Blog Archives

Violent/Aggressive Patient – Australian Review 2011

1 In certain patient populations (e.g., intoxicated patients, psychiatric patients, patients with a history of violent behaviour): Anticipate possible violent or aggressive behaviour. Recognize warning signs of violent/aggressive behaviour. Have a plan of action before assessing the patient (e.g., stay

Posted in 98 Violent Pt, 99 Priority Topics, FM 99 priority topics, Psych

Stress – UpToDate

1 In a patient presenting with a symptom that could be attributed to stress (e.g., headache, fatigue, pain) consider and ask about stress as a cause or contributing factor. Acute Stress Physical Response Emotional Response  ↑ACTH, epi + norepi, glucocorticoids

Posted in 87 Stress, 99 Priority Topics, FM 99 priority topics, Psych

Somatization – AAFP2007

Somatization Definition: Patients with somatization disorder experience their emotional distress or difficult life situation through physical symptoms, where no physiologic explanation can be found A syndrome of physical symptoms that are distressing (cause impairment in functioning) and may not be

Posted in 86 Somatization, 99 Priority Topics, FM 99 priority topics, Psych

Schizophrenia – CJP

1 In adolescents presenting with problem behaviours, consider schizophrenia in the differential diagnosis. Differential Diagnosis of Psychosis – GASPP General medical condition: head tumor/trauma, dementia/delirium, metabolic/infection/stroke, temporal lobe epilepsy Affective disorders: bipolar / depression with psychotic features Substance induced: intoxication/withdrawal,

Posted in 80 Schizophrenia, 99 Priority Topics, FM 99 priority topics, Psych

Mental Competency – AAFP 2001

1 In a patient with subtle symptoms or signs of cognitive decline (e.g., family concerns, medication errors, repetitive questions, decline in personal hygiene), Initiate assessment of mental competency, including use of a standardized tool, Refer for further assessment when necessary.

Posted in 64 Mental Competency, 99 Priority Topics, FM 99 priority topics, Psych

Insomnia – BCguidelines 2004

1 In patients presenting with sleep complaints, take a careful history to: distinguish insomnia from other sleep-related complaints that require more specific treatment (e.g., sleep apnea or other sleep disorders, including periodic limb movements, restless legs syndrome, sleepwalking, or sleep

Posted in 53 Insomnia, 99 Priority Topics, FM 99 priority topics, Psych

Grief – UpToDate

Bereavement is the reaction to the loss of a close relationship. Grief is the emotional response  (subjective feeling) caused by a loss including pain, distress, and physical and emotional suffering. Mourning refers to the psychological process through which the bereaved

Posted in 43 Grief, 99 Priority Topics, FM 99 priority topics, Psych

Eating Disorders – BCED2012

Eating Disorders F:M = 10:1; mortality 5-10% AN 1% onset 13-20yo & BN 2-4% onset 16-18yo Etiology Personality: OCPD, histrionic, borderline Familial: maintenance of equilibrium in dysfunctional family Individual: perfectionism, lack of control in other life area, hx of sexual

Posted in 34 Eating Disorder, 99 Priority Topics, FM 99 priority topics, Psych

Crisis – BC Family Physician Guide 2008

1 Take the necessary time to assist patients in crisis, as they often present unexpectedly. Crises include a relapse of symptoms disruptive behaviour risk of harm to self or others Crisis offer a time-limited window of opportunity to encourage the

Posted in 19 Crisis, 99 Priority Topics, FM 99 priority topics, Psych

Counselling – AFP2009

1 In patients with mental health concerns, explore the role of counselling in treating their problems. (Intervention is not just about medication use.) 1) Problem-solving therapy: helpful for MDE, med nonadherence Problem definition: Obtain factual, concrete information; clarify nature of the

Posted in 18 Counselling, 99 Priority Topics, FM 99 priority topics, Psych
Follow Preparing for the CCFP Exam 2015 on
CCFP ExamApril 30, 2015
The big day is here.
February 2023