Overview Small for gestational age (SGA) is when a neonate is born weighing less than is expected for their gestational age and is defined as having a birth weight less than the 10th percentile for gestational age. Classification of SGA…
Overview Prematurity is defined as birth before 37 completed weeks of gestation Classification of prematurity Gestational age Prematurity 32 – 37 weeks Late preterm 28 – 32 weeks Very preterm < 28 weeks Extremely preterm Predisposing Factors Clinical Presentation Gestational…
Can I tell you a secret? During my junior clerkship, * my stethoscope was always stuffed into my lab coat pocket, out of sight. I never, not ever, wore it around my neck when I was in the ward. I…
Changes from DSM-IV to DSM-V Organisation of Sleep Brain wave patterns Stages of Sleep Neurochemicals involved in sleep Relationship between depression and sleep Sleep Changes with Age Insomnia (initiation Phase) Insomnia is characterised by an inability or difficulty initiating sleep…
DSM-V Criteria Criteria for major neurocognitive disorder Criteria for mild neurocognitive disorder Overview Acute or insidious onset of disturbance in various cognitive and executive functions and/or in memory (amnesia). Important to distinguish delirium from dementia first, then determine the cause…
Changes from DSM-IV to DSM-V Impulse control vs OCD Impulses are egosyntonic, Compulsions are egodystonic Impulse control disorders Overview of impulse control disorder Disorder Impulse Kleptomania Stealing Trichotillomania Hair-pulling (may include eating hair) Pyromania Setting things on fire Intermittent explosive…
Changes DSM-IV to DSM-V Obsessive Compulsive Disorder (OCD) Characterized by unwanted, intrusive, unreasonable egodystonic urges (obsessions) that create sx of anxiety, and are resolved with a compulsion that relieves the symptoms. In other words, the patient has urges that create…
Trauma and Stressor Related Disorders Major psychological stress involves a threatening event or loss. The stress response involves physical, emotional, and psychological components. Reactive Attachment Disorder Disorder whereby children (< 5 years) are unable to form healthy attachments (particularly with…
Changes from DSM-IV to DSM-V General Principles The patient reports physical sx that cannot be explained by a general medical condition or is disproportionate to their general medical condition. Objective testing is normal. Sx interferes with the patient’s quality of…
Overview All dissociative disorders involve a disruption of consciousness, memory, identity OR perception resulting in significant distress to the patient. Mostly caused by some degree of psychological trauma. The defense mechanism dissociation is prominent (mostly in Dissociative amnesia). r/o Hallucinogens…
