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| =Missed Concepts= | | =Missed Concepts= |
| *Varenicline can be combined with NRT without additional adverse effects, and is possibly more effective than either method alone. | | *Varenicline can be combined with NRT without additional adverse effects, and is possibly more effective than either method alone. |
| + | *Adjustment disorder is characterized by emotional symptoms causing clear impairment in social and occupational function developing within 3 months of an identifiable stressor. |
| + | *Opioid withdrawal: mydriasis, irritability, anxiety, tachycardia, hypertension, nausea, vomiting, cramping, myalgias, arthralgias, lacrimation |
| + | *Stimulant toxicity: mydriasis, irritability, anxiety, tachycardia, hypertension, '''loss of appetite, diaphoresis''' |
| + | *Stimulant prescriptions for ADHD are not associated with increased risk of substance use disorder. |
| + | *Histrionic personality disorder diagnosis |
| + | *The difference between illness anxiety disorder and somatic symptom disorder is that in the former they are not complaining of having symptoms, just preoccupied with concern that they ''might'' have a serious undiagnosed disease (e.g. brain tumor). |
| + | *Bupropion is not first line in pediatrics for depression |
| + | *Always rule out secondary causes of dementia (e.g. depression) before jumping the gun. |
| + | *Late onset MDD is associated with increased risk of '''Alzheimer's''' |
| + | *'''Akathisia''' (inability to sit still), is a side effect of '''FGA > SGA''', treat with '''propranolol'''. |
| + | |
| + | =Tourettes= |
| + | *H&P: Comordid psychiatric disorders include '''OCD/ADHD > MDD/anxiety''' |
| + | *Dx: Motor and vocal tics for more than 1 year, onset before 18. |
| + | *Tx: Management is with '''behavioral training, antiDA agents (risperidone), or alpha-2 receptor antagonists (clonidine)''' |