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chpt 37 Quickie
inflammatory & structual heart disorders
| Question | Answer |
|---|---|
| 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
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