Nội dung text 25 Psychiatry LMV 5.2.pdf
3 | P a g e [ P s y c h i a t r y ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Grandeur Delusion = (Delusion of Grandiosity) A person he/ she is famous, powerful, wealthy, have exceptional abilities and talents, and keep praising themselves. Examples, A person thinks he is powerful and helps the prime minister. A person thinks he will become a king or god later in life. Persecutory Delusion One believes that he is treated with malicious intent, hostility “unfriendly way”, or harassment. Examples, They hate me, they meant to spy on me, they are plotting to harm me, they are following me to harm me. Key 2 Psychological Conditions related to [Unexplained Symptoms] There are a wide variety of psychiatric terms for patients who have symptoms for which no organic cause can be found: Somatisation disorder √ Multiple physical SYMPTOMS
4 | P a g e [ P s y c h i a t r y ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com “SoMatisation = So Many symptoms and investigations with no physical cause” √ Patient refuses to accept reassurance or negative test results. Examples, A 30 YO ♀ complains of abdominal pain, headache, shortness of breath, unsteadiness, palpitations, and numbness of lower limbs for several months. ECG, X ray, Neurological examinations, and abdominal ultrasounds show normal findings. → Somatisation disorder. Hypochondrial disorder (Hypochondriasis) Persistent belief in the presence of an underlying SERIOUS DISEASE, e.g. Cancer, HIV Hypo=under → underlying SERIOUS DISEASE. Patient again refuses to accept reassurance or negative test results Examples, ◘ A woman persists that she has pancreatic cancer just like her dead husband. ◘ A woman persists that she has HIV despite several negative screening tests. ◘ A person believes that his benign lump is a cancer despite all reassuring investigations. ◘ A minor headache is caused by a brain tumour. ◘ Tiredness is caused by HIV. ◘ A mild rash is the start of skin cancer.