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13.01.30 Ward notes

Psychiatric interview
  • Appearance
  • Attitude
  • Speech
  • Behaviour
  • Mood + affect
  • Thoughts
    • Form
    • Content
  • Perceptions
  • Cognition
  • Insight

EBV rash
  • Patients with infectious mononucleosis are sometimes misdiagnosed with a streptococcal pharyngitis
    • Classical clinical triad of fever, pharyngitis and adenopathy looks similar
  • May be given beta lactam antibiotics
    • 80–90% of patients will then develop a red, diffuse rash
  • Rash is often assumed to be a penicillin allergy


Somatic symptoms in depression
  • Vague aches and pain are often the presenting symptoms of depression
  • Symptoms include:
    • Chronic joint pain
    • Limb pain
    • Back pain
    • Gastrointestinal problems
    • Tiredness
    • Sleep disturbances
    • Psychomotor activity changes
    • Appetite changes


Notes

  • A cecal mass (tumour etc) obstructing the lumen of the appendix can cause appendicitis
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