PA Psychiatry EOR.pdf file:///C:/Users/HP/Desktop/dddd/PA%20Psychiatry%20EOR
PA PSYCHIATRY EOR
1. *SIGECAPS* of Depression: *S*leep disturbances
*I*nterests are “
*G*uilt
*E*nergy is “
*C*oncentration is “
*A*ppetite is “
*P*sychomotor Agitation
*S*uicidal thoughts
2. Major depressive disorder: Depressed Mood or Anhedonia
Dx: 5 or more of the SIGECAPS Sxs for *> 2 wks* effecting normal function
Tx:
*SSRI* or *SNRI* > TCA/MAOi > ECT
3. S/Es of SSRIs: *Sexual Dysfunction*Wt
1 of 68 9/27/2024, 4:44
,PA Psychiatry EOR.pdf file:///C:/Users/HP/Desktop/dddd/PA%20Psychiatry%20EOR
gain
Anxiety
Nausea
4. *SHIVERS* of Serotonin Syndrome: *S*hivering
*H*yperreflexia
*I*ncreased temp (fever)
*V*itals, unstable
*E*ncephalopathy
*R*estless
*S*weating
Tx: Cyproheptadine
5. 1st line Tx of depression in children: Fluoxetine (Prozac)
- Longest Half-life of all SSRIs
- Caution ‘ SI in the 1st 2 weeks of use
6. SSRI known to cause QT interval prolongation: Citalopram (Celexa)
7. Screening tool or questionnaire used in clinic for:Bipolar
2 of 68 9/27/2024, 4:44
,PA Psychiatry EOR.pdf file:///C:/Users/HP/Desktop/dddd/PA%20Psychiatry%20EOR
Disorder
Major Depression Disorder: BPD: The Mood Disorder Questionaire
MDD: Beck Depression Inventory
3 of 68 9/27/2024, 4:44
,PA Psychiatry EOR.pdf file:///C:/Users/HP/Desktop/dddd/PA%20Psychiatry%20EOR
8. Atypical Antidepressant which inhibits DA reuptake, has less sexual andwt-related
side effects, but decreases *seizure* threshold: Bupropion
*smoking cessation*
9. *SNRI Trade Names*
Effexor
Pristiq
Cymbalta
Fetzima: *SNRI Drug Names*
Venlafaxine
Desvenlafaxine
Duloxetine
Levomilnacipran
10. TCA antidepressants
*special characteristics*: Desipramine - selective NET inhibitor
Imipramine - tx of enuresis
Amitriptyline- tx of neuromuscular pain
Nortriptyline
4 of 68 9/27/2024, 4:44
PA PSYCHIATRY EOR
1. *SIGECAPS* of Depression: *S*leep disturbances
*I*nterests are “
*G*uilt
*E*nergy is “
*C*oncentration is “
*A*ppetite is “
*P*sychomotor Agitation
*S*uicidal thoughts
2. Major depressive disorder: Depressed Mood or Anhedonia
Dx: 5 or more of the SIGECAPS Sxs for *> 2 wks* effecting normal function
Tx:
*SSRI* or *SNRI* > TCA/MAOi > ECT
3. S/Es of SSRIs: *Sexual Dysfunction*Wt
1 of 68 9/27/2024, 4:44
,PA Psychiatry EOR.pdf file:///C:/Users/HP/Desktop/dddd/PA%20Psychiatry%20EOR
gain
Anxiety
Nausea
4. *SHIVERS* of Serotonin Syndrome: *S*hivering
*H*yperreflexia
*I*ncreased temp (fever)
*V*itals, unstable
*E*ncephalopathy
*R*estless
*S*weating
Tx: Cyproheptadine
5. 1st line Tx of depression in children: Fluoxetine (Prozac)
- Longest Half-life of all SSRIs
- Caution ‘ SI in the 1st 2 weeks of use
6. SSRI known to cause QT interval prolongation: Citalopram (Celexa)
7. Screening tool or questionnaire used in clinic for:Bipolar
2 of 68 9/27/2024, 4:44
,PA Psychiatry EOR.pdf file:///C:/Users/HP/Desktop/dddd/PA%20Psychiatry%20EOR
Disorder
Major Depression Disorder: BPD: The Mood Disorder Questionaire
MDD: Beck Depression Inventory
3 of 68 9/27/2024, 4:44
,PA Psychiatry EOR.pdf file:///C:/Users/HP/Desktop/dddd/PA%20Psychiatry%20EOR
8. Atypical Antidepressant which inhibits DA reuptake, has less sexual andwt-related
side effects, but decreases *seizure* threshold: Bupropion
*smoking cessation*
9. *SNRI Trade Names*
Effexor
Pristiq
Cymbalta
Fetzima: *SNRI Drug Names*
Venlafaxine
Desvenlafaxine
Duloxetine
Levomilnacipran
10. TCA antidepressants
*special characteristics*: Desipramine - selective NET inhibitor
Imipramine - tx of enuresis
Amitriptyline- tx of neuromuscular pain
Nortriptyline
4 of 68 9/27/2024, 4:44
