interfere fx
Evidence suggest that serotonergic neurons mediate behavioral inhibition in IED Decreased serotonergic transmission- Restoration of serotonin or L-tryptophan restores the behavioral effect of punishment.
Pyromania is an impulsive control d/o
Antianxiety medications should be avoided as they decrease inhibitions (similar to alcohol) in... Impulse control d/o
Created by: arsho453