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