SSRI for narcolepsy with cataplexy.
Littledoc's CCS cases:
45. Prostate Ca
@sea777--what materials are you using? have you completed UW?
Cataplexy- Venlafaxine
Urge incontinence- Biofeedback
Stage 1 RCC- Partial nephrectomy
Enuresis- Bedwetting alarm
I did Psychiatry today so some questions for you all:
1. Which generation of antipsychotic is better for treating negative symptoms in Schizophrenia? 1st or 2nd?
2. What is the treatment of choice for Insomnia in the elderly?
3. How do you differentiate the diagnosis of Tourette's and Chronic Tic disorder?
4. How do you treat Benzodiazepine withdrawal?
Yes behavioral therapy, bladder training first for urge incontinence if that is given in the option.
I wasn't sure for Narcolepsy with cataplexy..I thought it was "SSRI"
Rest two are correct Sarahimg.
2nd gen for negative symptoms
No treatment for Benz withdrawal..as it might precipitate seizure..so just wait & watch.
Benzodiazepine for insomnia? But in elderly it may increase risk of fall?!
Cognitive behavioural therapy CBT for elderly.
Tourette's demonstrates both vocal and motor tics.
I'm starting very late today..Haven't started reading as yet..I wake up very late
((( need to change my schedule. It's 12:12 pm over here and I am starting with MTB GI.
With on & off study, I skimmed through MTB GI. That's all for today!
1. Actually, that was a trick question- Both 1st and 2nd gen antipsychotics treat only positive symptoms.
2. You are right, CBT in Elderly for Insomnia
3. You are right, Tourette's has both motor and vocal tics (not necessarily at the same time) and chronic tic disorder has only motor OR vocal tics.
4. Severe BDZ withdrawal can have seizures, delirium etc, it is treated with Diazepam. BDZ overdose is waiting and watch.
Good job littledoc123